Patient Safety Indicator 11 (PSI 11) Postoperative Respiratory Failure .

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AHRQ Quality Indicators (AHRQ QI ) ICD-10-CM/PCS Specification v2020 Patient Safety Indicator 11 (PSI 11) Postoperative Respiratory Failure Rate March 2021 Hospital-Level Indicator Type of Score: Rate Prepared by: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services www.qualityindicators.ahrq.gov DESCRIPTION Postoperative respiratory failure (secondary diagnosis), prolonged mechanical ventilation, or reintubation cases per 1,000 elective surgical discharges for patients ages 18 years and older. Excludes cases with principal diagnosis for acute respiratory failure; cases with secondary diagnosis for acute respiratory failure present on admission; cases in which tracheostomy is the only operating room procedure or in which tracheostomy occurs before the first operating room procedure; cases with neuromuscular disorders; cases with laryngeal, oropharyngeal or craniofacial surgery involving significant risk of airway compromise; esophageal resection, lung cancer, lung transplant or degenerative neurological disorders; cases with respiratory or circulatory diseases; and obstetric discharges. [NOTE: The software provides the rate per hospital discharge. However, common practice reports the measure as per 1,000 discharges. The user must multiply the rate obtained from the software by 1,000 to report events per 1,000 hospital discharges.] March 2021 1 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov NUMERATOR Discharges, among cases meeting the inclusion and exclusion rules for the denominator, with either: any secondary ICD-10-CM diagnosis code for acute respiratory failure (ACURF2D* ); any ICD-10-PCS procedure codes for a mechanical ventilation for 96 consecutive hours or more (PR9672P* ) that occurs zero or more days after the first major operating room procedure code (based on days from admission to procedure) if the day of both procedures is available, otherwise any secondary ICD-10-PCS procedure codes for a mechanical ventilation for 96 consecutive hours or more (PR9672P*) ; any ICD-10-PCS procedure codes for a mechanical ventilation for less than 96 consecutive hours (PR9671P* ) (or undetermined) that occurs two or more days after the first major operating room procedure code (based on days from admission to procedure) if the day of both procedures is available, otherwise any secondary ICD-10-PCS procedure codes for a mechanical ventilation for less than 96 consecutive hours (PR9671P*) (or undetermined); any ICD-10-PCS procedure codes for a reintubation ( PR9604P *) that occurs one or more days after the first major operating room procedure code (based on days from admission to procedure) if the day of both procedures is available, otherwise any secondary ICD-10-PCS procedure codes for a reintubation (PR9604P*) DENOMINATOR Elective surgical discharges (Appendix E: SURGI2R ) for patients ages 18 years and older, with anylisted ICD-10-PCS procedure codes for an operating room procedure (Appendix A: ORPROC ). Elective surgical discharges are defined by specific MS-DRG codes with admission type recorded as elective (SID ATYPE 3). Appendix A - Operating Room Procedure Codes Appendix E - Surgical Discharge MS-DRGs March 2021 2 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov DENOMINATOR EXCLUSIONS Exclude cases: with a principal ICD-10-CM diagnosis code (or secondary diagnosis present on admission) for acute respiratory failure (ACURF3D* ) with any listed ICD-10-CM diagnosis code present on admission for tracheostomy (TRACHID* ) where the only operating room procedure is tracheostomy (TRACHIP* ) where a procedure for tracheostomy (TRACHIP* ) occurs before the first operating room procedure with any listed ICD-10-CM diagnosis codes for malignant hyperthermia (MALHYPD* ) with any listed ICD-10-CM diagnosis codes for neuromuscular disorder (NEUROMD* ) with any listed ICD-10-PCS procedure codes for laryngeal or pharyngeal, nose, mouth, pharynx or facial surgery (NUCRANP* ) with any listed ICD-10-PCS procedure codes for esophageal resection (PRESOPP* ) with any listed ICD-10-PCS procedure codes for lung cancer (LUNGCIP* ) with any listed ICD-10-CM diagnosis codes for degenerative neurological disorder (DGNEUID* ) with any listed ICD-10-PCS procedure codes for lung transplant (LUNGTRANSP* ) MDC 4 (diseases/disorders of respiratory system) MDC 5 (diseases/disorders of circulatory system) MDC 14 (pregnancy, childbirth, and puerperium) with an ungroupable DRG (DRG 999) with missing gender (SEX missing), age (AGE missing), quarter (DQTR missing), year (YEAR missing), or principal diagnosis (DX1 missing) * See below for code list March 2021 3 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Acute respiratory failure diagnosis codes: (ACURF2D) J95821 Acute postprocedural respiratory failure J95822 March 2021 Acute and chronic postprocedural respiratory failure 4 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Mechanical ventilation for 96 consecutive hours or more procedure code: (PR9672P) 5A1955Z Respiratory ventilation, greater than 96 consecutive hours March 2021 5 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Mechanical ventilation for less than 96 consecutive hours: (PR9671P) 5A1945Z Respiratory ventilation, 24-96 consecutive hours March 2021 6 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Reintubation procedure codes: (PR9604P) 0BH13EZ Insertion of endotracheal airway into trachea, percutaneous approach 0BH18EZ 0BH17EZ Insertion of endotracheal airway into trachea, via natural or artificial opening March 2021 Insertion of endotracheal airway into trachea, via natural or artificial opening endoscopic 7 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Acute respiratory failure diagnosis codes (exclusion only): (ACURF3D) J95821 Acute postprocedural respiratory failure J9620 J95822 J9621 J9601 Acute and chronic postprocedural respiratory failure Acute respiratory failure, unspecified whether with hypoxia or hypercapnia Acute respiratory failure with hypoxia J9602 Acute respiratory failure with hypercapnia J9691 J9610 Chronic respiratory failure, unspecified whether with hypoxia or hypercapnia Chronic respiratory failure with hypoxia J9692 Chronic respiratory failure with hypercapnia Z9912 J9600 J9611 J9612 J9622 J9690 Z9911 March 2021 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia Acute and chronic respiratory failure with hypoxia Acute and chronic respiratory failure with hypercapnia Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia Respiratory failure, unspecified with hypoxia Respiratory failure, unspecified with hypercapnia Dependence on respirator [ventilator] status Encounter for respirator [ventilator] dependence during power failure 8 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Malignant Hyperthermia diagnosis codes: (MALHYPD) T883XXA Malignant hyperthermia due to anesthesia, initial encounter March 2021 9 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Tracheostomy diagnosis codes: (TRACHID) J9500 Unspecified tracheostomy complication J9504 J9501 J9502 Hemorrhage from tracheostomy stoma Infection of tracheostomy stoma J9509 Z430 Tracheo-Esophageal fistula following tracheostomy Other tracheostomy complication Encounter for attention to tracheostomy J9503 Malfunction of tracheostomy stoma Z930 Tracheostomy status March 2021 10 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Tracheostomy procedure codes: (TRACHIP) 0B110F4 0B110Z4 0B113F4 0B113Z4 0B114F4 Bypass trachea to cutaneous with tracheostomy device, open approach Bypass trachea to cutaneous, open approach Bypass trachea to cutaneous with tracheostomy device, percutaneous approach Bypass trachea to cutaneous, percutaneous approach Bypass trachea to cutaneous with tracheostomy device, percutaneous endoscopic approach 0B114Z4 Bypass trachea to cutaneous, percutaneous endoscopic approach 0BW10FZ Revision of tracheostomy device in trachea, open approach 0BW13FZ Revision of tracheostomy device in trachea, percutaneous approach 0BW14FZ Revision of tracheostomy device in trachea, percutaneous endoscopic approach 0WB6XZ2 Excision of neck, stoma, external approach March 2021 11 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Neuromuscular disorder diagnosis codes: (NEUROMD) G610 Guillain-Barre syndrome G733 G7000 G737 G701 Myasthenia gravis without (acute) exacerbation Myasthenia gravis with (acute) exacerbation Toxic myoneural disorders G702 Congenital and developmental myasthenia M05412 G7080 Lambert-Eaton syndrome, unspecified M05419 G7081 M05421 G7089 Lambert-Eaton syndrome in disease classified elsewhere Other specified myoneural disorders G709 Myoneural disorder, unspecified M05429 G710 Muscular dystrophy M05431 G7100 Muscular dystrophy, unspecified M05432 G7101 Duchenne or becker muscular dystrophy M05439 G7102 Facioscapulohumeral muscular dystrophy M05441 G7109 Other specified muscular dystrophies M05442 G7111 Myotonic muscular dystrophy M05449 G7112 Myotonia congenita M05451 G7113 Myotonic chondrodystrophy M05452 G7119 Other specified myotonic disorders M05459 G712 Congenital myopathies M05461 G7001 M0540 M05411 M05422 March 2021 Myasthenic syndromes in other diseases classified elsewhere Myopathy in diseases classified elsewhere Rheumatoid myopathy with rheumatoid arthritis of unspecified site Rheumatoid myopathy with rheumatoid arthritis of right shoulder Rheumatoid myopathy with rheumatoid arthritis of left shoulder Rheumatoid myopathy with rheumatoid arthritis of unspecified shoulder Rheumatoid myopathy with rheumatoid arthritis of right elbow Rheumatoid myopathy with rheumatoid arthritis of left elbow Rheumatoid myopathy with rheumatoid arthritis of unspecified elbow Rheumatoid myopathy with rheumatoid arthritis of right wrist Rheumatoid myopathy with rheumatoid arthritis of left wrist Rheumatoid myopathy with rheumatoid arthritis of unspecified wrist Rheumatoid myopathy with rheumatoid arthritis of right hand Rheumatoid myopathy with rheumatoid arthritis of left hand Rheumatoid myopathy with rheumatoid arthritis of unspecified hand Rheumatoid myopathy with rheumatoid arthritis of right hip Rheumatoid myopathy with rheumatoid arthritis of left hip Rheumatoid myopathy with rheumatoid arthritis of unspecified hip Rheumatoid myopathy with rheumatoid arthritis of right knee 12 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov G713 M05462 G718 Mitochondrial myopathy, not elsewhere classified Other primary disorders of muscles G719 Primary disorder of muscle, unspecified M05471 Rheumatoid myopathy with rheumatoid arthritis of right ankle and foot G720 Drug-Induced myopathy M05472 Rheumatoid myopathy with rheumatoid arthritis of left ankle and foot G721 Alcoholic myopathy M05479 Rheumatoid myopathy with rheumatoid arthritis of unspecified ankle and foot G722 Myopathy due to other toxic agents M0549 G723 Periodic paralysis M3301 G7241 Inclusion body myositis [ibm] M3311 G7249 Other inflammatory and immune myopathies, not elsewhere classified Critical illness myopathy M3321 Other specified myopathies Myopathy, unspecified Lambert-Eaton syndrome in neoplastic disease M3482 M3503 Rheumatoid myopathy with rheumatoid arthritis of multiple sites Juvenile dermatomyositis with respiratory involvement Other dermatomyositis with respiratory involvement Polymyositis with respiratory involvement Dermatopolymyositis, unspecified with respiratory involvement Systemic sclerosis with myopathy Sicca syndrome with myopathy G7281 G7289 G729 G731 M05469 M3391 March 2021 Rheumatoid myopathy with rheumatoid arthritis of left knee Rheumatoid myopathy with rheumatoid arthritis of unspecified knee 13 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov Laryngeal, pharyngeal, nose, mouth and pharynx surgery procedure codes: (NUCRANP) 008P0ZZ Division of glossopharyngeal nerve, open approach 0CCV8ZZ 008P3ZZ Division of glossopharyngeal nerve, percutaneous approach Division of glossopharyngeal nerve, percutaneous endoscopic approach Division of vagus nerve, open approach 0CDT0ZZ Division of vagus nerve, percutaneous approach Division of vagus nerve, percutaneous endoscopic approach 0CDT7ZZ Resection of right neck lymphatic, open approach Resection of right neck lymphatic, percutaneous endoscopic approach Resection of left neck lymphatic, open approach Resection of left neck lymphatic, percutaneous endoscopic approach Destruction of nasopharynx, open approach 0CDV0ZZ Destruction of nasopharynx, percutaneous approach Destruction of nasopharynx, percutaneous endoscopic approach Destruction of accessory sinus, open approach Destruction of right maxillary sinus, open approach Destruction of left maxillary sinus, open approach Destruction of right frontal sinus, open approach Destruction of left frontal sinus, open approach Destruction of right ethmoid sinus, open approach 0CM30ZZ 008P4ZZ 008Q0ZZ 008Q3ZZ 008Q4ZZ 07T10ZZ 07T14ZZ 07T20ZZ 07T24ZZ 095N0ZZ 095N3ZZ 095N4ZZ 095P0ZZ 095Q0ZZ 095R0ZZ 095S0ZZ 095T0ZZ 095U0ZZ 0CDT3ZZ 0CDT4ZZ 0CDT8ZZ 0CDV3ZZ 0CDV4ZZ 0CDV7ZZ 0CDV8ZZ 0CM70ZZ Extirpation of matter from left vocal cord, via natural or artificial opening endoscopic Extraction of right vocal cord, open approach Extraction of right vocal cord, percutaneous approach Extraction of right vocal cord, percutaneous endoscopic approach Extraction of right vocal cord, via natural or artificial opening Extraction of right vocal cord, via natural or artificial opening endoscopic Extraction of left vocal cord, open approach Extraction of left vocal cord, percutaneous approach Extraction of left vocal cord, percutaneous endoscopic approach Extraction of left vocal cord, via natural or artificial opening Extraction of left vocal cord, via natural or artificial opening endoscopic Reattachment of soft palate, open approach Reattachment of tongue, open approach 0CMN0ZZ Reattachment of uvula, open approach 0CN20ZZ Release hard palate, open approach 0CN23ZZ 0CN2XZZ Release hard palate, percutaneous approach Release hard palate, external approach 0CN30ZZ Release soft palate, open approach 0CN33ZZ Release soft palate, percutaneous approach March 2021 14 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov 095V0ZZ Destruction of left ethmoid sinus, open approach Destruction of right sphenoid sinus, open approach Destruction of left sphenoid sinus, open approach Drainage of nasopharynx with drainage device, open approach Drainage of nasopharynx, open approach 0CN3XZZ Release soft palate, external approach 0CN40ZZ Release buccal mucosa, open approach 0CNM0ZZ Release pharynx, open approach 0CNM3ZZ Release pharynx, percutaneous approach 0CNM4ZZ 099N30Z Drainage of nasopharynx with drainage device, percutaneous approach 0CNM7ZZ Release pharynx, percutaneous endoscopic approach Release pharynx, via natural or artificial opening 099N40Z Drainage of nasopharynx with drainage device, percutaneous endoscopic approach Drainage of nasopharynx with drainage device, via natural or artificial opening 0CNM8ZZ Release pharynx, via natural or artificial opening endoscopic 0CNR0ZZ Release epiglottis, open approach Drainage of nasopharynx with drainage device, via natural or artificial opening endoscopic Drainage of accessory sinus with drainage device, open approach Drainage of accessory sinus, open approach Drainage of right maxillary sinus with drainage device, open approach Drainage of right maxillary sinus, open approach Drainage of left maxillary sinus with drainage device, open approach Drainage of left maxillary sinus, open approach Drainage of right frontal sinus with drainage device, open approach Drainage of right frontal sinus, open approach Drainage of left frontal sinus with drainage device, open approach Drainage of left frontal sinus, open approach Drainage of right ethmoid sinus with drainage device, open approach 0CNR3ZZ Release epiglottis, percutaneous approach 0CNR4ZZ 0CNS0ZZ Release epiglottis, percutaneous endoscopic approach Release epiglottis, via natural or artificial opening Release epiglottis, via natural or artificial opening endoscopic Release larynx, open approach 0CNS3ZZ Release larynx, percutaneous approach 0CNS4ZZ Release larynx, percutaneous endoscopic approach Release larynx, via natural or artificial opening Release larynx, via natural or artificial opening endoscopic Release right vocal cord, open approach 095W0ZZ 095X0ZZ 099N00Z 099N0ZZ 099N70Z 099N80Z 099P00Z 099P0ZZ 099Q00Z 099Q0ZZ 099R00Z 099R0ZZ 099S00Z 099S0ZZ 099T00Z 099T0ZZ 099U00Z 0CNR7ZZ 0CNR8ZZ 0CNS7ZZ 0CNS8ZZ 0CNT0ZZ 0CNT3ZZ 0CNT4ZZ March 2021 Release right vocal cord, percutaneous approach Release right vocal cord, percutaneous endoscopic approach 15 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov 099U0ZZ 099V00Z 099V0ZZ 099W00Z 099W0ZZ 099X00Z 099X0ZZ 09BN0ZZ 09BP0ZZ 09BQ0ZZ 09BR0ZZ 09BS0ZZ 09BT0ZZ 09BU0ZZ 09BV0ZZ 09BW0ZZ 09BX0ZZ 09CN0ZZ 09CN3ZZ 09CN7ZZ Drainage of right ethmoid sinus, open approach Drainage of left ethmoid sinus with drainage device, open approach Drainage of left ethmoid sinus, open approach Drainage of right sphenoid sinus with drainage device, open approach Drainage of right sphenoid sinus, open approach Drainage of left sphenoid sinus with drainage device, open approach Drainage of left sphenoid sinus, open approach Excision of nasopharynx, open approach 0CNT7ZZ Excision of accessory sinus, open approach Excision of right maxillary sinus, open approach Excision of left maxillary sinus, open approach Excision of right frontal sinus, open approach Excision of left frontal sinus, open approach Excision of right ethmoid sinus, open approach Excision of left ethmoid sinus, open approach 0CPS07Z Excision of right sphenoid sinus, open approach Excision of left sphenoid sinus, open approach Extirpation of matter from nasopharynx, open approach 0CPS3DZ Extirpation of matter from nasopharynx, percutaneous approach Extirpation of matter from nasopharynx, via natural or artificial opening 0CPS3YZ 0CNT8ZZ 0CNV0ZZ 0CNV3ZZ 0CNV4ZZ 0CNV7ZZ 0CNV8ZZ 0CPS00Z 0CPS0DZ 0CPS0JZ 0CPS0KZ 0CPS0YZ 0CPS30Z 0CPS37Z 0CPS3JZ 0CPS3KZ 0CPS70Z March 2021 Release right vocal cord, via natural or artificial opening Release right vocal cord, via natural or artificial opening endoscopic Release left vocal cord, open approach Release left vocal cord, percutaneous approach Release left vocal cord, percutaneous endoscopic approach Release left vocal cord, via natural or artificial opening Release left vocal cord, via natural or artificial opening endoscopic Removal of drainage device from larynx, open approach Removal of autologous tissue substitute from larynx, open approach Removal of intraluminal device from larynx, open approach Removal of synthetic substitute from larynx, open approach Removal of nonautologous tissue substitute from larynx, open approach Removal of other device from larynx, open approach Removal of drainage device from larynx, percutaneous approach Removal of autologous tissue substitute from larynx, percutaneous approach Removal of intraluminal device from larynx, percutaneous approach Removal of synthetic substitute from larynx, percutaneous approach Removal of nonautologous tissue substitute from larynx, percutaneous approach Removal of other device from larynx, percutaneous approach Removal of drainage device from larynx, via natural or artificial opening 16 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov 09CN8ZZ Extirpation of matter from nasopharynx, via natural or artificial opening endoscopic Extirpation of matter from accessory sinus, open approach Extirpation of matter from right maxillary sinus, open approach Extirpation of matter from left maxillary sinus, open approach 0CPS77Z Extirpation of matter from right frontal sinus, open approach Extirpation of matter from left frontal sinus, open approach 0CPS7YZ 09CU0ZZ Extirpation of matter from right ethmoid sinus, open approach 0CPS87Z 09CV0ZZ Extirpation of matter from left ethmoid sinus, open approach 0CPS8DZ 09CW0ZZ Extirpation of matter from right sphenoid sinus, open approach 0CPS8JZ 09CX0ZZ Extirpation of matter from left sphenoid sinus, open approach 0CPS8KZ 09DP0ZZ Extraction of accessory sinus, open approach 0CPS8YZ 09DQ0ZZ Extraction of right maxillary sinus, open approach Extraction of left maxillary sinus, open approach Extraction of right frontal sinus, open approach Extraction of left frontal sinus, open approach Extraction of right ethmoid sinus, open approach Extraction of left ethmoid sinus, open approach Extraction of right sphenoid sinus, open approach 0CQ20ZZ Repair hard palate, open approach 0CQ23ZZ 0CQ30ZZ Repair hard palate, percutaneous approach Repair soft palate, open approach 0CQ33ZZ Repair soft palate, percutaneous approach 0CQ3XZZ Repair soft palate, external approach 0CQ40ZZ Repair buccal mucosa, open approach 0CQ70ZZ Repair tongue, open approach 09CP0ZZ 09CQ0ZZ 09CR0ZZ 09CS0ZZ 09CT0ZZ 09DR0ZZ 09DS0ZZ 09DT0ZZ 09DU0ZZ 09DV0ZZ 09DW0ZZ 0CPS7DZ 0CPS7JZ 0CPS7KZ 0CPS80Z March 2021 Removal of autologous tissue substitute from larynx, via natural or artificial opening Removal of intraluminal device from larynx, via natural or artificial opening Removal of synthetic substitute from larynx, via natural or artificial opening Removal of nonautologous tissue substitute from larynx, via natural or artificial opening Removal of other device from larynx, via natural or artificial opening Removal of drainage device from larynx, via natural or artificial opening endoscopic Removal of autologous tissue substitute from larynx, via natural or artificial opening endoscopic Removal of intraluminal device from larynx, via natural or artificial opening endoscopic Removal of synthetic substitute from larynx, via natural or artificial opening endoscopic Removal of nonautologous tissue substitute from larynx, via natural or artificial opening endoscopic Removal of other device from larynx, via natural or artificial opening endoscopic 17 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov 09DX0ZZ 09NN0ZZ 09NN3ZZ 09NN4ZZ 09NN7ZZ 09NN8ZZ 09NP0ZZ 09NQ0ZZ 09NR0ZZ 09NS0ZZ 09NT0ZZ 09NU0ZZ 09NV0ZZ 09NW0ZZ 09NX0ZZ 09QN0ZZ 09QN3ZZ 09QN7ZZ 09QN8ZZ 09QP0ZZ 09QQ0ZZ 09QR0ZZ Extraction of left sphenoid sinus, open approach Release nasopharynx, open approach Release nasopharynx, percutaneous approach Release nasopharynx, percutaneous endoscopic approach Release nasopharynx, via natural or artificial opening Release nasopharynx, via natural or artificial opening endoscopic Release accessory sinus, open approach 0CQ73ZZ Repair tongue, percutaneous approach 0CQM0ZZ 0CQM3ZZ Repair pharynx, open approach Repair pharynx, percutaneous approach 0CQM4ZZ 0CQR0ZZ Repair pharynx, percutaneous endoscopic approach Repair pharynx, via natural or artificial opening Repair pharynx, via natural or artificial opening endoscopic Repair epiglottis, open approach Release right maxillary sinus, open approach Release left maxillary sinus, open approach Release right frontal sinus, open approach Release left frontal sinus, open approach 0CQR3ZZ Repair epiglottis, percutaneous approach 0CQR4ZZ Release right ethmoid sinus, open approach Release left ethmoid sinus, open approach Release right sphenoid sinus, open approach Release left sphenoid sinus, open approach Repair nasopharynx, open approach 0CQS0ZZ Repair epiglottis, percutaneous endoscopic approach Repair epiglottis, via natural or artificial opening Repair epiglottis, via natural or artificial opening endoscopic Repair larynx, open approach 0CQS3ZZ Repair larynx, percutaneous approach 0CQS4ZZ Repair nasopharynx, percutaneous approach Repair nasopharynx, via natural or artificial opening Repair nasopharynx, via natural or artificial opening endoscopic Repair accessory sinus, open approach 0CQT0ZZ Repair larynx, percutaneous endoscopic approach Repair larynx, via natural or artificial opening Repair larynx, via natural or artificial opening endoscopic Repair right vocal cord, open approach Repair right maxillary sinus, open approach Repair left maxillary sinus, open approach 0CQT8ZZ 0CQM7ZZ 0CQM8ZZ 0CQR7ZZ 0CQR8ZZ 0CQS7ZZ 0CQS8ZZ 0CQT3ZZ 0CQT4ZZ 0CQT7ZZ 0CQV0ZZ March 2021 Repair right vocal cord, percutaneous approach Repair right vocal cord, percutaneous endoscopic approach Repair right vocal cord, via natural or artificial opening Repair right vocal cord, via natural or artificial opening endoscopic Repair left vocal cord, open approach 18 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov 09QS0ZZ Repair right frontal sinus, open approach 0CQV3ZZ 09QT0ZZ Repair left frontal sinus, open approach 0CQV4ZZ 09QU0ZZ Repair right ethmoid sinus, open approach Repair left ethmoid sinus, open approach 0CQV7ZZ 09QW0ZZ Repair right sphenoid sinus, open approach 0CR007Z 09QX0ZZ Repair left sphenoid sinus, open approach 0CR107Z Replacement of lower lip with autologous tissue substitute, open approach 09RN07Z Replacement of nasopharynx with autologous tissue substitute, open approach Replacement of nasopharynx with synthetic substitute, open approach Replacement of nasopharynx with nonautologous tissue substitute, open approach Replacement of nasopharynx with autologous tissue substitute, via natural or artificial opening Replacement of nasopharynx with synthetic substitute, via natural or artificial opening Replacement of nasopharynx with nonautologous tissue substitute, via natural or artificial opening Replacement of nasopharynx with autologous tissue substitute, via natural or artificial opening endoscopic 0CR207Z Replacement of hard palate with autologous tissue substitute, open approach Replacement of hard palate with synthetic substitute, open approach Replacement of hard palate with nonautologous tissue substitute, open approach Replacement of hard palate with autologous tissue substitute, percutaneous approach Replacement of hard palate with synthetic substitute, percutaneous approach Replacement of nasopharynx with synthetic substitute, via natural or artificial opening endoscopic Replacement of nasopharynx with nonautologous tissue substitute, via natural or artificial opening endoscopic 0CR2XJZ Replacement of hard palate with synthetic substitute, external approach 0CR2XKZ Replacement of hard palate with nonautologous tissue substitute, external approach 09QV0ZZ 09RN0JZ 09RN0KZ 09RN77Z 09RN7JZ 09RN7KZ 09RN87Z 09RN8JZ 09RN8KZ 0CQV8ZZ 0CR20JZ 0CR20KZ 0CR237Z 0CR23JZ 0CR23KZ 0CR2X7Z March 2021 Repair left vocal cord, percutaneous approach Repair left vocal cord, percutaneous endoscopic approach Repair left vocal cord, via natural or artificial opening Repair left vocal cord, via natural or artificial opening endoscopic Replacement of upper lip with autologous tissue substitute, open approach Replacement of hard palate with nonautologous tissue substitute, percutaneous approach Replacement of hard palate with autologous tissue substitute, external approach 19 of 63

AHRQ QI ICD-10-CM/PCS Specification v2020 PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov 09TN0ZZ Resection of nasopharynx, open approach 0CR307Z 09TN4ZZ Resection of nasopharynx, percutaneous endoscopic approach Resection of nasopharynx, via natural or artificial opening 0CR30JZ 09TN8ZZ Resection of nasopharynx, via natural or artificial opening endoscopic 0CR337Z 09TP0ZZ Resection of accessory sinus, open approach 0CR33JZ 09TQ0ZZ Resection of right maxillary sinus, open approach 0CR33KZ 09TR0ZZ Resection of left maxillary sinus, open approach 0CR3X7Z 09TS0ZZ Resection of right frontal sinus, open approach Resection of left frontal sinus, open approach 0CR3XJZ 09TU0ZZ Resection of right ethmoid sinus, open approach 0CR407Z 09TV0ZZ Resection of left ethmoid sinus, open approach Resection of right sphenoid sinus, open approach 0CR40JZ 09TX0ZZ Resection of left sphenoid sinus, open approach 0CR4X7Z 09UN07Z Supplement nasopharynx with autologous tissue substitute, open approach Supplement nasopharynx with synthetic substitute, open approach 0CR4XJZ 09TN7ZZ 09TT0ZZ 09TW0ZZ 09UN0JZ 0CR30KZ 0CR3XKZ 0CR40KZ 0CR4XKZ March 2021 Replacement of soft palate with autologous tissue substitute, open approach Replacement of soft palate with synthetic substitute, open approach Replacement of soft palate with nonautologous tissue substitute, open approach Replacement of soft palate with autologous tissue substitute, percutaneous approach Replacement of soft palate with synthetic substitute, percutaneous approach Replacement of soft palate with nonautologous tissue substitute, percutaneous approach Replac

PSI 11 Postoperative Respiratory Failure Rate www.qualityindicators.ahrq.gov J95821 Acute postprocedural respiratory failure J9620 Acute and chronic respiratory failure, unspecified whether with hypoxia or hypercapnia J95822 Acute and chronic postprocedural respiratory failure J9621 Acute and chronic respiratory failure with hypoxia

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