AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

IQI #24 Incidental in the Elderly Rate

Provider-Level Indicator Procedure Utilization Indicator

Numerator

Number of incidental (any procedure field) among cases meeting the inclusion and exclusion rules for the denominator.

ICD-9-CM incidental appendectomy procedure codes:

471 INCIDENTAL APPENDECTOMY OCT96- 4719 OTH INCID APPEND OCT96- 4711 LAPAROSCOP INCID APPEND OCT96-

Denominator All discharges, age 65 years and older, with ICD-9-CM codes* for abdominal and pelvic . ICD-9-CM abdominal and pelvic surgery procedure codes:

1711 LAPAROSCOPIC REPAIR OF DIRECT 415 TOTAL SPLENECTOMY INGUINAL WITH GRAFT OR 4193 EXCISION OF ACCESSORY SPLEEN PROSTHESIS OCT08- 4194 TRANSPLANTATION OF SPLEEN 1712 LAPAROSCOPIC REPAIR OF INDIRECT 4195 REPAIR AND PLASTIC OPERATIONS ON INGUINAL HERNIA WITH GRAFT OR SPLEEN PROSTHESIS OCT08- 4199 OTHER OPERATIONS ON SPLEEN 1713 LAPAROSCOPIC REPAIR OF INGUINAL 4240 , NOS HERNIA WITH GRAFT OR PROSTHESIS, 4241 PARTIAL ESOPHAGECTOMY (HAS 1 CASE_ NOS OCT08- 4242 TOTAL ESOPHAGECTOMY (HASE 1 CASE) 1721 LAPAROSCOPIC BILATERAL REPAIR OF 4253 INTRATHORACIC ESOPHAGEAL DIRECT INGUINAL HERNIA WITH GRAFT ANASTOMOSIS W/ INTERPOSITION OF OR PROSTHESIS OCT08- SMALL BOWEL 1722 LAPAROSCOPIC BILATERAL REPAIR OF 4254 OTHER INTRATHORACIC INDIRECT INGUINAL HERNIA WITH GRAFT ESOPHAGOENTEROSTOMY OR PROSTHESIS OCT08- 4255 INTRATHORACIC ESOPHAGEAL 1723 LAPAROSCOPIC BILATERAL REPAIR OF ANASTOMOSIS W/ INTERPOSITION OF INGUINAL HERNIA, ONE DIRECT AND ONE COLON INDIRECT, WITH GRAFT OR PROSTHESIS 4256 OTHER INTRATHORACIC OCT08- ESOPHAGOCOLOSTOMY 1724 LAPAROSCOPIC BILATERAL REPAIR OF 4263 ANTESTERNAL ESOPHAGEAL INGUINAL HERNIA WITH GRAFT OR ANASTOMOSIS W/ INTERPOSITION OF PROSTHESIS, NOS OCT08- SMALL BOWEL 412 SPLENOTOMY 4264 OTHER ANTESTERNAL 4133 OPEN BIOPSY OF SPLEEN ESOPHAGOENTEROSTOMY 4141 MARSUPIALIZATION OF SPLENIC CYST 4265 ANTESTERNAL ESOPHAGEAL 4142 EXCISION OF LESION OR TISSUE OF ANASTOMOSIS W/ INTERPOSITION OF SPLEEN COLON 4143 PARTIAL SPLENECTOMY

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4266 OTHER ANTESTERNAL 4511 TRANSABDOMINAL ESOPHAGOCOLOSTOMY 4515 OPEN BIOPSY OF 4291 LIGATION OF ESOPHAGEAL VARICES 4521 TRANSABDOMINAL ENDOSCOPY OF 430 GASTROTOMY 433 4526 OPEN BIOPSY OF LARGE INTESTINE 4342 LOCAL EXCISION OF OTHER LESION OR 4531 OTHER LOCAL EXCISION OF LESION OF TISSUE OF (HAS 10 CASES) 4349 OTHER DESTRUCTION OF LESION OR 4532 OTHER DESTRUCTION OF LESION OF TISSUE OF STOMACH (HAS 1 CASE) DUODENUM 435 PARTIAL W/ 4533 LOCAL EXCISION OF LESION OR TISSUE ANASTOMOSIS TO OF SMALL INTESTINE, EXCEPT 436 PARTIAL GASTRECTOMY W/ DUODENUM ANASTOMOSIS TO DUODENUM 4534 OTHER DESTRUCTION OF LESION OF 437 PARTIAL GASTRECTOMY W/ SMALL INTESTINE, EXCEPT DUODENUM ANASTOMOSIS TO 4541 EXCISION OF LESION OR TISSUE OF 4381 PARTIAL GASTRECTOMY W/ JEJUNA LARGE INTESTINE TRANSPOSITION 4549 OTHER DESTRUCTION OF LESION OF 4389 OTHER PARTIAL GASTRECTOMY LARGE INTESTINE 4391 TOTAL GASTRECTOMY W/ INTESTINAL 4550 ISOLATION OF INTESTINAL SEGMENT, INTERPOSITION NOS 4399 OTHER TOTAL GASTRECTOMY 4551 ISOLATION OF SEGMENT OF SMALL 4400 , NOS INTESTINE 4401 TRUNCAL VAGOTOMY (HAS ONE CASE) 4552 ISOLATION OF SEGMENT OF LARGE 4402 HIGHLY SELECTIVE VAGOTOMY INTESTINE 4403 OTHER SELECTIVE VAGOTOMY 4561 MULTIPLE SEGMENTAL RESECTION OF 4411 TRANSABDOMINAL GASTROSCOPY SMALL INTESTINE 4415 OPEN BIOPSY OF STOMACH (HAS ONE 4562 OTHER PARTIAL RESECTION OF SMALL CASE) INTESTINE 4421 DILATION OF PYLORUS BY INCISION 4563 TOTAL REMOVAL OF SMALL INTESTINE 4429 OTHER PYLOROPLASTY HAS 6 CASES 458 TOTAL INTRA-ABDOMINAL 4431 HIGH GASTRIC BYPASS HAS 1 CASE 4590 INTESTINAL ANASTOMOSIS, NOS 4438 LAPAROSCOPIC 4591 SMALL-TO-SMALL INTESTINAL 4439 OTHER GASTROENTEROSTOMY ANASTOMOSIS 4440 SUTURE OF PEPTIC ULCER, NOS 4592 ANASTOMOSIS OF SMALL INTESTINE TO 4441 SUTURE OF GASTRIC ULCER SITE RECTAL STUMP 4442 SUTURE OF DUODENAL ULCER SITE 4593 OTHER SMALL-TO-LARGE INTESTINAL 445 REVISION OF GASTRIC ANASTOMOSIS ANASTOMOSIS 4461 SUTURE OF LACERATION OF STOMACH 4594 LARGE-TO-LARGE INTESTINAL 4463 CLOSURE OF OTHER GASTRIC FISTULA ANASTOMOSIS HAS 14 CASES 4595 ANASTOMOSIS TO ANUS 4464 4601 EXTERIORIZATION OF SMALL INTESTINE 4465 ESOPHAGOGASTROPLASTY 4603 EXTERIORIZATION OF LARGE INTESTINE 4466 OTHER PROCEDURES FOR CREATION OF 4610 , NOS ESOPHAGOGASTRIC SPHINCTERIC 4611 TEMPORARY COLOSTOMY COMPETENCE 4613 PERMANENT COLOSTOMY 4467 LAPAROSCOPIC PROCEDURES FOR 4614 DELAYED OPENING OF COLOSTOMY CREATION OF ESOPHAGOGASTRIC 4620 , NOS SPHINCTERIC COMPETENCE 4621 TEMPORARY ILESOSTOMY 4468 LAPAROSCOPIC GASTROPLASTY 4622 CONTINENT ILEOSTOMY 4469 OTHER REPAIR OF STOMACH 4623 OTHER PERMANENT ILEOSTOMY 4491 LIGATION OF GASTRIC VARICES 4640 REVISION OF INTESTINA STOMA, NOS 4492 INTRAOPERATIVE MANIPULATION OF 4641 REVISION OF STOMA OF SMALL STOMACH INTESTINE 4495 LAPAROSCOPIC GASTRIC RESTRICTIVE 4642 REPAIR OF PERICOLOSTOMY HERNIA PROCEDURE 4643 OTHER REVISION OF STOMA OF LARGE 4496 LAPAROSCOPIC REVISION OF GASTRIC INTESTINE RESTRICTIVE PROCEDURE 4650 CLOSURE OF INTESTINAL STOMA, NOT 4497 LAPAROSCOPIC REVISION OF GASTRIC OTHERWISE SPECIFIED RESTRICTIVE DEVICES 4651 CLOSURE OF STOMA OF SMALL 4499 GASTRIC OPERATION NEC (OCT 04) INTESTINE 4500 INCISION OF INTESTINE, NOS 4652 CLOSURE OF STOMA OF LARGE 4501 INCISION OF DUODENUM INTESTINE 4502 OTHER INCISION OF SMALL INTESTINE 4660 FIXATION OF INTESTINE, NOS 4503 INCISION OF LARGE INTESTINE Inpatient Quality Indicators Technical Specifications Version 4.1 – 2009 IQI #24 Incidental Appendectomy in the Elderly Rate Page 2 AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

4661 FIXATION OF SMALL INTESTINE TO 5025 LAPAROPSCOPIC ABLATION OF ABDOMINAL WALL LESION OR TISSUE 4662 OTHER FIXATION OF SMALL INTESTINE 5026 ABLTN LIVER LES/TISS NEC OCT06- 4663 FIXATION OF LARGE INTESTINE TO 5029 OTHER DESTRUCTION OF LESION OF ABDOMINAL WALL LIVER HAS 2 CASES 4664 OTHER FIXATION OF LARGE INTESTINE 503 LOBECTOMY OF LIVER 4672 CLOSURE OF FISTULA OF DUODENUM 504 TOTAL 4673 SUTURE OF LACERATION OF SMALL 5051 AUXILIARY LIVER TRANSPLANT INTESTINE, EXCEPT DUODENUM 5059 OTHER TRANSPLANT OF LIVER 4674 CLOSURE OF FISTULA OF SMALL 5061 CLOSURE OF LACERATION OF LIVER INTESTINE, EXCEPT DUODENUM 5069 OTHER REPAIR OF LIVER 4675 SUTURE OF LACERATION OF LARGE 5102 TROCAR INTESTINE 5103 OTHER CHOLECYSTOSTOMY 4676 CLOSURE OF FISTULA OF LARGE 5104 OTHER CHOLECYSTOTOMY INTESTINE 5113 OPEN BIOPSY OF OR BILE 4679 OTHER REPAIR OF INTESTINE DUCTS 4680 INTRA-ABDOMINAL MANIPULATION OF 5119 OTHER DIAGNOSTIC PROCEDURES ON INTESTINE, NOS BILIARY TRACT 4681 INTRA-ABDOMINAL MANIPULATION OF 5121 OTHER PARTIAL SMALL INTESTINE 5122 CHOLECYSTECTOMY 4682 INTRA-ABDOMINAL MANIPULATION OF 5123 LAPAROSCOPIC CHOLECYSTECTOMY SE LARGE INTESTINE 5122 WITH 116 CASES, THIS ONE HAS 7 4691 MYOTOMY OF SIGMOID COLON CASES 4692 MYOTOMY OF OTHER PARTS OF COLON 5124 LAPAROSCOPIC PARTIAL 4693 REVISION OF ANASTOMOSIS OF SMALL CHOLECYSTECTOMY INTESTINE 5131 ANASTOMOSIS OF GALLBLADDER TO 4694 REVISION OF ANASTOMOSIS OF LARGE HEPATIC DUCTS INTESTINE 5132 ANASTOMOSIS OF GALLBLADDER TO 4697 TRANSPLANT OF INTESTINE INTESTINE 4699 OTHER OPERATIONS ON INTESTINES 5133 ANASTOMOSIS OF GALLBLADDER TO 4821 TRANSABDOMINAL PROCTOSIGMOIDOSCOPY 5134 ANASTOMOSIS OF GALLBLADDER TO 4825 OPEN BIOPSY OF STOMACH 4840 PULL THROUGH RESECTION OF RECTUM, 5135 OTHER GALLBLADDER ANASTOMOSIS NOS OCT08- 5136 CHOLEDOCHOENTEROSTOMY 4841 SUBMUCOSAL RESECTION OF RECTUM 5137 ANASTOMOSIS OF HEPATIC DUCT TO 4842 LAP PULL-THROUGH RESECTION OF RECTUM OCT08- 5139 OTHER ANASTOMOSIS 4843 OPEN PULL-THROUGH RESECTION OF 5141 COMMON DUCT EXPLORATION FOR RECTUM OCT08- REMOVAL OF CALCULUS 4849 OTHER PULL-THROUGH RESECTION OF 5142 COMMON DUCT EXPLORATION FOR RECTUM \ RELIEF OF OTHER OBSTRUCTION 485 ABDOMINOPERINEAL RESECTION OF 5143 INSERTION OF CHOLEDOCHOHEPATIC RECTUM TUBE FOR DECOMPRESSION 4850 ABDOMINOPERINEAL RESECTION OF 5149 INCISION OF OTHER BILE DUCTS FOR RECTUM, NOS OCT08- RELIEF OF OBSTRUCTION 4851 LAPAROSCOPIC ABDOMINOPERINEAL 5151 EXPLORATION OF COMMON DUCT RESECTION OF RECTUM OCT08- 5159 INCISION OF OTHER BILE DUCT 4852 OPEN ABDOMINOPERINEAL RESECTION 5161 EXCISION OF CYSTIC DUCT REMNANT OF RECTUM OCT08- 5162 EXCISION OF AMPULLA OF VATER (WITH 4859 OTHER ABDOMINOPERINEAL RESECTION REIMPLANTATION OF COMMON DUCT) OF RECTUM OCT08- 5163 OTHER EXCISION OF COMMON DUCT 4871 SUTURE OF LACERATION OF RECTUM 5169 EXCISION OF OTHER BILE DUCT 4874 RECTORECTOSTOMY 5171 SIMPLE SUTURE OF COMMON BILE DUCT 4875 ABDOMINAL PROCTOPEXY 5172 CHOLEDOCHOPLASTY 500 HEPATOTOMY 5179 REPAIR OF OTHER BILE DUCTS 5012 OPEN BIOPSY OF LIVER 5181 DILATION OF SPHINCTER OF ODDI 5014 LAPAROPSCOPIC 5182 PANCREATIC SPHINCTEROTOMY 5019 OTHER DIAGNOSTIC PROCEDURES ON 5183 PANCREATIC SPHINCTEROPLASTY LIVER 5189 OTHER OPERATIONS ON SPHINCTER OF 5021 MARSUPIALIZATION OF LESION OF LIVER ODDI 5022 PARTIAL HEPATECTOMY HAS 3 CASES 5191 REPAIR OF LACERATION OF 5023 OPN ABLTN LIVER LES/TISS OCT06- GALLBLADDER 5192 CLOSURE OF CHOLECYSTOSTOMY Inpatient Quality Indicators Technical Specifications Version 4.1 – 2009 IQI #24 Incidental Appendectomy in the Elderly Rate Page 3 AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

5193 CLOSURE OF OTHER BILIARY FISTULA 5321 UNILATERAL REPAIR OF FEMORAL 5194 REVISION OF ANASTOMOSIS OF BILIARY HERNIA TRACT 5329 OTHER UNILATERAL FEMORAL 5195 REMOVAL OF PROSTHETIC DEVICE FROM HERNIORRHAPHY HAS 1 CASE BILE DUCT 5331 BILATERAL REPAIR OF 5199 OTHER OPERATIONS ON BILIARY TRACT W/ GRAFT OR PROSTHESIS 5201 DRAINAGE OF PANCREATIC CYST BY 5339 OTHER BILATERAL FEMORAL CATHETER HERNIORRHAPHY 5209 OTHER PANCREATOTOMY 5341 REPAIR OF UMBILICAL HERNIA W/ 5212 OPEN BIOPSY OF PANCREAS PROSTHESIS 5219 OTHER DIAGNOSTIC PROCEDURES ON 5342 LAPAROPSCOPIC REPAIR OF UMBILICAL PANCREAS HERNIA WITH GRAFT OR PROSTHESIS 5222 OTHER EXCISION OR DESTRUCT OF OCT08- LESION OR TISSUE OF PANCREAS OR 5343 OTHER LAPAROSCOPIC UMBILICAL PANC DUCT HERIORRHAPHY OCT08- 523 MARSUPIALIZATION OF PANCREATIC 5349 OTHER UMBILICAL HERNIORRHAPHY HAS CYST 2 CASES 524 INTERNAL DRAINAGE OF PANCREATIC 5351 INCISIONAL HAS 2 CASES CYST 5359 REPAIR OF OTHER HERNIA OF ANTERIOR 5251 PROXIMAL ABDOMINAL WALL (HAS 5 CASES) 5252 DISTAL PANCREATECTOMY 5361 INCISIONAL HERNIA REPAIR W/ 5253 RADICAL SUBTOTAL PANCREATECTOMY PROSTHESIS (HAS 6 CASES) 5259 OTHER PARTIAL PANCREATECTOMY (HAS 5362 LAPAROPSCOPIC INCISIONAL HERNIA 1 CASE) REPAIR WITH GRAFT OR PROSTHESIS 526 TOTAL PANCREATECTOMY OCT08- 527 RADICAL 5363 OTHER LAPAROSCOPIC REPAIR OF 5280 PANCREATIC TRANSPLANT, NOS OTHER HERNIA OF ANTERIOR 5281 REIMPLANTATION ABDOMINAL WALL WITH GRAFT OR 5282 HOMOTRANSPLANT OF PANCREAS PROSTHESIS OCT08- 5283 HETEROTRANSPLANT OF PANCREAS 5369 REPAIR OF OTHER HERNIA OF ANTERIOR 5292 CANNULATION OF PANCREATIC DUCT ABDOMINAL WALL W/ PROSTHESIS HAS 1 5295 OTHER REPAIR OF PANCREAS CASE 5296 ANASTOMOSIS OF PANCREAS (HAS 1 537 REPAIR OF DIAPHRAGMATIC HERNIA, CASE) ABDOMINAL APPROACH 5299 OTHER OPERATIONS ON PANCREAS 5371 LAP REPAIR OF DIAPHRAGMATIC HERNIA, 5300 UNILATERAL REPAIR OF INGUINAL ABDOMINAL APPROACH OCT08- HERNIA, NOS 5372 OTHER AND OPEN REPAIR OF 5301 REPAIR OF DIRECT INGUINAL HERNIA HAS DIAPHRAGMATIC HERNIA, ABDOMINAL 2 CASES APPROACH OCT08- 5302 REPAIR OF INDIRECT INGUINAL HERNIA 5375 REPAIR OF DIAPHRAGMATIC HERNIA, HAS 2 CASES ABDOMINAL APPROACH, NOS OCT08- 5303 REPAIR OF DIRECT INGUINAL HERNIA W/ 540 INCISION OF ABDOMINAL WALL GRAFT OR PROSTHESIS HAS 1 CASE 5411 EXPLORATORY 5304 REPAIR OF INDIRECT INGUINAL HERNIA 5412 REOPENING OF RECENT LAPAROTOMY W/ GRAFT OR PROSTHESIS SITE 5305 REPAIR OF INGUINAL HERNIA W/ GRAFT 5419 OTHER LAPAROTOMY OR PROSTHESIS, NOS 5421 5310 BILATERAL REPAIR OF INGUINAL HERNIA, 5422 BIOPSY OF ABDOMINAL WALL OR NOS UMBILICUS 5311 BILATERAL REPAIR OF DIRECT INGUINAL 5423 BIOPSY OF ABDOMINAL WALL OR HERNIA HAS 1 CASE UMBILICUS (HAS 2 CASES) 5312 BILATERAL REPAIR OF INDIRECT 5429 OTHER DIAGNOSTIC PROCEDURES ON INGUINAL HERNIA ABDOMINAL REGION 5313 BILATERAL REPAIR OF INGUINAL HERNIA, 543 EXCISION OR DESTRUCTION OF LESION ONE DIRECT AND ONE INDIRECT OR TISSUE OF ABDOMINAL WALL OR 5314 BILATERAL REPAIR OF DIRECT INGUINAL UMBILICUS HERNIA W/ GRAFT OR PROSTHESIS 544 EXCISION OR DESTRUCTION OF 5315 BILATERAL REPAIR OF INDIRECT PERITONEAL TISSUE INGUINAL HERNIA W/ GRAFT OR 5451 LAPAROSCOPIC LYSIS OF PERITONEAL PROSTHESIS ADHESIONS 5316 BILATERAL REPAIR OF INGUIN HERNIA, 1 5459 OTHER LYSIS OF PERITONEAL DIRECT 1 INDIRECT, W/ GRAFT OR PROS ADHESIONS HAS 463 CASES 5317 BILATERAL INGUINAL HERNIA REPAIR W/ 5461 RECLOSURE OF POSTOPERATIVE GRAFT OR PROSTHESIS, NOS DISRUPTION OF ABDOMINAL WALL Inpatient Quality Indicators Technical Specifications Version 4.1 – 2009 IQI #24 Incidental Appendectomy in the Elderly Rate Page 4 AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

5462 DELAYED CLOSURE OF GRANULATING 6571 OTHER SIMPLE SUTURE OF OVARY ABDOMINAL WOUND 6572 OTHER REIMPLANTATION OF OVARY 5463 OTHER SUTURE OF ABDOMINAL WALL 6573 OTHER SALPINGO OOPHOROPLASTY 5464 SUTURE OF 6574 LAPAROSCOPIC SIMPLE SUTURE OF 5471 REPAIR OF GASTROSCHISIS OVARY 5472 OTHER REPAIR OF ABDOMINAL WALLS 6575 LAPAROSCOPIC REIMPLANTATION OF 5473 OTHER REPAIR OF PERITONEUM OVARY 5474 OTHER REPAIR OF OMENTUM 6576 LAPAROSCOPIC SALPINGO- 5475 OTHER REPAIR OF MESENTERY OOPHOROPLASTY 5492 REMOVAL OF FOREIGN BODY FROM 6579 OTHER REPAIR OF OVARY PERITONEAL CAVITY HAS 1 CASE 6581 LAPAROSCOPIC LYSIS OF ADHESIONS OF 5493 CREATION OF CUTANEOPERITONEAL OVARY AND FALLOPIAN TUBE FISTULA 6589 OTHER LYSIS OF ADHESIONS OF OVARY 5494 CREATION OF PERITONEOVASCULAR AND FALLOPIAN TUBE SHUNT 6592 TRANSPLANTATION OF OVARY 5495 INCISION OF PERITONEUM 6593 MANUAL RUPTURE OF OVARIAN CYST 5651 FORMATION OF CUTANEOUS URETERO- 6594 OVARIAN DENERVATION ILEOSTOMY 6595 RELEASE OF TORSION OF OVARY 5652 REVISION OF CUTANEOUS URETERO- 6599 OTHER OPERATIONS ON OVARY ILEOSTOMY 6601 SALPINGOTOMY 5661 FORMATION OF OTHER CUTANEOUS 6602 SALPINGOSTOMY URETEROSTOMY 6611 BIOPSY OF FALLOPIAN TUBE 5662 REVISION OF OTHER CUTANEOUS 6619 OTHER DIAGNOSTIC PROCEDURES ON URETEROSTOMY FALLOPIAN TUBES 5671 URINARY DIVERSION TO INTESTINE 6631 OTHER BILATERAL LIGATION AND 5672 REVISION OF URETEROINTESTINAL CRUSHING OF FALLOPIAN TUBES ANASTOMOSIS 6632 OTHER BILATERAL LIGATION AND 5900 RETROPERITONEAL DISSECTION, NOS DIVISION OF FALLOPIAN TUBES 6501 LAPAROSCOPIC OOPHOROTOMY 6639 OTHER BILATERAL DESTRUCTION OR 6509 OTHER OOPHORECTOMY OCCLUSION OF FALLOPIAN TUBES 6512 OTHER BIOPSY OF OVARY 664 TOTAL UNILATERAL SALPINGECTOMY 6521 MARSUPIALIZATION OF OVARIAN CYST 6651 REMOVAL OF BOTH FALLOPIAN TUBES AT 6522 WEDGE RESECTION OF OVARY SAME OPERATIVE EPISODE 6523 LAPAROSCOPIC MARSUPIALIZATION OF 6652 REMOVAL OF REMAINING FALLOPIAN OVARIAN CYST TUBE 6524 LAPAROSCOPIC WEDGE RESECTION OF 6661 EXCISION OR DESTRUCTION OF LESION OVARY OF FALLOPIAN TUBE 6525 OTHER LAPAROSCOPIC LOCAL EXCISION 6662 SALPINGECTOMY W/ REMOVAL OF TUBAL OR DESTRUCTION OF OVARY PREGNANCY 6529 OTHER LOCAL EXCISION OR 6663 BILATERAL PARTIAL SALPINGECTOMY, DESTRUCTION OF OVARY NOS 6531 LAPAROSCOPIC UNILATERAL 6669 OTHER PARTIAL SALPINGECTOMY OOPHORECTOMY 6671 SIMPLE SUTURE OF FALLOPIAN TUBE 6539 OTHER UNLILATERAL OOPHORECTOMY 6672 SALPINGO-OOPHOROSTOMY 6541 LAPAROSCOPIC UNILATERAL SALPINGO- 6673 SALPINGO-SALPINGOSTOMY OOPHORECTOMY 6674 SALPINGO-UTEROSTOMY 6549 OTHER UNILATERAL 6679 OTHER REPAIR OF FALLOPIAN TUBE SALPINGOOPHORECTOMY 6692 UNILATERAL DESTRUCTION OR 6551 OTHER REMOVAL OF BOTH OVARIES AT OCCLUSION OF FALLOPIAN TUBE SAME OPERATIVE EPISODE 6693 IMPLANTATION OR REPLACEMENT OF 6552 OTHER REMOVAL OF REMAINING OVARY PROSTHESIS OF FALLOPIAN TUBE 6553 LAPAROSCOPIC REMOVAL OF BOTH 6694 REMOVAL OF PROSTHESIS OF FALLOPIAN OVARIES AT SAME OPERATIVE EPISODE TUBE 6554 LAPAROSCOPIC REMOVAL OF REMAINING 6696 DILATION OF FALLOPIAN TUBE OVARY 6697 BURYING OF FIMBRIAE IN UTERINE WALL 6561 OTHER REMOVAL OF BOTH OVARIES AND 6699 OTHER OPERATION OF FALLOPIAN TUBE TUBES AT SAME OPERATIVE EPISODE 680 OTHER INCISION AND EXCISION OF 6562 OTHER REMOVAL OF REMAINING OVARY UTERUS AND TUBE 6813 OPEN BIOPSY OF UTERUS 6563 LAPAROSCOPIC REMOVAL OF BOTH 6814 OPEN BIOPSY OF UTERINE LIGAMENTS OVARIES AND TUBES AT SAME 6819 OTHER DIAGNOSTIC PROCEDURES ON OPERATIVE EPISODE UTERUS AND SUPPORTING STRUCTURES 6564 LAPAROSCOPIC REMOVAL OF REMAINING 6823 ENDOMETRIAL ABLATION OVARY AND TUBE Inpatient Quality Indicators Technical Specifications Version 4.1 – 2009 IQI #24 Incidental Appendectomy in the Elderly Rate Page 5 AHRQ Quality Indicators Web Site: http://www.qualityindicators.ahrq.gov

6829 OTHER EXCISION OR DESTRUCTION OF 6919 OTHER EXCISION OR DESTRUCTION OF LESION OF UTERUS UTERUS AND SUPPORTING STRUCTURES 683 SUBTOTAL ABDOMINAL HYSTERECTOMY 6921 INTERPOSITION OPERATION 6831 LAPAROSCOPIC SUPRACERVICAL 6922 OTHER UTERINE SUSPENSION HYSTERECTOMY [LSH] 6923 VAGINAL REPAIR OF CHRONIC INVERSION 6839 OTHER SUBTOTAL ABDOMINAL OF UTERUS HYSTERECTOMY 6929 OTHER REPAIR OF UTERUS AND 684 TOTAL ABDOMINAL HYSTERECTOMY SUPPORTING STRUCTURES 6841 LAP TOTAL ABDOMINAL HYST OCT06- 693 PARACERVICAL UTERINE DENERVATION 6849 TOTAL ABD HYST NEC/NOS OCT06- 6941 SUTURE OF LACERATION OF UTERUS 686 RADICAL ABDOMINAL HYSTERECTOMY 6942 CLOSURE OF FISTULA OF UTERUS 6861 LAP RADICAL ABDOMNL HYST OCT06- 6949 OTHER REPAIR OF UTERUS 6869 RADICAL ABD HYST NEC/NOS OCT06- 6998 OTHER OPERATIONS ON SUPPORTING 688 PELVIC EVISCERATION STRUCTURES OF UTERUS 689 OTHER AND UNSPECIFIED HYSTERECTOMY

* Replaces list of DRGs used in previous versions.

Exclude cases: • with any code for surgical removal of the colon (colectomy) or pelvic evisceration • with any diagnosis of cancer involving or adjacent to the appendix • MDC 14 (pregnancy, childbirth, and puerperium)

ICD-9-CM surgical removal of the colon (colectomy) or pelvic evisceration procedure codes:

1731 LAPAROSCOPIC MULTIPLE SEGMENTAL 4572 OPEN CECECTOMY NEC RESECTION OF LARGE INTESTINE 4573 OPN RT HEMICOLECTOMY NEC 1732 LAPAROSCOPIC CECECTOMY 4574 OPN TRANSV COLON RES NEC 1733 LAPAROSCOPIC RIGHT HEMICOLECTOMY 4575 OPN LFT HEMICOLECTMY NEC 1734 LAPAROSCOPIC RESECTION OF 4576 OPEN SIGMOIDECTOMY NEC TRANSVERSE COLON 4579 PRT LG INTES EXC NEC/NOS 1735 LAPAROSCOPIC LEFT HEMICOLECTOMY 458 TOT ABD COLECTMY 1736 LAPAROSCOPIC SIGMOIDECTOMY 4581 LAP TOT INTR-AB COLECTMY 1739 OTHER LAPAROSCOPIC PARTIAL 4582 OP TOT INTR-ABD COLECTMY EXCISION OF LARGE INTESTINE 4583 TOT ABD COLECTMY NEC/NOS 4571 OPN MUL SEG LG INTES NEC 688 PELVIC EVISCERATION

ICD-9-CM Cancer Involving or Adjacent to the Appendix diagnosis codes

1534 MALIGNANT NEOPLASM OF COLON, 1598 MALIGNANT NEOPLASM OF OTHER AND CECUM ILL-DEFINED SITES WITHIN THE 1535 MALIGNANT NEOPLASM OF COLON, DIGESTIVE ORGANS AND PERITONEUM, APPENDIX OTHER SITES OF DIGESTIVE SYSTEM AND 1536 MALIGNANT NEOPLASM OF COLON, INTRA-ABDOMINAL ORGANS ASCENDING COLON 1599 MALIGNANT NEOPLASM OF OTHER AND 1538 MALIGNANT NEOPLASM OF COLON, ILL-DEFINED SITES WITHIN THE OTHER SPECIFIED SITES OF LARGE DIGESTIVE ORGANS AND PERITONEUM, INTESTINE ILL-DEFINED 1539 MALIGNANT NEOPLASM OF COLON, NOS 1952 MALIGNANT NEOPLASM OF OTHER AND 1588 MALIGNANT NEOPLASM OF ILL-DEFINED SITES, ABDOMEN RETROPERITONEUM AND PERITONEUM, 1975 SECONDARY MALIGNANT NEOPLASM OF SPECIFIED PARTS OF PERITONEUM RESPIRATORY AND DIGESTIVE SYSTEMS, 1589 MALIGNANT NEOPLASM OF LARGE INTESTINE AND RECTUM RETROPERITONEUM AND PERITONEUM, 1976 SECONDARY MALIGNANT NEOPLASM OF PERITONEUM, UNSPECIFIED RESPIRATORY AND DIGESTIVE SYSTEMS, 1590 MALIGNANT NEOPLASM OF OTHER AND RETROPERITONEUM AND PERITONEUM ILL-DEFINED SITES WITHIN THE DIGESTIVE ORGANS AND PERITONEUM, INTESTINAL TRACT, PART UNSPECIFIED

Inpatient Quality Indicators Technical Specifications Version 4.1 – 2009 IQI #24 Incidental Appendectomy in the Elderly Rate Page 6