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Research Enhanced Identification of Postoperative Infections among OutpatientsAndrew L. Miner,*†‡ Kenneth E. Sands,*‡§ Deborah S. Yokoe,*†‡ John
Freedman,# Kristin Thompson,† James M. Livingston,‡ and Richard Platt*†‡ Appendix 2. Diagnosis codes, procedure codes, and antibiotics that constitute SSI indicators for Cesarean sectionICD-9-CM Diagnosis codes (used in hospital, emergency department, or outpatient settings)038 Septicemia 038.0 Streptococcal septicemia 038.1 Staphylococcal septicemia 038.10 Unspecified staphylococcal septicemia 038.11 Staphylococcus aureus septicemia 038.19 Other staphylococcal septicemia 038.3 Septicemia due to anaerobes 038.4 Septicemia due to other gram-negative organisms 038.40 Septicemia due to unspecified gram-negative organism 038.42 Septicemia due to Escherichia coli (E. coli) 038.43 Septicemia due to pseudomonas 038.44 Septicemia due to serratia 038.49 Other septicemia due to gram-negative organism 038.8 Other specified septicemia 038.9 Unspecified septicemia 040.0 Gas gangrene 040.8 Other specified bacterial diseases 040.82 Toxic shock syndrome 040.89 Other specified bacterial diseases 041 Bacterial infection in conditions classified elsewhere and of unspecified site 041.0 Streptococcus infection in conditions classified elsewhere and of unspecified site 041.00 Unspecified streptococcus infection in conditions classified elsewhere and of unspecified site 041.01 Streptococcus infection in conditions classified elsewhere and of unspecified site, group A 041.03 Streptococcus infection in conditions classified elsewhere and of unspecified site, group C 041.04 Streptococcus infection in conditions classified elsewhere and of unspecified site, group D 041.05 Streptococcus infection in conditions classified elsewhere and of unspecified site, group G 041.09 Other streptococcus infection in conditions classified elsewhere and of unspecified site 041.1 Staphylococcus 041.10 Staphylococcus, unspecified 041.11 Staphylococcus aureus 041.19 Other Staphylococcus 041.3 Friedlander's bacillus infection in conditions classified elsewhere and of unspecified site 041.4 Escherichia coli (E. coli) infection in conditions classified elsewhere, unspecified site 041.6 Proteus (mirabilis) (morganii) infection, classified elsewhere and of unspecified site 041.7 Pseudomonas infection in conditions classified elsewhere and of unspecified site 041.8 Other specified bacterial infections in conditions classified elsewhere and of unspecified site 041.82 Bacillus fragilis infection in conditions classified elsewhere and of unspecified site 041.83 Clostridium perfringens infection in conditions classified elsewhere and of unspecified site 041.84 Infection due to other anaerobes in conditions classified elsewhere and of unspecified site 041.85 Infection due to other gram-negatives, conditions classified elsewhere and of unspecified site 041.89 Infection due to other specified bacteria in conditions classified elsewhere, unspecified site 041.9 Bacterial infection, unspecified, in conditions classified elsewhere and of unspecified site 614.0 Acute salpingitis and oophoritis 614.2 Salpingitis and oophoritis not specified as acute, subacute, or chronic 614.3 Acute parametritis and pelvic cellulitis 614.5 Acute or unspecified pelvic peritonitis, female 614.9 Unspecified inflammatory disease of female pelvic organs and tissues 615 Inflammatory diseases of uterus, except cervix 615.0 Acute inflammatory disease of uterus, except cervix 615.9 Unspecified inflammatory disease of uterus 670 Major puerperal infection 670.0 Major puerperal infection 670.00 Major puerperal infection, unspecified as to episode of care 670.02 Major puerperal infection, delivered, with mention of postpartum complication 670.04 Major puerperal infection, postpartum 672 Pyrexia of unknown origin during the puerperium 672.0 Pyrexia of unknown origin during the puerperium 672.00 Puerperal pyrexia of unknown origin, unspecified as to episode of care 672.02 Puerperal pyrexia of unknown origin, delivered, with mention of postpartum complication 672.04 Puerperal pyrexia of unknown origin, postpartum 673.3 Obstetrical pyemic and septic embolism 673.30 Obstetrical pyemic and septic embolism, unspecified as to episode of care 673.31 Obstetrical pyemic and septic embolism, with delivery, with or without mention of antepartum condition 673.32 Obstetrical pyemic and septic embolism, with delivery, with mention of postpartum complicaton 673.33 Obstetrical pyemic and septic embolism, antepartum 673.34 Obstetrical pyemic and septic embolism, postpartum 682 Other cellulitis and abcess 682.2 Cellulitis and abscess of trunk 682.5 Cellulitis and abscess of buttock 686 Other local infection of skin and subcutaneous tissue 686.8 Other specified local infections of skin and subcutaneous tissue 686.9 Unspecified local infection of skin and subcutaneous tissue 780.6 Fever of unknown origin 790.7 Bacteremia 996.6 Infection and inflammatory reaction due to internal prosthetic device, implant, and graft 996.60 Infection and inflammatory reaction due to unspecified device, implant, and graft 996.62 Infection and inflammatory reaction due to other vascular device, implant, and graft 996.69 Infection and inflammatory reaction due to other internal prosthetic device, implant, and graft 998.5 Postoperative infection, not elsewhere classified 998.51 Infected postoperative seroma 998.59 Other postoperative infection Wound culture codes (outpatient setting)ICD-9-CM90.5# - Microscopic examination of blood
Current Procedural Terminology (CPT)87040 Culture bacterial; blood with isolation and presumptive identification of isolates 87070 Culture bacterial; any source except urine, blood or stool, with isolation and presumptive identification of isolates 87071 Culture bacterial; quantitative, aerobic with isolation and presumptive identification of isolates, any source except urine, blood or stool 87072 Culture bacterial; any source by kit with isolation and identification 87073 Culture bacterial; quantitative, anaerobic with isolation and presumptive identification of isolates, any source except urine, blood, or stool 87075 Culture bacterial; any source, anaerobic and presumptive identification of isolates 87076 Culture bacterial; anaerobic isolate additional methods required for definitive identification, each isolate 87077 Culture bacterial; aerobic isolate additional methods required for definitive identification, each isolate 87081 Culture, presumptive, pathogenic organisms, screening only 87082 Culture of specimen by kit 87083 Culture of specimen by kit 87084 Culture, presumptive, pathogenic organisms, screening only; with colony estimation from density chart 87085 Culture, bacterial; quantitative colony count, urine Wound Care CodesICD-9-CM86.01 Aspiration of skin and subcutaneous tissue (abscess, hematoma, or seroma) 86.04 Other incision with drainage of skin and subcutaneous tissue 86.22 Excisional debridement of wound, infection, or burn CPT10060 Incision and drainage of abscess; simple or single 10061 Incision and drainage of abscess; complicated or multiple 10160 Puncture aspiration of abscess, hematoma, bulla, or cyst 10180 Incision and drainage, complex, postoperative wound infection 11000 Debridement of extensive eczematous or infected skin; up to 10% of body surface 11001 Debridement of extensive eczematous or infected skin; additional 10% of body surface AntibioticsAmoxicillin Amoxicillin/Clavulanate Ampicillin Cefaclor Cefadroxil Cefixime Cefprozil Cefuroxime Cephalexin Cephradine Ciprofloxacin Clindamycin Dicloxacillin Doxycycline Levofloxacin Metronidazol Minocycline Ofloxacin Oxacillin Penicillin VK Vancomycin |
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This page posted October
15, 2004 |
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Emerging
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