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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2019/TechSpecs/PSI_03_Pressure_Ulcer_Rate.pdf
July 01, 2019 - Services
www.qualityindicators.ahrq.gov
NUMERATOR
DENOMINATOR
DESCRIPTION
Stage III or IV pressure ulcers … ulcer of unspecified elbow,
unstageable
L89304 Pressure ulcer of unspecified buttock, stage
4 … ulcer of right ankle, stage 4
L89123 Pressure ulcer of left upper back, stage 3 L89520 Pressure ulcer … Pressure ulcer of head, stage 4
L89213 Pressure ulcer of right hip, stage 3 L89890 Pressure ulcer … As a result all stages of
pressure ulcers are included in the numerator for data prior to October 1
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2020/TechSpecs/PSI_03_Pressure_Ulcer_Rate.pdf
March 01, 2021 - Services
www.qualityindicators.ahrq.gov
NUMERATOR
DENOMINATOR
DESCRIPTION
Stage III or IV pressure ulcers … ulcer of right elbow, unstageable L89314 Pressure ulcer of right buttock, stage 4
L89013 Pressure ulcer … ulcer of left elbow, unstageable L89324 Pressure ulcer of left buttock, stage 4
L89023 Pressure ulcer … back
L89513 Pressure ulcer of right ankle, stage 3
Pressure ulcer stage diagnosis codes ulcer stage … As a result all stages of
pressure ulcers are included in the numerator for data prior to October 1
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qualityindicators.ahrq.gov/Downloads/Modules/PDI/v2018/TechSpecs/PDI_02_Pressure_Ulcer_Rate.pdf
June 01, 2018 - Rate
June 2018
DESCRIPTION
Stage III, IV, or unstageable pressure ulcers (secondary diagnosis) per … If more than one pressure ulcer is reported, all pressure ulcers
must be present on admission for the … ulcer of left upper back, stage 4 L89523 Pressure ulcer of left ankle, stage 3
L89130 Pressure ulcer … Pressure ulcer of head, stage 4
L89213 Pressure ulcer of right hip, stage 3 L89890 Pressure ulcer … As a result all stages of
pressure ulcers are included in the numerator for data prior to October 1
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qualityindicators.ahrq.gov/Downloads/Modules/PSI/v2021/TechSpecs/PSI_03_Pressure_Ulcer_Rate.pdf
July 01, 2021 - DESCRIPTION
Stage III or IV (or unstageable) pressure ulcers (secondary diagnosis not present on admission … ulcer of left lower back, stage 3 L89610 Pressure ulcer of right heel, unstageable
Pressure ulcer stage … ulcer of right heel, stage 4
L89153 Pressure ulcer of sacral region, stage 3 L89620 Pressure ulcer … ulcer of right hip, unstageable L89814 Pressure ulcer of head, stage 4
L89213 Pressure ulcer of right … Pressure ulcer of Other site, stage 4
L89223 Pressure ulcer of left hip, stage 3 L8993 Pressure ulcer
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2003%20Pressure%20Ulcer%20Rate.xlsx
January 01, 2003 - , upper back
707.03 Pressure ulcer, lower back
707.04 Pressure ulcer, hip
707.05 Pressure ulcer, buttock … 707.06 Pressure ulcer, ankle
707.07 Pressure ulcer, heel
707.09 Pressure ulcer, other site
Pressure … -10-CM for combining the codes for ulcers and stages. … 707.02 Pressure ulcer, upper back L89.023 Pressure ulcer of left elbow, stage 3
707.03 Pressure ulcer … ulcer of unspecified part of back, unstageable
707.05 Pressure ulcer, buttock L89.103 Pressure ulcer
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qualityindicators.ahrq.gov/Downloads/ICD10/PDI%2002%20Pressure%20Ulcer%20Rate.xlsx
January 01, 2002 - , upper back
707.03 Pressure ulcer, lower back
707.04 Pressure ulcer, hip
707.05 Pressure ulcer, buttock … 707.06 Pressure ulcer, ankle
707.07 Pressure ulcer, heel
707.09 Pressure ulcer, other site
Pressure … -10-CM for combining the codes for ulcers and stages. … 707.02 Pressure ulcer, upper back L89.023 Pressure ulcer of left elbow, stage 3
707.03 Pressure ulcer … ulcer of unspecified part of back, unstageable
707.05 Pressure ulcer, buttock L89.103 Pressure ulcer
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qualityindicators.ahrq.gov/Downloads/ICD10/IQI%2018%20Gastrointestinal%20Hemorrhage%20Mortality%20Rate.xlsx
January 01, 2018 - gastric ulcer with both hemorrhage and perforation
531.01 Acute gastric ulcer with hemorrhage, with … obstruction K25.4 Chronic or unspecified gastric ulcer with hemorrhage
531.20 Acute gastric ulcer with … obstruction K26.0 Acute duodenal ulcer with hemorrhage
531.40 Chronic or unspecified gastric ulcer … K27.0 Acute peptic ulcer, site unspecified, with hemorrhage
532.00 Acute duodenal ulcer with hemorrhage … gastrojejunal ulcer with hemorrhage
532.60 Chronic or unspecified duodenal ulcer with hemorrhage and
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qualityindicators.ahrq.gov/News/AHRQ_QI_v2020_PSI03_User_Note_02_2021.pdf
January 01, 2021 - User_Note_02_2021-1.docx
AHRQ Quality IndicatorsTM
February 2021
PSI 03 (Pressure Ulcer … Rate) Measure Logic in v2020 QI Software
The intent of PSI 03: Pressure Ulcer Rate is to capture Stage … 3 or 4 pressure ulcers that were not present
on admission (POA), with certain exceptions, such as the … same site with a pressure ulcer POA. … In
addition, PSI 03 intends to include Stage 3, 4, or unstageable ulcers that worsened from a Stage
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2004%20Death%20Rate%20among%20Surgical%20Inpatients%20with%20Serious%20Treatable%20Complications.xlsx
January 01, 2004 - ulcer with perforation, with obstruction K25.9 Gastric ulcer, unspecified as acute or chronic, without … of obstruction K26.0 Acute duodenal ulcer with hemorrhage
531.21 Acute gastric ulcer with hemorrhage … ulcer with both hemorrhage and perforation
531.31 Acute gastric ulcer without mention of hemorrhage … 532.11 Acute duodenal ulcer with perforation, with obstruction K27.9 Peptic ulcer, site unspecified … ulcer with hemorrhage
531.41 Chronic or unspecified gastric ulcer with hemorrhage, with obstruction
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2019/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
July 01, 2019 - with hemorrhage K50911 Crohns disease, unspecified, with
rectal bleeding
K252 Acute gastric ulcer … K51211 Ulcerative (chronic) proctitis with
rectal bleeding
K256 Chronic or unspecified gastric ulcer … with hemorrhage K51411 Inflammatory polyps of colon with
rectal bleeding
K262 Acute duodenal ulcer … perforation
K51511 Left sided colitis with rectal bleeding
K264 Chronic or unspecified duodenal ulcer … and perforation
K51911 Ulcerative colitis, unspecified with
rectal bleeding
K270 Acute peptic ulcer
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2020/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
March 01, 2021 - K50811 Crohn's disease of both small and large
intestine with rectal bleeding
K250 Acute gastric ulcer … with hemorrhage K50911 Crohn's disease, unspecified, with rectal
bleeding
K252 Acute gastric ulcer … K51011 Ulcerative (chronic) pancolitis with
rectal bleeding
K254 Chronic or unspecified gastric ulcer … K51211 Ulcerative (chronic) proctitis with rectal
bleeding
K256 Chronic or unspecified gastric ulcer … with hemorrhage K51411 Inflammatory polyps of colon with rectal
bleeding
K262 Acute duodenal ulcer
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qualityindicators.ahrq.gov/Downloads/Modules/IQI/v2021/TechSpecs/IQI_18_Gastrointestinal_Hemorrhage_Mortality_Rate.pdf
July 01, 2021 - with hemorrhage K51211 Ulcerative (chronic) proctitis with rectal
bleeding
K252 Acute gastric ulcer … with hemorrhage K51811 Other ulcerative colitis with rectal
bleeding
K262 Acute duodenal ulcer with … K51911 Ulcerative colitis, unspecified with rectal
bleeding
K264 Chronic or unspecified duodenal ulcer … Diverticulosis of small intestine without
perforation or abscess with bleeding
K272 Acute peptic ulcer … small intestine without
perforation or abscess with bleeding
K274 Chronic or unspecified peptic ulcer
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qualityindicators.ahrq.gov/Downloads/ICD10/PSI%2010%20Postoperative%20Physiologic%20and%20Metabolic%20Derangement%20Rate.xlsx
January 01, 2010 - ulcer with hemorrhage
531.41 Chronic or unspecified gastric ulcer with hemorrhage, with obstruction … ulcer with hemorrhage
531.61 Chronic or unspecified gastric ulcer with hemorrhage and perforation, … Acute duodenal ulcer with hemorrhage, without mention of obstruction K27.0 Acute peptic ulcer, site … peptic ulcer, site unspecified, with both hemorrhage and perforation
532.20 Acute duodenal ulcer with … Acute gastrojejunal ulcer with hemorrhage
532.41 Chronic or unspecified duodenal ulcer with hemorrhage
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Cuny_Failure_to_Rescue_Preventing_Avoidable_Deaths_with_Rapid_Rescue_Teams.ppt
January 01, 2005 - Sheet4
DVT/PE Sepsis
Acute Renal Failure (ARF) GI Hemorrhage (GIH)/Acute Ulcer … Exclude
ARF Diagnosed on day 1
Sepsis Diagnosed on day 1, 2, 3
Pneumonia Diagnosed on day 1
GIH/ulcer … antibiotic
Pneumonia Interventions - the following:
· Initiate or change antibiotic
GIH/ulcer … Exclude
ARF Diagnosed on day 1
Sepsis Diagnosed on day 1, 2, 3
Pneumonia Diagnosed on day 1
GIH/ulcer … Exclude
ARF Diagnosed on day 1
Sepsis Diagnosed on day 1, 2, 3
Pneumonia Diagnosed on day 1
GIH/ulcer
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qualityindicators.ahrq.gov/Downloads/Resources/Presentations/2005/2005AHRQQI_Romano_Selecting_Quality_Measures.ppt
January 01, 2005 - by case mix
(5)
(7)
(4)
(2)
(6)
(3)
(8)
(8)
(8)
(8)
(7)
(7)
Postop Pneumonia
Decubitus Ulcer … 12,842 ± 938 0.359
Postoperative physiologic or metabolic derangement 4,003 ± 419 0.089
Decubitus ulcer … failure 29.3 19 39,848
Postoperative physiologic or metabolic derangement 44.5 15 37,460
Decubitus ulcer … laceration (24%) Postoperative hip fracture
(8%) Obstetric trauma –
cesarean birth (2%)
Decubitus ulcer … 2000 0.010528954 0.007480972
2001 0.01010972 0.007785013
2002 0.011553492 0.00841327
Decubitus ulcer
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qualityindicators.ahrq.gov/Downloads/ICD10/Pediatric%20Quality%20Indicators%20Appendices.xlsx
November 01, 2013 - L89.012 Pressure ulcer of right elbow, stage 2
L89.013 Pressure ulcer of right elbow, stage 3 … ulcer of unspecified part of back, unspecified stage
L89.112 Pressure ulcer of right upper back, … 2
L89.203 Pressure ulcer of unspecified hip, stage 3
L89.204 Pressure ulcer of unspecified hip … hip, stage 4
L89.219 Pressure ulcer of right hip, unspecified stage
L89.222 Pressure ulcer of … Pressure ulcer of head, stage 2
L89.813 Pressure ulcer of head, stage 3
L89.814 Pressure ulcer
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qualityindicators.ahrq.gov/Downloads/ICD10/PQI%2003%20Diabetes%20Long-term%20Complications%20Admission%20Rate.xlsx
January 01, 2003 - E10.620 Type 1 diabetes mellitus with diabetic dermatitis
E10.621 Type 1 diabetes mellitus with foot ulcer … E10.622 Type 1 diabetes mellitus with other skin ulcer
E10.628 Type 1 diabetes mellitus with other … E11.620 Type 2 diabetes mellitus with diabetic dermatitis
E11.621 Type 2 diabetes mellitus with foot ulcer … E11.622 Type 2 diabetes mellitus with other skin ulcer
E11.628 Type 2 diabetes mellitus with other … E13.622 Other specified diabetes mellitus with other skin ulcer
E13.628 Other specified diabetes
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qualityindicators.ahrq.gov/Downloads/Modules/V45/Module_NQF_Endorsement_V4.5.pdf
May 01, 2013 - Blood Stream Infection Rate 478
PDI #1 Accidental Puncture or Laceration Rate 344
PDI #2 Pressure Ulcer … Pneumonia Mortality Rate 231
PSI #90 Patient Safety for Selected Indicators2 531
PSI #3 Pressure Ulcer … Selected Indicators4 532
PDI #01 - Accidental Puncture or Laceration Rate 344
PDI #02 - Pressure Ulcer
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_V2.pdf
October 05, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Component
Weight
Modified PSI 90
(v6.0)
Percentage
Difference in
Weights
PSI 03 Pressure Ulcer … Outcome Description of events captured Applicable Patient
Safety Indicator (PSI)
Pressure ulcer … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer
related complication
Readmission to
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qualityindicators.ahrq.gov/News/PSI90_Factsheet_FAQ_v2.pdf
October 05, 2016 - This “modified version” of
PSI 90 component indicator includes the following:
PSI 03 Pressure Ulcer … Component
Weight
Modified PSI 90
(v6.0)
Percentage
Difference in
Weights
PSI 03 Pressure Ulcer … Outcome Description of events captured Applicable Patient
Safety Indicator (PSI)
Pressure ulcer … when the
pressure ulcer developed, due to tissue damage. … PSI 03
180-day hospital
readmission for a
pressure ulcer
related complication
Readmission to