Hospital Acquired Conditions and Never Events

Policy No: 106
Originally created: 04/01/2009
Section: Administrative
Last Reviewed: 12/01/2015
Last Revised: 08/01/2016
Approved: 08/18/2016
Effective Date: 09/01/2016

This policy applies to all physicians, other health care professionals, hospitals and other facilities.

Definitions

Hospital Acquired Condition (HAC)
A condition that is not present when the patient is admitted to or arrives at the hospital or other facility, but occurs during the stay. HACs may be manifested during or after the hospitalization. HACs include preventable infections and medical errors.

Examples include, but are not limited to:

  • Catheter-Associated Urinary Tract Infection (UTI)
  • Vascular Catheter-Associated Infection
  • Surgical Site Infection Following Cardiac Implantable Electronic Device (CIED)
  • Surgical Site Infection, Mediastinitis, Following Coronary Artery Bypass Graft (CABG)
    • Hip
    • Knee
    • Neck
    • Spine
    • Shoulder
  • Surgical Site Infection Following Bariatric Surgery for Obesity:
    • Laparoscopic Gastric Bypas
    • Gastroenterostomy
    • Laparoscopic Gastric Restrictive Surgery
  • Post-operative Hemorrhage
  • Falls and Trauma:
    • Fracture
    • Dislocation
    • Intracranial Injury
    • Crushing Injury
    • Burn
    • Other Injuries
  • Deep Vein Thrombosis and Pulmonary Embolism Following Certain Orthopedic Procedures
    • Total Knee Replacement
    • Hip Replacement
  • New Pressure Ulcers
  • Manifestations of Poor Glycemic Control:

    • Diabetic Ketoacidosis
    • Nonketotic Hyperosmolar Coma
    • Intracranial Injury
    • Hypoglycemic Coma
    • Secondary Diabetes with Ketoacidosis
    • Secondary Diabetes with Hyperosmolarity

Iatrogenic Complications
Any adverse conditions which are the direct result of treatment by a physician or other health care professional.

Examples include, but are not limited to:

  • Air Embolism
  • All Iatrogenic injuries
  • Blood Incompatibility
  • Misplaced instrumentation
  • Iatrogenic Pneumothorax with Venous Catheterization
  • Cerebrospinal fluid (CSF) leaks from intraoperative dural injury

Never Events
Errors in medical care that are of concern to both the public and health care professionals and providers and of a nature such that the risk of occurrence is significantly influenced by the policies and procedures of the health care organization. For purposes of this policy the term Serious Reportable Event is synonymous with term Never Event. Examples include, but are not limited to:

  • Performance of the wrong operation/procedure on a patient.
  • Performance of the correct operation/procedure on the wrong side of the body.
  • Unintended retention of a foreign object after surgery.
  • Patient death or serious injury associated with unsafe administration of blood products.
  • Discharge or release of a patient/resident of any age, who is unable to make decisions, to other than an authorized person.

Serious Reportable Events (SRE)
Events that could have reasonably been prevented through application of evidence-based guidelines. SREs are commonly referred to as "Never Events". These conditions are not present on admission, or when the patients are initially treated, but occur during the course of treatment or stay.

Modifiers and diagnosis codes which could indicate a Serious Reportable Event include, but are not limited to:

  • Healthcare Common Procedure Code Ssystem (HCPCS) modifiers:

    • PA - is used when surgery or other invasive procedure is performed on the wrong site.
    • PB - is used when surgery or other invasive procedure is performed on the wrong patient.
    • PC - is used when the wrong surgery or other invasive procedure is performed on a patient.

This policy applies to the ICD diagnoses codes including but not limited to those listed in Appendices A and B of this policy. In the course of our normal claims processing we may also identify other claims using Utilization Management, Post-Payment processes, Preauthorization, Case Management, Appeals or other means.

Policy statement

Participating physicians, other health care professionals, hospitals and other facilities will not be reimbursed nor allowed to retain reimbursement for costs incurred as a result of Hospital Acquired Conditions, Iatrogenic Complications, Never Events or Serious Reportable Events. The reduction in reimbursement will be calculated using the reimbursement methodologies in place for the provider at the time of service, and could include part or all of an episode of care. Our health plan will consider reimbursement for anticipated Hospital Acquired Conditions after high-risk non-elective procedures, such as repair of major trauma.

No providers involved in care when a Never Event occurs will be reimbursed for those services.

Physicians, other health care professionals, hospitals and other facilities will be reimbursed for costs incurred to treat an iatrogenic complication if that physician, other health care professional, hospital or other facility was not the primary practitioner performing the service causing the iatrogenic complication and/or the primary hospital or facility where the iatrogenic complication occurred.

Physicians, other health care professionals, hospitals and other facilities are expected to report to our health plan all Never Events using the appropriate modifiers and diagnosis codes.

We will consider coverage for services not related to the hospital-acquired conditions if you send us itemized statements.

References

Centers for Medicare & Medicaid Services (CMS) Coverage Decision Memos: NCA Tracking Nos. CAG-00401N, CAG-00402N, CAG-00403N

Centers for Medicare & Medicaid Services (CMS), Hospital-Acquired Conditions (HAC) in Acute Inpatient Prospective Payment System (IPPS) Hospitals. Medicare Learning Network (PDF), October 2012.

Centers for Medicare & Medicaid Services (CMS), National Coverage Determination (NCD) for Wrong Surgical or Other Invasive Procedure Performed on a Patient 140.6.

Centers for Medicare & Medicaid Services (CMS), National Coverage Determination (NCD) for Surgical or Other Invasive Procedure Performed on the Wrong Body Part 140.7.

Centers for Medicare & Medicaid Services (CMS), National Coverage Determination (NCD) for Surgical or Other Invasive Procedure Performed on the Wrong Patient 140.8.

U.S. Deparment of Health and Human Services - Agency for Healthcare Research and Quality (AHRQ), Patient Safey Primer, Serious Reportable Events in Healthcare – 2011 Update.

Cross References

None

International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)

The Appendix A table is a list of ICD-9-CM diagnoses that could indicate Hospital Acquired Conditions and Never Events, but are not limited to the following :

Appendix A
ICD-9ICD-9 Description
9950Other anaphylactic reaction
99702Iatrogenic cerebrovascular infarction or hemorrhage (98-14)
99731Ventilator associated pneumonia (08-14)
99732Post procedural aspiration pneumonia (11-14)
99801Postoperative shock, cardiogenic (11-14)
99802Postoperative shock, septic (11-14)
99811Hemorrhage complicating a procedure (98-14)
99812Hematoma complicating a procedure (98-14)
99813Seroma complicating a procedure (98-14)
9982Accidental puncture or laceration during a procedure, not elsewhere classified (98-14)
9984Foreign body accidentally left during a procedure (98-14)
99851Infected postoperative seroma (98-14)
9987Acute reaction to foreign substance accidentally left during a procedure (98-14)
99881Emphysema (subcutaneous) (surgical) resulting from procedure (98-14)
99882Cataract fragments in eye following cataract surgery (98-14)
9991Air embolism as a complication of medical care, not elsewhere classified (98-14)
99960ABO incompatibility reaction, unspecified (10-14)
99961ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed (10-14)
99962ABO incompatibility with acute hemolytic transfusion reaction (10-14)
99963ABO incompatibility with delayed hemolytic transfusion reaction (10-14)
99969Other ABO incompatibility reaction (10-14)
99970Rh incompatibility reaction, unspecified (10-14)
99971Rh incompatibility with hemolytic transfusion reaction not specified as acute or delayed (10-14)
99972Rh incompatibility with acute hemolytic transfusion reaction (10-14)
99973Rh incompatibility with delayed hemolytic transfusion reaction (10-14)
99974Other Rh incompatibility reaction (10-14)
99975Non-ABO incompatibility reaction, unspecified (10-14)
99976Non-ABO incompatibility with hemolytic transfusion reaction not specified as acute or delayed (10-14)
99977Non-ABO incompatibility with acute hemolytic transfusion reaction (10-14)
99978Non-ABO incompatibility with delayed hemolytic transfusion reaction (10-14)
99979Other non-ABO incompatibility reaction (10-14)
99980Transfusion reaction, unspecified (10-14)
99981Extravasation of vesicant chemotherapy (08-14)
99982Extravasation of other vesicant agent (08-14)
99983Hemolytic transfusion reaction, incompatibility unspecified (10-14)
99984Acute hemolytic transfusion reaction, incompatibility unspecified (10-14)
99985Delayed hemolytic transfusion reaction, incompatibility unspecified (10-14)
E870.0 to E876.9Misadventures During Surgical and Medical Care

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)_

The Appendix B table is a list of ICD-10-CM diagnoses that could indicate Hospital Acquired Conditions and Never Events, but are not limited to the following:

Appendix B
ICD-10ICD-10 Description
D7801Intraoperative hemorrhage and hematoma of the spleen complicating a procedure on the spleen (08-14)
D7802Intraoperative hemorrhage and hematoma of the spleen complicating other procedure (08-14)
D7811Accidental puncture and laceration of the spleen during a procedure on the spleen (08-14)
D7812Accidental puncture and laceration of the spleen during other procedure (08-14)
D7821Post procedural hemorrhage and hematoma of the spleen following a procedure on the spleen (08-14)
D7822Post procedural hemorrhage and hematoma of the spleen following other procedure (08-14)
E3601Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating an endocrine system procedure (08-14)
E3602Intraoperative hemorrhage and hematoma of an endocrine system organ or structure complicating other procedure (08-14)
E3611Accidental puncture and laceration of an endocrine system organ or structure during an endocrine system procedure (08-14)
E3612Accidental puncture and laceration of an endocrine system organ or structure during other procedure (08-14)
G9731Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating a nervous system procedure (08-14)
G9732Intraoperative hemorrhage and hematoma of a nervous system organ or structure complicating other procedure (08-14)
G9748Accidental puncture and laceration of other nervous system organ or structure during a nervous system procedure (09-14)
G9749Accidental puncture and laceration of other nervous system organ or structure during other procedure (09-14)
G9751Post procedural hemorrhage and hematoma of a nervous system organ or structure following a nervous system procedure (08-14)
G9752Post procedural hemorrhage and hematoma of a nervous system organ or structure following other procedure (08-14)
H59021Cataract (lens) fragments in eye following cataract surgery, right eye (08-14)
H59022Cataract (lens) fragments in eye following cataract surgery, left eye (08-14)
H59023Cataract (lens) fragments in eye following cataract surgery, bilateral (08-14)
H59029Cataract (lens) fragments in eye following cataract surgery, unspecified eye (08-14)
H59111Intraoperative hemorrhage and hematoma of right eye and adnexa complicating an ophthalmic procedure (08-14)
H59112Intraoperative hemorrhage and hematoma of left eye and adnexa complicating an ophthalmic procedure (08-14)
H59113Intraoperative hemorrhage and hematoma of eye and adnexa complicating an ophthalmic procedure, bilateral (08-14)
H59119Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating an ophthalmic procedure (08-14)
H59121Intraoperative hemorrhage and hematoma of right eye and adnexa complicating other procedure (08-14)
H59122Intraoperative hemorrhage and hematoma of left eye and adnexa complicating other procedure (08-14)
H59123Intraoperative hemorrhage and hematoma of eye and adnexa complicating other procedure, bilateral (08-14)
H59129Intraoperative hemorrhage and hematoma of unspecified eye and adnexa complicating other procedure (08-14)
H59211Accidental puncture and laceration of right eye and adnexa during an ophthalmic procedure (08-14)
H59212Accidental puncture and laceration of left eye and adnexa during an ophthalmic procedure (08-14)
H59213Accidental puncture and laceration of eye and adnexa during an ophthalmic procedure, bilateral (08-14)
H59219Accidental puncture and laceration of unspecified eye and adnexa during an ophthalmic procedure (08-14)
H59221Accidental puncture and laceration of right eye and adnexa during other procedure (08-14)
H59222Accidental puncture and laceration of left eye and adnexa during other procedure (08-14)
H59223Accidental puncture and laceration of eye and adnexa during other procedure, bilateral (08-14)
H59229Accidental puncture and laceration of unspecified eye and adnexa during other procedure (08-14)
H59311Post procedural hemorrhage and hematoma of right eye and adnexa following an ophthalmic procedure (08-14)
H59312Post procedural hemorrhage and hematoma of left eye and adnexa following an ophthalmic procedure (08-14)
H59313Post procedural hemorrhage and hematoma of eye and adnexa following an ophthalmic procedure, bilateral (08-14)
H59319Post procedural hemorrhage and hematoma of unspecified eye and adnexa following an ophthalmic procedure (08-14)
H59321Post procedural hemorrhage and hematoma of right eye and adnexa following other procedure (08-14)
H59322Post procedural hemorrhage and hematoma of left eye and adnexa following other procedure (08-14)
H59323Post procedural hemorrhage and hematoma of eye and adnexa following other procedure, bilateral (08-14)
H59329Post procedural hemorrhage and hematoma of unspecified eye and adnexa following other procedure (08-14)
H9521Intraoperative hemorrhage and hematoma of ear and mastoid process complicating a procedure on the ear and mastoid process (08-14)
H9522Intraoperative hemorrhage and hematoma of ear and mastoid process complicating other procedure (08-14)
H9531Accidental puncture and laceration of the ear and mastoid process during a procedure on the ear and mastoid process (08-14)
H9532Accidental puncture and laceration of the ear and mastoid process during other procedure (08-14)
H9541Post procedural hemorrhage and hematoma of ear and mastoid process following a procedure on the ear and mastoid process (08-14)
H9542Post procedural hemorrhage and hematoma of ear and mastoid process following other procedure (08-14)
I97410Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac catheterization (08-14)
I97411Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating a cardiac bypass (08-14)
I97418Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other circulatory system procedure (08-14)
I9742Intraoperative hemorrhage and hematoma of a circulatory system organ or structure complicating other procedure (08-14)
I9751Accidental puncture and laceration of a circulatory system organ or structure during a circulatory system procedure (08-14)
I9752Accidental puncture and laceration of a circulatory system organ or structure during other procedure (08-14)
I97610Post procedural hemorrhage and hematoma of a circulatory system organ or structure following a cardiac catheterization (08-14)
I97611Post procedural hemorrhage and hematoma of a circulatory system organ or structure following cardiac bypass (08-14)
I97618Post procedural hemorrhage and hematoma of a circulatory system organ or structure following other circulatory system procedure (08-14)
I9762Post procedural hemorrhage and hematoma of a circulatory system organ or structure following other procedure (08-14)
I97810Intraoperative cerebrovascular infarction during cardiac surgery (08-14)
I97811Intraoperative cerebrovascular infarction during other surgery (08-14)
I97820Post procedural cerebrovascular infarction during cardiac surgery (08-14)
I97821Post procedural cerebrovascular infarction during other surgery (08-14)
J189Pneumonia, unspecified organism (08-14)
J9561Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating a respiratory system procedure (08-14)
J9562Intraoperative hemorrhage and hematoma of a respiratory system organ or structure complicating other procedure (08-14)
J9571Accidental puncture and laceration of a respiratory system organ or structure during a respiratory system procedure (08-14)
J9572Accidental puncture and laceration of a respiratory system organ or structure during other procedure (08-14)
J95830Post procedural hemorrhage and hematoma of a respiratory system organ or structure following a respiratory system procedure (08-14)
J95831Post procedural hemorrhage and hematoma of a respiratory system organ or structure following other procedure (08-14)
J95851Ventilator associated pneumonia (09-14)
J9589Other post procedural complications and disorders of respiratory system, not elsewhere classified (08-14)
K9161Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating a digestive sytem procedure (08-14)
K9162Intraoperative hemorrhage and hematoma of a digestive system organ or structure complicating other procedure (08-14)
K9171Accidental puncture and laceration of a digestive system organ or structure during a digestive system procedure (08-14)
K9172Accidental puncture and laceration of a digestive system organ or structure during other procedure (08-14)
K91840Post procedural hemorrhage and hematoma of a digestive system organ or structure following a digestive system procedure (08-14)
K91841Post procedural hemorrhage and hematoma of a digestive system organ or structure following other procedure (08-14)
L7601Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating a dermatologic procedure (08-14)
L7602Intraoperative hemorrhage and hematoma of skin and subcutaneous tissue complicating other procedure (08-14)
L7611Accidental puncture and laceration of skin and subcutaneous tissue during a dermatologic procedure (08-14)
L7612Accidental puncture and laceration of skin and subcutaneous tissue during other procedure (08-14)
L7621Post procedural hemorrhage and hematoma of skin and subcutaneous tissue following a dermatologic procedure (08-14)
L7622Post procedural hemorrhage and hematoma of skin and subcutaneous tissue following other procedure (08-14)
M96810Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating a musculoskeletal system procedure (08-14)
M96811Intraoperative hemorrhage and hematoma of a musculoskeletal structure complicating other procedure (08-14)
M96820Accidental puncture and laceration of a musculoskeletal structure during a musculoskeletal system procedure (08-14)
M96821Accidental puncture and laceration of a musculoskeletal structure during other procedure (08-14)
M96830Post procedural hemorrhage and hematoma of a musculoskeletal structure following a musculoskeletal system procedure (08-14)
M96831Post procedural hemorrhage and hematoma of a musculoskeletal structure following other procedure (08-14)
N9961Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating a genitourinary system procedure (08-14)
N9962Intraoperative hemorrhage and hematoma of a genitourinary system organ or structure complicating other procedure (08-14)
N9971Accidental puncture and laceration of a genitourinary system organ or structure during a genitourinary system procedure (08-14)
N9972Accidental puncture and laceration of a genitourinary system organ or structure during other procedure (08-14)
N99820Post procedural hemorrhage and hematoma of a genitourinary system organ or structure following a genitourinary system procedure (08-14)
N99821Post procedural hemorrhage and hematoma of a genitourinary system organ or structure following other procedure (08-14)
T800XXAAir embolism following infusion, transfusion and therapeutic injection, initial encounter (08-14)
T800XXDAir embolism following infusion, transfusion and therapeutic injection, subsequent encounter (08-14)
T8030XAABO incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter (10-14)
T8030XDABO incompatibility reaction due to transfusion of blood or blood products, unspecified, subsequent encounter (10-14)
T80310AABO incompatibility with acute hemolytic transfusion reaction, initial encounter (10-14)
T80310DABO incompatibility with acute hemolytic transfusion reaction, subsequent encounter (10-14)
T80311AABO incompatibility with delayed hemolytic transfusion reaction, initial encounter (10-14)
T80311DABO incompatibility with delayed hemolytic transfusion reaction, subsequent encounter (10-14)
T80319AABO incompatibility with hemolytic transfusion reaction, unspecified, initial encounter (10-14)
T80319DABO incompatibility with hemolytic transfusion reaction, unspecified, subsequent encounter (10-14)
T8039XAOther ABO incompatibility reaction due to transfusion of blood or blood products, initial encounter (10-14)
T8039XDOther ABO incompatibility reaction due to transfusion of blood or blood products, subsequent encounter (10-14)
T8040XARh incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter (10-14)
T8040XDRh incompatibility reaction due to transfusion of blood or blood products, unspecified, subsequent encounter (10-14)
T80410ARh incompatibility with acute hemolytic transfusion reaction, initial encounter (10-14)
T80410DRh incompatibility with acute hemolytic transfusion reaction, subsequent encounter (10-14)
T80411ARh incompatibility with delayed hemolytic transfusion reaction, initial encounter (10-14)
T80411DRh incompatibility with delayed hemolytic transfusion reaction, subsequent encounter (10-14)
T80419ARh incompatibility with hemolytic transfusion reaction, unspecified, initial encounter (10-14)
T80419DRh incompatibility with hemolytic transfusion reaction, unspecified, subsequent encounter (10-14)
T8049XAOther Rh incompatibility reaction due to transfusion of blood or blood products, initial encounter (10-14)
T8049XDOther Rh incompatibility reaction due to transfusion of blood or blood products, subsequent encounter (10-14)
T80810AExtravasation of vesicant antineoplastic chemotherapy, initial encounter (09-14)
T80810DExtravasation of vesicant antineoplastic chemotherapy, subsequent encounter (09-14)
T80818AExtravasation of other vesicant agent, initial encounter (09-14)
T80818DExtravasation of other vesicant agent, subsequent encounter (09-14)
T80910AAcute hemolytic transfusion reaction, unspecified incompatibility, initial encounter (10-14)
T80910DAcute hemolytic transfusion reaction, unspecified incompatibility, subsequent encounter (10-14)
T80911ADelayed hemolytic transfusion reaction, unspecified incompatibility, initial encounter (10-14)
T80911DDelayed hemolytic transfusion reaction, unspecified incompatibility, subsequent encounter (10-14)
T80919AHemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed, initial encounter (10-14)
T80919DHemolytic transfusion reaction, unspecified incompatibility, unspecified as acute or delayed, subsequent encounter (10-14)
T8092XAUnspecified transfusion reaction, initial encounter (10-14)
T8092XDUnspecified transfusion reaction, subsequent encounter (10-14)
T80A0XANon-ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, initial encounter (10-14)
T80A0XDNon-ABO incompatibility reaction due to transfusion of blood or blood products, unspecified, subsequent encounter (10-14)
T80A10ANon-ABO incompatibility with acute hemolytic transfusion reaction, initial encounter (10-14)
T80A10DNon-ABO incompatibility with acute hemolytic transfusion reaction, subsequent encounter (10-14)
T80A11ANon-ABO incompatibility with delayed hemolytic transfusion reaction, initial encounter (10-14)
T80A11DNon-ABO incompatibility with delayed hemolytic transfusion reaction, subsequent encounter (10-14)
T80A19ANon-ABO incompatibility with hemolytic transfusion reaction, unspecified, initial encounter (10-14)
T80A19DNon-ABO incompatibility with hemolytic transfusion reaction, unspecified, subsequent encounter (10-14)
T80A9XAOther non-ABO incompatibility reaction due to transfusion of blood or blood products, initial encounter (10-14)
T80A9XDOther non-ABO incompatibility reaction due to transfusion of blood or blood products, subsequent encounter (10-14)
T8111XAPost procedural  cardiogenic shock, initial encounter (11-14)
T8111XDPost procedural  cardiogenic shock, subsequent encounter (11-14)
T8112XAPost procedural septic shock, initial encounter (11-14)
T8112XDPost procedural septic shock, subsequent encounter (11-14)
T814XXAInfection following a procedure, initial encounter (08-14)
T814XXDInfection following a procedure, subsequent encounter (08-14)
T81500AUnspecified complication of foreign body accidentally left in body following surgical operation, initial encounter (08-14)
T81500DUnspecified complication of foreign body accidentally left in body following surgical operation, subsequent encounter (08-14)
T81501AUnspecified complication of foreign body accidentally left in body following infusion or transfusion, initial encounter (08-14)
T81501DUnspecified complication of foreign body accidentally left in body following infusion or transfusion, subsequent encounter (08-14)
T81502AUnspecified complication of foreign body accidentally left in body following kidney dialysis, initial encounter (08-14)
T81502DUnspecified complication of foreign body accidentally left in body following kidney dialysis, subsequent encounter (08-14)
T81503AUnspecified complication of foreign body accidentally left in body following injection or immunization, initial encounter (08-14)
T81503DUnspecified complication of foreign body accidentally left in body following injection or immunization, subsequent encounter (08-14)
T81504AUnspecified complication of foreign body accidentally left in body following endoscopic examination, initial encounter (08-14)
T81504DUnspecified complication of foreign body accidentally left in body following endoscopic examination, subsequent encounter (08-14)
T81505AUnspecified complication of foreign body accidentally left in body following heart catheterization, initial encounter (08-14)
T81505DUnspecified complication of foreign body accidentally left in body following heart catheterization, subsequent encounter (08-14)
T81506AUnspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter (08-14)
T81506DUnspecified complication of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter (08-14)
T81507AUnspecified complication of foreign body accidentally left in body following removal of catheter or packing, initial encounter (08-14)
T81507DUnspecified complication of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter (08-14)
T81508AUnspecified complication of foreign body accidentally left in body following other procedure, initial encounter (08-14)
T81508DUnspecified complication of foreign body accidentally left in body following other procedure, subsequent encounter (08-14)
T81509AUnspecified complication of foreign body accidentally left in body following unspecified procedure, initial encounter (08-14)
T81509DUnspecified complication of foreign body accidentally left in body following unspecified procedure, subsequent encounter (08-14)
T81510AAdhesions due to foreign body accidentally left in body following surgical operation, initial encounter (08-14)
T81510DAdhesions due to foreign body accidentally left in body following surgical operation, subsequent encounter (08-14)
T81511AAdhesions due to foreign body accidentally left in body following infusion or transfusion, initial encounter (08-14)
T81511DAdhesions due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter (08-14)
T81512AAdhesions due to foreign body accidentally left in body following kidney dialysis, initial encounter (08-14)
T81512DAdhesions due to foreign body accidentally left in body following kidney dialysis, subsequent encounter (08-14)
T81513AAdhesions due to foreign body accidentally left in body following injection or immunization, initial encounter (08-14)
T81513DAdhesions due to foreign body accidentally left in body following injection or immunization, subsequent encounter (08-14)
T81514AAdhesions due to foreign body accidentally left in body following endoscopic examination, initial encounter (08-14)
T81514DAdhesions due to foreign body accidentally left in body following endoscopic examination, subsequent encounter (08-14)
T81515AAdhesions due to foreign body accidentally left in body following heart catheterization, initial encounter (08-14)
T81515DAdhesions due to foreign body accidentally left in body following heart catheterization, subsequent encounter (08-14)
T81516AAdhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter (08-14)
T81516DAdhesions due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter (08-14)
T81517AAdhesions due to foreign body accidentally left in body following removal of catheter or packing, initial encounter (08-14)
T81517DAdhesions due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter (08-14)
T81518AAdhesions due to foreign body accidentally left in body following other procedure, initial encounter (08-14)
T81518DAdhesions due to foreign body accidentally left in body following other procedure, subsequent encounter (08-14)
T81519AAdhesions due to foreign body accidentally left in body following unspecified procedure, initial encounter (08-14)
T81519DAdhesions due to foreign body accidentally left in body following unspecified procedure, subsequent encounter (08-14)
T81520AObstruction due to foreign body accidentally left in body following surgical operation, initial encounter (08-14)
T81520DObstruction due to foreign body accidentally left in body following surgical operation, subsequent encounter (08-14)
T81521AObstruction due to foreign body accidentally left in body following infusion or transfusion, initial encounter (08-14)
T81521DObstruction due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter (08-14)
T81522AObstruction due to foreign body accidentally left in body following kidney dialysis, initial encounter (08-14)
T81522DObstruction due to foreign body accidentally left in body following kidney dialysis, subsequent encounter (08-14)
T81523AObstruction due to foreign body accidentally left in body following injection or immunization, initial encounter (08-14)
T81523DObstruction due to foreign body accidentally left in body following injection or immunization, subsequent encounter (08-14)
T81524AObstruction due to foreign body accidentally left in body following endoscopic examination, initial encounter (08-14)
T81524DObstruction due to foreign body accidentally left in body following endoscopic examination, subsequent encounter (08-14)
T81525AObstruction due to foreign body accidentally left in body following heart catheterization, initial encounter (08-14)
T81525DObstruction due to foreign body accidentally left in body following heart catheterization, subsequent encounter (08-14)
T81526AObstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter (08-14)
T81526DObstruction due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter (08-14)
T81527AObstruction due to foreign body accidentally left in body following removal of catheter or packing, initial encounter (08-14)
T81527DObstruction due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter (08-14)
T81528AObstruction due to foreign body accidentally left in body following other procedure, initial encounter (08-14)
T81528DObstruction due to foreign body accidentally left in body following other procedure, subsequent encounter (08-14)
T81529AObstruction due to foreign body accidentally left in body following unspecified procedure, initial encounter (08-14)
T81529DObstruction due to foreign body accidentally left in body following unspecified procedure, subsequent encounter (08-14)
T81530APerforation due to foreign body accidentally left in body following surgical operation, initial encounter (08-14)
T81530DPerforation due to foreign body accidentally left in body following surgical operation, subsequent encounter (08-14)
T81531APerforation due to foreign body accidentally left in body following infusion or transfusion, initial encounter (08-14)
T81531DPerforation due to foreign body accidentally left in body following infusion or transfusion, subsequent encounter (08-14)
T81532APerforation due to foreign body accidentally left in body following kidney dialysis, initial encounter (08-14)
T81532DPerforation due to foreign body accidentally left in body following kidney dialysis, subsequent encounter (08-14)
T81533APerforation due to foreign body accidentally left in body following injection or immunization, initial encounter (08-14)
T81533DPerforation due to foreign body accidentally left in body following injection or immunization, subsequent encounter (08-14)
T81534APerforation due to foreign body accidentally left in body following endoscopic examination, initial encounter (08-14)
T81534DPerforation due to foreign body accidentally left in body following endoscopic examination, subsequent encounter (08-14)
T81535APerforation due to foreign body accidentally left in body following heart catheterization, initial encounter (08-14)
T81535DPerforation due to foreign body accidentally left in body following heart catheterization, subsequent encounter (08-14)
T81536APerforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter (08-14)
T81536DPerforation due to foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter (08-14)
T81537APerforation due to foreign body accidentally left in body following removal of catheter or packing, initial encounter (08-14)
T81537DPerforation due to foreign body accidentally left in body following removal of catheter or packing, subsequent encounter (08-14)
T81538APerforation due to foreign body accidentally left in body following other procedure, initial encounter (08-14)
T81538DPerforation due to foreign body accidentally left in body following other procedure, subsequent encounter (08-14)
T81539APerforation due to foreign body accidentally left in body following unspecified procedure, initial encounter (08-14)
T81539DPerforation due to foreign body accidentally left in body following unspecified procedure, subsequent encounter (08-14)
T81590AOther complications of foreign body accidentally left in body following surgical operation, initial encounter (08-14)
T81590DOther complications of foreign body accidentally left in body following surgical operation, subsequent encounter (08-14)
T81591AOther complications of foreign body accidentally left in body following infusion or transfusion, initial encounter (08-14)
T81591DOther complications of foreign body accidentally left in body following infusion or transfusion, subsequent encounter (08-14)
T81592AOther complications of foreign body accidentally left in body following kidney dialysis, initial encounter (08-14)
T81592DOther complications of foreign body accidentally left in body following kidney dialysis, subsequent encounter (08-14)
T81593AOther complications of foreign body accidentally left in body following injection or immunization, initial encounter (08-14)
T81593DOther complications of foreign body accidentally left in body following injection or immunization, subsequent encounter (08-14)
T81594AOther complications of foreign body accidentally left in body following endoscopic examination, initial encounter (08-14)
T81594DOther complications of foreign body accidentally left in body following endoscopic examination, subsequent encounter (08-14)
T81595AOther complications of foreign body accidentally left in body following heart catheterization, initial encounter (08-14)
T81595DOther complications of foreign body accidentally left in body following heart catheterization, subsequent encounter (08-14)
T81596AOther complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, initial encounter (08-14)
T81596DOther complications of foreign body accidentally left in body following aspiration, puncture or other catheterization, subsequent encounter (08-14)
T81597AOther complications of foreign body accidentally left in body following removal of catheter or packing, initial encounter (08-14)
T81597DOther complications of foreign body accidentally left in body following removal of catheter or packing, subsequent encounter (08-14)
T81598AOther complications of foreign body accidentally left in body following other procedure, initial encounter (08-14)
T81598DOther complications of foreign body accidentally left in body following other procedure, subsequent encounter (08-14)
T81599AOther complications of foreign body accidentally left in body following unspecified procedure, initial encounter (08-14)
T81599DOther complications of foreign body accidentally left in body following unspecified procedure, subsequent encounter (08-14)
T8160XAUnspecified acute reaction to foreign substance accidentally left during a procedure, initial encounter (08-14)
T8160XDUnspecified acute reaction to foreign substance accidentally left during a procedure, subsequent encounter (08-14)
T8161XAAseptic peritonitis due to foreign substance accidentally left during a procedure, initial encounter (08-14)
T8161XDAseptic peritonitis due to foreign substance accidentally left during a procedure, subsequent encounter (08-14)
T8169XAOther acute reaction to foreign substance accidentally left during a procedure, initial encounter (08-14)
T8169XDOther acute reaction to foreign substance accidentally left during a procedure, subsequent encounter (08-14)
T8182XAEmphysema (subcutaneous) resulting from a procedure, initial encounter (08-14)
T8182XDEmphysema (subcutaneous) resulting from a procedure, subsequent encounter (08-14)
T886XXAAnaphylactic reaction due to adverse effect of correct drug or medicament properly administered, initial encounter
T886XXDAnaphylactic reaction due to adverse effect of correct drug or medicament properly administered, subsequent encounter
T888XXAOther specified complications of surgical and medical care, not elsewhere classified, initial encounter (08-14)
T888XXDOther specified complications of surgical and medical care, not elsewhere classified, subsequent encounter (08-14)
Y62.0 to Y62.9Failure of sterile precautions during surgical and medical care
Y63.0 to Y63.9Failure in dosage during surgical and medical care
Y64.0 TO Y64.9Contaminated medical or biological substances
Y65.0 to Y65.9Midadventures during surgical and medical care
Y66Non-administration of surgical and medical care
Y69Unspecified misadventures during surgical and medical care

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