APPENDIX I HOSPITAL ACQUIRED CONDITIONS (HACS) LIST HAC 01: FOREIGN OBJECT RETAINED AFTER SURGERY SECONDARY DIAGNOSIS 9984 FB left during procedure (CC) 9987 Postop forgn subst react (CC) HAC 02: AIR EMBOLISM SECONDARY DIAGNOSIS 9991 Air embol comp med care (MCC) HAC 03: BLOOD INCOMPATABILITY SECONDARY DIAGNOSIS 99960 Abo incompat react NOS (CC) 99963 Abo incompat/delay HTR (CC) 99961 Abo incomp/HTR NEC (CC) 99969 Abo incompat reactn NEC (CC) 99962 Abo incompat/acute HTR (CC) HAC 04: STAGE III & IV PRESSURE ULCERS SECONDARY DIAGNOSIS 70723 Pressure ulcer,stage III (MCC) 70724 Pressure ulcer, stage IV (MCC) HAC 05: FALLS AND TRAUMA SECONDARY DIAGNOSIS 80000 Closed skull vault fx (CC) 80039 Cl skl vlt fx-concus NOS (MCC) 80001 Cl skull vlt fx w/o coma (CC) 80040 Cl skl vlt fx/br inj NEC (CC) 80002 Cl skull vlt fx-brf coma (CC) 80041 Cl skull vlt fx w/o coma (CC) 80003 Cl skull vlt fx-mod coma (MCC) 80042 Cl skull vlt fx-brf coma (CC) 80004 Cl skl vlt fx-proln coma (MCC) 80043 Cl skull vlt fx-mod coma (MCC) 80005 Cl skul vlt fx-deep coma (MCC) 80044 Cl skl vlt fx-proln coma (MCC) 80006 Cl skull vlt fx-coma NOS (CC) 80045 Cl skul vlt fx-deep coma (MCC) 80009 Cl skl vlt fx-concus NOS (CC) 80046 Cl skull vlt fx-coma NOS (CC) 80010 Cl skl vlt fx/cerebr lac (MCC) 80049 Cl skl vlt fx-concus NOS (CC) 80011 Cl skull vlt fx w/o coma (MCC) 80050 Opn skull vault fracture (MCC) 80012 Cl skull vlt fx-brf coma (MCC) 80051 Opn skul vlt fx w/o coma (MCC) 80013 Cl skull vlt fx-mod coma (MCC) 80052 Opn skul vlt fx-brf coma (MCC) 80014 Cl skl vlt fx-proln coma (MCC) 80053 Opn skul vlt fx-mod coma (MCC) 80015 Cl skul vlt fx-deep coma (MCC) 80054 Opn skl vlt fx-proln com (MCC) 80016 Cl skull vlt fx-coma NOS (MCC) 80055 Opn skl vlt fx-deep coma (MCC) 80019 Cl skl vlt fx-concus NOS (MCC) 80056 Opn skul vlt fx-coma NOS (MCC) 80020 Cl skl vlt fx/mening hem (MCC) 80059 Op skl vlt fx-concus NOS (MCC) 80021 Cl skull vlt fx w/o coma (MCC) 80060 Opn skl vlt fx/cereb lac (MCC) 80022 Cl skull vlt fx-brf coma (MCC) 80061 Opn skul vlt fx w/o coma (MCC) 80023 Cl skull vlt fx-mod coma (MCC) 80062 Opn skul vlt fx-brf coma (MCC) 80024 Cl skl vlt fx-proln coma (MCC) 80063 Opn skul vlt fx-mod coma (MCC) 80025 Cl skul vlt fx-deep coma (MCC) 80064 Opn skl vlt fx-proln com (MCC) 80026 Cl skull vlt fx-coma NOS (MCC) 80065 Opn skl vlt fx-deep coma (MCC) 80029 Cl skl vlt fx-concus NOS (MCC) 80066 Opn skul vlt fx-coma NOS (MCC) 80030 Cl skull vlt fx/hem NEC (MCC) 80069 Op skl vlt fx-concus NOS (MCC) 80031 Cl skull vlt fx w/o coma (MCC) 80070 Opn skl vlt fx/menin hem (MCC) 80032 Cl skull vlt fx-brf coma (MCC) 80071 Opn skul vlt fx w/o coma (MCC) 80033 Cl skull vlt fx-mod coma (MCC) 80072 Opn skul vlt fx-brf coma (MCC) 80034 Cl skl vlt fx-proln coma (MCC) 80073 Opn skul vlt fx-mod coma (MCC) 80035 Cl skul vlt fx-deep coma (MCC) 80074 Opn skl vlt fx-proln com (MCC) 80036 Cl skull vlt fx-coma NOS (MCC) 80075 Opn skl vlt fx-deep coma (MCC) 1107 APPENDIX I HOSPITAL ACQUIRED CONDITIONS (HACS) LIST 80076 Opn skul vlt fx-coma NOS (MCC) 80164 Op skl base fx-prol coma (MCC) 80079 Op skl vlt fx-concus NOS (MCC) 80165 Op skl base fx-deep coma (MCC) 80080 Opn skull vlt fx/hem NEC (MCC) 80166 Opn skl base fx-coma NOS (MCC) 80081 Opn skul vlt fx w/o coma (MCC) 80169 Opn skul base fx-concuss (MCC) 80082 Opn skul vlt fx-brf coma (MCC) 80170 Op skl base fx/menin hem (MCC) 80083 Opn skul vlt fx-mod coma (MCC) 80171 Opn skl base fx w/o coma (MCC) 80084 Opn skl vlt fx-proln com (MCC) 80172 Opn skl base fx-brf coma (MCC) 80085 Opn skl vlt fx-deep coma (MCC) 80173 Opn skl base fx-mod coma (MCC) 80086 Opn skul vlt fx-coma NOS (MCC) 80174 Op skl base fx-prol coma (MCC) 80089 Op skl vlt fx-concus NOS (MCC) 80175 Op skl base fx-deep coma (MCC) 80090 Op skl vlt fx/br inj NEC (MCC) 80176 Opn skl base fx-coma NOS (MCC) 80091 Opn skul vlt fx w/o coma (MCC) 80179 Opn skul base fx-concuss (MCC) 80092 Opn skul vlt fx-brf coma (MCC) 80180 Opn skul base fx/hem NEC (MCC) 80093 Opn skul vlt fx-mod coma (MCC) 80181 Opn skl base fx w/o coma (MCC) 80094 Opn skl vlt fx-proln com (MCC) 80182 Opn skl base fx-brf coma (MCC) 80095 Op skul vlt fx-deep coma (MCC) 80183 Opn skl base fx-mod coma (MCC) 80096 Opn skul vlt fx-coma NOS (MCC) 80184 Op skl base fx-prol coma (MCC) 80099 Op skl vlt fx-concus NOS (MCC) 80185 Op skl base fx-deep coma (MCC) 80100 Clos skull base fracture (CC) 80186 Opn skl base fx-coma NOS (MCC) 80101 Cl skul base fx w/o coma (CC) 80189 Opn skul base fx-concuss (MCC) 80102 Cl skul base fx-brf coma (CC) 80190 Op sk base fx/br inj NEC (MCC) 80103 Cl skul base fx-mod coma (MCC) 80191 Op skul base fx w/o coma (MCC) 80104 Cl skl base fx-prol coma (MCC) 80192 Opn skl base fx-brf coma (MCC) 80105 Cl skl base fx-deep coma (MCC) 80193 Opn skl base fx-mod coma (MCC) 80106 Cl skul base fx-coma NOS (CC) 80194 Op skl base fx-prol coma (MCC) 80109 Cl skull base fx-concuss (CC) 80195 Op skl base fx-deep coma (MCC) 80110 Cl skl base fx/cereb lac (MCC) 80196 Opn skl base fx-coma NOS (MCC) 80111 Cl skul base fx w/o coma (MCC) 80199 Opn skul base fx-concuss (MCC) 80112 Cl skul base fx-brf coma (MCC) 8021 Nasal bone fx-open (CC) 80113 Cl skul base fx-mod coma (MCC) 80220 Mandible fx NOS-closed (CC) 80114 Cl skl base fx-prol coma (MCC) 80221 Fx condyl proc mandib-cl (CC) 80115 Cl skl base fx-deep coma (MCC) 80222 Subcondylar fx mandib-cl (CC) 80116 Cl skul base fx-coma NOS (MCC) 80223 Fx coron proc mandib-cl (CC) 80119 Cl skull base fx-concuss (MCC) 80224 Fx ramus NOS-closed (CC) 80120 Cl skl base fx/menin hem (MCC) 80225 Fx angle of jaw-closed (CC) 80121 Cl skul base fx w/o coma (MCC) 80226 Fx symphy mandib body-cl (CC) 80122 Cl skul base fx/brf coma (MCC) 80227 Fx alveolar bord mand-cl (CC) 80123 Cl skul base fx-mod coma (MCC) 80228 Fx mandible body NEC-cl (CC) 80124 Cl skl base fx-prol coma (MCC) 80229 Mult fx mandible-closed (CC) 80125 Cl skl base fx-deep coma (MCC) 80230 Mandible fx NOS-open (CC) 80126 Cl skul base fx-coma NOS (MCC) 80231 Fx condyl proc mand-open (CC) 80129 Cl skull base fx-concuss (MCC) 80232 Subcondyl fx mandib-open (CC) 80130 Cl skull base fx/hem NEC (MCC) 80233 Fx coron proc mandib-opn (CC) 80131 Cl skul base fx w/o coma (MCC) 80234 Fx ramus NOS-open (CC) 80132 Cl skul base fx-brf coma (MCC) 80235 Fx angle of jaw-open (CC) 80133 Cl skul base fx-mod coma (MCC) 80236 Fx symphy mandib bdy-opn (CC) 80134 Cl skl base fx-prol coma (MCC) 80237 Fx alv bord mand bdy-opn (CC) 80135 Cl skl base fx-deep coma (MCC) 80238 Fx mandible body NEC-opn (CC) 80136 Cl skul base fx-coma NOS (MCC) 80239 Mult fx mandible-open (CC) 80139 Cl skull base fx-concuss (MCC) 8024 Fx malar/maxillary-close (CC) 80140 Cl sk base fx/br inj NEC (CC) 8025 Fx malar/maxillary-open (CC) 80141 Cl skul base fx w/o coma (CC) 8026 Fx orbital floor-closed (CC) 80142 Cl skul base fx-brf coma (CC) 8027 Fx orbital floor-open (CC) 80143 Cl skul base fx-mod coma (MCC) 8028 Fx facial bone NEC-close (CC) 80144 Cl skl base fx-prol coma (MCC) 8029 Fx facial bone NEC-open (CC) 80145 Cl skl base fx-deep coma (MCC) 80300 Close skull fracture NEC (CC) 80146 Cl skul base fx-coma NOS (CC) 80301 Cl skull fx NEC w/o coma (CC) 80149 Cl skull base fx-concuss (CC) 80302 Cl skull fx NEC-brf coma (CC) 80150 Open skull base fracture (MCC) 80303 Cl skull fx NEC-mod coma (MCC) 80151 Opn skl base fx w/o coma (MCC) 80304 Cl skl fx NEC-proln coma (MCC) 80152 Opn skl base fx-brf coma (MCC) 80305 Cl skul fx NEC-deep coma (MCC) 80153 Opn skl base fx-mod coma (MCC) 80306 Cl skull fx NEC-coma NOS (CC) 80154 Op skl base fx-prol coma (MCC) 80309 Cl skull fx NEC-concuss (CC) 80155 Op skl base fx-deep coma (MCC) 80310 Cl skl fx NEC/cerebr lac (MCC) 80156 Opn skl base fx-coma NOS (MCC) 80311 Cl skull fx NEC w/o coma (MCC) 80159 Opn skul base fx-concuss (MCC) 80312 Cl skull fx NEC-brf coma (MCC) 80160 Op skl base fx/cereb lac (MCC) 80313 Cl skull fx NEC-mod coma (MCC) 80161 Opn skl base fx w/o coma (MCC) 80314 Cl skl fx NEC-proln coma (MCC) 80162 Opn skl base fx-brf coma (MCC) 80315 Cl skul fx NEC-deep coma (MCC) 80163 Opn skl base fx-mod coma (MCC) 80316 Cl skull fx NEC-coma NOS (MCC) 1108 APPENDIX I HOSPITAL ACQUIRED CONDITIONS (HACS) LIST 80319 Cl skull fx NEC-concuss (MCC) 80405 Cl skul/oth fx-deep coma (MCC) 80320 Cl skl fx NEC/mening hem (MCC) 80406 Cl skl w oth fx-coma NOS (CC) 80321 Cl skull fx NEC w/o coma (MCC) 80409 Cl skul w oth fx-concuss (CC) 80322 Cl skull fx NEC-brf coma (MCC) 80410 Cl sk w oth fx/cereb lac (MCC) 80323 Cl skull fx NEC-mod coma (MCC) 80411 Cl skl w oth fx w/o coma (MCC) 80324 Cl skl fx NEC-proln coma (MCC) 80412 Cl skl w oth fx-brf coma (MCC) 80325 Cl skul fx NEC-deep coma (MCC) 80413 Cl skl w oth fx-mod coma (MCC) 80326 Cl skull fx NEC-coma NOS (MCC) 80414 Cl skl/oth fx-proln coma (MCC) 80329 Cl skull fx NEC-concuss (MCC) 80415 Cl skul/oth fx-deep coma (MCC) 80330 Cl skull fx NEC/hem NEC (MCC) 80416 Cl skl w oth fx-coma NOS (MCC) 80331 Cl skull fx NEC w/o coma (MCC) 80419 Cl skul w oth fx-concuss (MCC) 80332 Cl skull fx NEC-brf coma (MCC) 80420 Cl skl/oth fx/mening hem (MCC) 80333 Cl skull fx NEC-mod coma (MCC) 80421 Cl skl w oth fx w/o coma (MCC) 80334 Cl skl fx NEC-proln coma (MCC) 80422 Cl skl w oth fx-brf coma (MCC) 80335 Cl skul fx NEC-deep coma (MCC) 80423 Cl skl w oth fx-mod coma (MCC) 80336 Cl skull fx NEC-coma NOS (MCC) 80424 Cl skl/oth fx-proln coma (MCC) 80339 Cl skull fx NEC-concuss (MCC) 80425 Cl skul/oth fx-deep coma (MCC) 80340 Cl skl fx NEC/br inj NEC (CC) 80426 Cl skl w oth fx-coma NOS (MCC) 80341 Cl skull fx NEC w/o coma (CC) 80429 Cl skul w oth fx-concuss (MCC) 80342 Cl skull fx NEC-brf coma (CC) 80430 Cl skul w oth fx/hem