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

DELSA/ELSA/WD/HTP(2008)1Obstetric Trauma―Vaginal Delivery without Instrument (PSI 19) 11Numerator:75. Discharges among cases meeting the inclusion and exclusion rules for the denominator with ICD-9-CM codes for 3 rd and 4 th degree obstetric trauma in any diagnosis or procedure field.ICD-9-CM Obstetric Trauma diagnosis codes:66420.1,4 Trauma to perineum and vulva during delivery, third degree perineal laceration66430.1,4 Trauma to perineum and vulva during delivery, fourth degree perineal lacerationICD-9-CM Obstetric Trauma procedure codes:7550 Repair of current obstetric lacerations of uterus7551 Repair of current obstetric lacerations of cervix7552 Repair of current obstetric lacerations of corpus uteri7561 Repair of current obstetric lacerations of bladder and urethra7562 Repair of current obstetric lacerations of rectum and sphincterICD-10-WHO Obstetric Trauma diagnosis codes:O70.2 Third degree perineal laceration during deliveryO70.3 Fourth degree perineal laceration during deliveryDenominator:76. All vaginal delivery discharge patients.ICD-9-CM Outcome of delivery codes:“Note: This category is intended for the coding of the outcome of delivery on the mother’s record.”(Department of Health and Human Services, 2007)V27.0 Single livebornV27.1 Single stillbornV27.2 Twins, both livebornV27.3 Twins, one liveborn and one stillbornV27.4 Twins, both stillbornV27.5 Other multiple birth, all livebornV27.6 Other multiple birth, some livebornV27.7 Other multiple birth, all stillbormV27.9 Unspecified outcome of delivery11. It is noted that the Obstetric Trauma – Vaginal Delivery with instrument indicator and the ObstetricTrauma – Vaginal Delivery without instrument indicator were initially combined and specified as a singleindicator for the purposes of an initial pilot calculation of the indicator set by several participatingcountries in 2007.52