Surveillance for Surgical Site Infection (SSI) Events
Related Pages
Resources for NHSN Users Already Enrolled
- Surgical Site Infections (SSI) Training [CBT – 60 min]
- Surgical Site Infection (SSI) – Part 1 – May 2019
- Surgical Site Infection (SSI) – Part 2 – May 2019
- SSI Surveillance and Analysis Group Exercise – May 2019
- New! SSI Event PATOS – Infection Present at Time of Surgery – January 2020
- Patient Safety Component (PSC) Updates to the 2018 Annual Facility Survey – January 2019
- Patient Safety Component (PSC) Annual Survey – January 2016
Additional Training
- Introduction to Procedure-associated Module Training
- General NHSN Definitions for 2019 – May 2019
- Determining Healthcare Association or Present on Admission Infections and Other Rules – July 2017
Analysis Training
- Analyzing SSI Data – May 2019
- Data Entry and Analysis Training
Continuing Education
All Data Collection Forms are Print-only
- 57.120 Surgical Site Infection (SSI) July 2020 pdf icon[PDF – 150 KB]
- 57.121 Denominator for Procedure January 2020 pdf icon[PDF – 100 KB]
- 57.103 Patient Safety Component—Annual Facility Survey form January 2020 pdf icon[PDF – 250 KB]
- 57.106 Patient Safety Monthly Reporting Plan form January 2020 pdf icon[PDF – 80 KB]
- 57.115 HAI Custom Event form July 2020 pdf icon[PDF – 150 KB]
- Customizable form word icon[DOCX – 80 KB]
**Not to be used for CLABSI, CAUTI, SSI, VAE, pediatric VAP, or LabID events.**
To be used in conjunction with the CDC/NHSN Surveillance Definitions for Specific Types of Infections, January 2020 pdf icon[PDF – 400 KB] Chapter in the NHSN Patient Safety Manual.
- Customizable form word icon[DOCX – 80 KB]
- Healthcare Facility HAI Reporting Requirements to CMS via NHSN Current and Proposed Requirements January 2019 pdf icon[PDF – 102K]
- Reporting Requirements and Deadlines in NHSN per CMS Current Rules August 2019 pdf icon[PDF – 157K]
- Centers for Medicare and Medicaid Services (CMS) Hospital Inpatient Quality Reporting Programexternal icon
- CMS’ Hospital Compare toolexternal icon
- Operational Guidance for Reporting Surgical Site Infection Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s Hospital Inpatient Quality Reporting (IQR) Program Requirements November 2019 pdf icon[PDF – 600K]
- How to Report No Procedure or SSI Events for the CMS Inpatient Quality Reporting Program February 2017 pdf icon[PDF – 247K]
- Helpful Tips for SSI Reporting for the Centers for Medicare and Medicaid Services’ Hospital Inpatient Quality Reporting Program (CMS Reporting Program) December 2014 pdf icon[PDF – 28K]
- Using the “SIR- Complex 30-Day SSI Data for Hospital IQR” Output Option January 2017 pdf icon[PDF – 350K]
- Operational Guidance for PPS-Exempt Cancer Hospitals to Report Surgical Site Infection (SSI) Data to CDC’s NHSN for the Purpose of Fulfilling CMS’s PPS-Exempt Cancer Hospital Quality Reporting (PCHQR) Program Requirements November 2019 pdf icon[PDF – 121K]
- Changing a CCN within NHSN – July 2020 pdf icon[PDF – 350K]
2021 Operative Procedure Code Documents
The documents listed below should be used for procedures performed January 1, 2021 through December 2021.
- List of NHSN 2021 Procedure Code Updates – December 2020 excel icon[XLS – 30 KB]
- ICD-10-PCS Procedure Code Mapping to NHSN Operative Procedure Codes – December 2020 excel icon[XLSX – 800 KB]
- Current Procedural Terminology (CPT) Procedure Code Mapping to NHSN Operative Procedure Codes – December 2020 excel icon[XLSX – 350 KB]
- Additional Guidance for use with NHSN Operative Procedure Codes
- ICD-10-PCS & CPT Codes – Guidance for HPRO & KPRO Procedure Details – December 2020 excel icon[XLSX – 90 KB]
This guidance document may be used for completing the NHSN procedure details for HPRO – hip arthroplasty and/or KPRO – Knee arthroplasty operative procedures. - FUSN ICD-10-PCS Codes – Guidance for Spinal Level and Approach – December 2020 excel icon[XLSX – 40 KB]
This supplemental guidance may be used to complete the spinal level and approach fields in the Operative Procedure Details section for FUSN procedures. - ICD-10 CM Diabetes Diagnostic Codes – December 2020 excel icon[XLSX – 40 KB]
ICD-10-CM codes included in this spreadsheet are acceptable for use to answer “YES” to “Diabetes Mellitus” for completing the NHSN Operative Procedure Details. - ICD-10-CM/PCS Codes for ‘prior infection at hip or knee joint’ denominator form question – December 2020 excel icon[XLSX – 40 KB]
Use ICD-10-PCS/CM diagnosis or procedure codes included in this spreadsheet to determine if patient meets criteria for ‘prior infection at index joint’.
- ICD-10-PCS & CPT Codes – Guidance for HPRO & KPRO Procedure Details – December 2020 excel icon[XLSX – 90 KB]
- Document detailing changes made to the 2018-2019 operative procedure codes
- Summary of 2020-2021 Code Changes – December 2020 excel icon[XLSX – 400 KB]
This document includes changes made to the procedure codes listed for 2020 SSI reporting, as well as, new procedure codes added for 2021 SSI reporting. Because both outdated (removed) and current procedure codes are included, use caution if this document is used to identify procedures for SSI events for reporting.
- Summary of 2020-2021 Code Changes – December 2020 excel icon[XLSX – 400 KB]
2020 Operative Procedure Code Documents
The documents are listed under the 2020 Resources section on the Data Validation page and should be used for procedures performed in 2020.
- NHSN Patient Safety Component Alerts pdf icon[PDF – 1 MB]
- Unusual Susceptibility Profiles Alert – January 2021 pdf icon[PDF – 650 KB]
- CDC Location Labels and Location Descriptions, January 2021 pdf icon[PDF – 1 MB]
- NHSN Key Terms, January 2021 pdf icon[PDF – 150 KB]
- CDC/NHSN Surveillance Definitions for Specific Types of Infections, January 2021 pdf icon[PDF – 1 MB]
- NHSN Organism List (All Organisms, Common Commensals, MBI Organisms, and UTI Bacteria) January 2021 excel icon[XLSX – 296 KB]
- Improving Risk-Adjusted Measures of Surgical Site Infection for the National Healthcare Safety Network pdf icon[PDF – 527 KB]
- Sample Procedure Import File excel icon[XLSX – 25 KB]
- How to Import Patient Safety Procedure Data, January 2020 pdf icon[PDF – 400 KB]
- Mapping an HOPD in NHSN, October 2020 pdf icon[PDF – 400 KB]
- Patient Safety Analysis Resources
- Patient Safety Analysis Quick Reference Guides
- Patient Safety Component – Variable Reference List pdf icon[PDF – 3M]
- How to Determine Procedures Excluded from the SSI SIR: Universal Exclusion Criteria February 2017 pdf icon[PDF – 400 KB]
- Troubleshooting Surgical Site Infection SIR pdf icon[PDF – 127K]
- Analyzing Procedure Closure Technique March 2014 pdf icon[PDF – 121K]
- Step 1: Enroll into NHSN
- Step 2: Set up NHSN
- Step 3: Report
Page last reviewed: December 2, 2020