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Surgical Site Infections Following Ambulatory Surgery Procedures

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Surgical Site Infections Following Ambulatory Surgery Procedures Supplemental Online Content Owens PL, Barrett ML, Raetzman S, Gibbons MM, Steiner CA. Surgical site infections following ambulatory surgery procedures. JAMA. doi:10.1001/jama.2014.4. eAppendix 1. Coding Definitions of Selected Ambulatory Surgical Procedures eTable 1. Surgical Procedure 1: Laparoscopic Cholecystectomy eTable 2. Surgical Procedure 2: Hernia Repair, Inguinal/Femoral, Open eTable 3. Surgical Procedure 3: Hernia Repair, Inguinal/Femoral, Laparoscopic eTable 4. Surgical Procedure 4: Hernia Repair, Incisional or Abdominal, Open eTable 5. Surgical Procedure 5: Hernia Repair, Incisional or Abdominal, Laparoscopic eTable 6. Surgical Procedure 6: Hernia Repair, Umbilical, Open eTable 7. Surgical Procedure 7: Hernia Repair, Umbilical, Laparoscopic eTable 8. Surgical Procedure 8: Anterior Cruciate Ligament (ACL) Repair eTable 9. Surgical Procedure 9: Spine Surgery, Laminectomy/Discectomy eTable 10. Surgical Procedure 10: Hysterectomy, Abdominal eTable 11. Surgical Procedure 11: Hysterectomy, Vaginal eTable 12. Surgical Procedure 12: Transurethral Prostatectomy (TURP) eAppendix 2. Coding Definitions for Infections eTable 13. Directly Related Surgical Site Infections, Any Surgery eTable 14. Directly Related Surgical Site Infections Specific to Abdominal Surgical Procedures (Hernia, Cholecystectomy, and Hysterectomy) eTable 15. Directly Related Surgical Site Infections Specific to Knee (ACL) eTable 16. Directly Related Surgical Site Infections Specific to Spine (Laminectomy/Discectomy) eTable 17. Directly Related Surgical Site Infections Specific to Prostate (TURP) eAppendix 3. Supplemental Descriptive Statistics eTable 18. Ambulatory Surgical Procedures Performed in Hospital-Owned and Freestanding Ambulatory Surgery Centers eAppendix 4. Coding on Acute Care Visits for Surgical Site Infections After Surgery in an Ambulatory Surgery Center eTable 19. Type of Code Used to Identify Postsurgical Acute Care Visits for Infections Within 14 Days eTable 20. Type of Code Used to Identify Postsurgical Acute Care Visits for Infections Within 30 Days This suppplementary material has been provided by the authors to give readers additional information about their work. © 2014 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ on 09/29/2021 eAppendix 1. Coding Definitions of Selected Ambulatory Surgical Procedures This Appendix lists the coding definitions for each of the 12 ambulatory surgical procedures of interest in this study. The ambulatory surgical procedures were defined using either International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) or Current Procedural Terminology (CPT-4) procedure codes, depending upon the coding system in each of the Agency for Healthcare Research and Quality (AHRQ) Healthcare Cost and Utilization Project (HCUP) State Ambulatory Surgery Databases (SASD). The surgery was not required to be the first-listed or principal procedure. A CPT procedure code indicating that the patient received anesthesia was not considered sufficient evidence that the patient had the procedure. A code indicating that the procedure was performed was required for inclusion. Cancer was defined by an ICD-9-CM diagnosis code (principal or secondary) on any discharge record in the year and was not required to be reported on the day of surgery. eTable 1. Surgical Procedure 1: Laparoscopic Cholecystectomy ICD-9-CM Procedure Codes for Laparoscopic Cholecystectomy 51.23 Laparoscopic cholecystectomy 51.24 Laparoscopic partial cholecystectomy CPT Codes for Laparoscopic Cholecystectomy 47562 Laparoscopic cholecystectomy 47563 Laparoscopic cholecystectomy with cholangiography 47564 Laparoscopic cholecystectomy with exploration of common duct © 2014 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ on 09/29/2021 eTable 2. Surgical Procedure 2: Hernia Repair, Inguinal/Femoral, Open ICD-9-CM Procedure Codes for Inguinal/Femoral Hernia 53.00 Unilateral repair of inguinal hernia, not otherwise specified 53.01 Repair of direct inguinal hernia 53.02 Repair of indirect inguinal hernia 53.03 Repair of direct inguinal hernia with graft or prosthesis 53.04 Repair of indirect inguinal hernia with graft or prosthesis 53.05 Repair of inguinal hernia with graft or prosthesis, not otherwise specified 53.10 Bilateral repair of inguinal hernia, not otherwise specified 53.11 Bilateral repair of direct inguinal hernia 53.12 Bilateral repair of indirect inguinal hernia 53.13 Bilateral repair of inguinal hernia, one direct and one indirect 53.14 Bilateral repair of direct inguinal hernia with graft or prosthesis 53.15 Bilateral repair of indirect inguinal hernia with graft or prosthesis 53.16 Bilateral repair of inguinal hernia, one direct and one indirect, with graft or prosthesis 53.17 Bilateral inguinal hernia repair with graft or prosthesis, not otherwise specified 53.21 Unilateral repair of femoral hernia with graft or prosthesis 53.29 Other unilateral femoral herniorrhaphy 53.31 Bilateral repair of femoral hernia with graft or prosthesis 53.39 Other bilateral femoral herniorrhaphy CPT Codes for Inguinal/Femoral Hernia Repair initial inguinal hernia, age 6 months to < 5 years, with or without hydrocelectomy; 49500 reducible Repair initial inguinal hernia, age 6 months to < 5 years, with or without hydrocelectomy; 49501 reducible 49505 Repair initial inguinal hernia, age 5 years or older; reducible 49507 Repair initial inguinal hernia, age ≥ 5 years, incarcerated or strangulated 49520 Repair recurrent inguinal hernia, any age, reducible 49521 Repair recurrent inguinal hernia, any age, incarcerated or strangulated 49525 Repair recurrent inguinal hernia, any age, sliding 49550 Repair initial femoral hernia, any age, reducible 49553 Repair initial femoral hernia, any age, incarcerated or strangulated 49555 Repair recurrent femoral hernia, any age, reducible 49557 Repair recurrent femoral hernia, any age, incarcerated or strangulated © 2014 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ on 09/29/2021 eTable 3. Surgical Procedure 3: Hernia Repair, Inguinal/Femoral, Laparoscopic ICD-9-CM Procedure Codes for Laparoscopic Inguinal/Femoral Hernia Laparoscopy (when used with ICD-9-CM procedure code for inguinal or femoral hernia listed 54.21 in eTable 2) CPT Codes for Laparoscopic Inguinal/Femoral Hernia 49650 Laparoscopy, surgical; repair initial inguinal hernia 49651 Laparoscopy, surgical; repair recurrent inguinal hernia eTable 4. Surgical Procedure 4: Hernia Repair, Incisional or Abdominal, Open ICD-9-CM Procedure Codes for Incisional or Abdominal Hernia 53.51 Incisional hernia repair 53.61 Incisional hernia repair with prosthesis Repair of other hernia of anterior abdominal wall (repair of hernia: epigastric, hypogastric, 53.59 spigelian, ventral) 53.69 Repair of other hernia of anterior abdominal wall with graft or prosthesis CPT Codes for Incisional or Abdominal Hernia 49560 Repair initial incisional or ventral hernia, reducible 49561 Repair initial incisional or ventral hernia, incarcerated or strangulated 49565 Repair recurrent incisional or ventral hernia; reducible 49566 Repair recurrent incisional or ventral hernia; incarcerated or strangulated eTable 5. Surgical Procedure 5: Hernia Repair, Incisional or Abdominal, Laparoscopic ICD-9-CM Procedure Codes for Laparoscopic Incisional or Abdominal Hernia 54.21 Laparoscopy (when used with for incisional or abdominal hernia listed in eTable 4) CPT Codes for Laparoscopic Incisional or Abdominal Hernia 49654 Laparoscopy, surgical; repair incisional hernia; reducible 49655 Laparoscopy, surgical; repair incisional hernia; incarcerated or strangulated 49656 Laparoscopy, surgical; repair recurrent incisional hernia; reducible 49657 Laparoscopy, surgical; repair recurrent incisional hernia; incarcerated or strangulated © 2014 American Medical Association. All rights reserved. Downloaded From: https://jamanetwork.com/ on 09/29/2021 eTable 6. Surgical Procedure 6: Hernia Repair, Umbilical, Open ICD-9-CM Procedure Codes for Umbilical Hernia 53.41 Repair of umbilical hernia with prosthesis 53.49 Other umbilical herniorrhaphy CPT Codes for Umbilical Hernia 49580 Repair umbilical hernia, < age 5 years; reducible 49582 Repair umbilical hernia, < age 5 years; incarcerated or strangulated 49585 Repair umbilical hernia, age 5 years or older; reducible 49587 Repair umbilical hernia, age 5 years or older; incarcerated or strangulated eTable 7. Surgical Procedure 7: Hernia Repair, Umbilical, Laparoscopic ICD-9-CM Procedure Codes for Laparoscopic Umbilical Hernia 54.21 Laparoscopy (when used with any of the codes for umbilical hernia listed in eTable 6) CPT Codes for Laparoscopic Umbilical Hernia 49652 Laparoscopy, surgical; repair umbilical or ventral hernia; reducible 49653 Laparoscopy, surgical; repair umbilical or ventral hernia; incarcerated or strangulated eTable 8. Surgical Procedure 8: Anterior Cruciate Ligament (ACL) Repair ICD-9-CM Procedure Codes for ACL Repair/Reconstruction 81.43 Combined collateral and cruciate ligament repair 81.45 Other repair of the cruciate ligament CPT Codes for ACL Repair/Reconstruction 27407 Repair, primary, torn ligament and/or capsule, knee; cruciate 27409 Repair, primary, torn ligament and/or capsule, knee; collateral and cruciate 27427 Ligamentous reconstruction (augmentation), knee; extra-articular 27428 Ligamentous reconstruction (augmentation), knee; intra-articular (open) 27429 Ligamentous reconstruction (augmentation),
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