Facilitating Cross-National Comparisons of Indicators for Patient ...

DELSA/ELSA/WD/HTP(2008)1Decubitus Ulcer, Secondary Diagnosis Field per 100 Discharges (PSI 3)Numerator:47. Discharges with ICD code of decubitus ulcer in any secondary diagnosis field among casesmeeting the inclusion and exclusion rules for the denominator.ICD-9-CM Decubitus Ulcer diagnosis codes:70700 Decubitus ulcer site nos70701 Decubitus ulcer, elbow70702 Decubitus ulcer, up back70703 Decubitus ulcer, low back70704 Decubitus ulcer, hip70705 Decubitus ulcer, buttock70706 Decubitus ulcer, ankle70707 Decubitus ulcer, heel70709 Decubitus ulcer, site necDenominator:ICD-10-WHODischarges with ICD-10-WHO code of L89 in any secondary diagnosis field.48. All medical and surgical discharges age 18 years and olderExclude cases:• With length of stay of less than 5 days• With pre-existing condition of decubitus ulcer (see numerator) (primary diagnosis or secondarydiagnosis present on admission, if known)• MDC 9 (Skin, Subcutaneous Tissue, and Breast) or principal diagnoses in Annex 2 - Code List M-2• MDC 14 (Pregnancy, Childbirth, and Puerperium) or principal diagnoses in Annex 2 - Code ListM-3• With any diagnosis of hemiplegia, paraplegia, or quadriplegia• With any diagnosis of spina bifida or anoxic brain damage• Admitted from a long-term care facility• Transferred from an acute care facilitySee Annex 1 - Code List C-3 for ICD-9-CM hemiplegia codesSee Annex 1 - Code List W-3 for ICD-10-WHO hemiplegia codesSee Annex 1 - Code List C-4 for ICD-9-CM spina bifida or anoxic brain damage codesSee Annex 1 - Code List W-4 for ICD-10-WHO spina bifida or anoxic brain damage codes22