Hospital Acquired Conditions and Codes

Effective January 1, 2010

HAC (Hospital Acquired Condition) CC/MCC
(ICD-9-CM Codes)
Foreign Object Retained After Surgery 998.4 (CC)
998.7 (CC)
Air Embolism 999.1 (MCC)
Blood Incompatibility 999.6 (CC)
Pressure Ulcer Stages III & IV 707.23 (MCC)
707.24 (MCC)

Falls and Trauma:

  • Fracture
  • Dislocation
  • Intracranial Injury
  • Crushing Injury
  • Burn
  • Electric Shock
 Codes within these ranges on the CC/MCC list:
800-829
830-839
850-854
925-929
940-949
991-994
Catheter-Associated Urinary Tract Infection (UTI) 996.64 (CC)
Also excludes the following from acting as a CC/MCC:
112.2 (CC)
590.10 (CC)
590.11 (MCC)
590.2 (MCC)
590.3 (CC)
590.80 (CC)
590.81 (CC)
595.0 (CC)
597.0 (CC)
599.0 (CC)
Vascular Catheter-Associated Infection 999.31 (CC)

Manifestations of Poor Glycemic Control

  • Diabetic Ketoacidosis
  • Nonketotic Hyperosmolar Coma
  • Hypoglycemic Coma
  • Secondary Diabetes with Ketoacidosis
  • Secondary Diabetes with Hyperosmolarity
 250.10-250.13 (MCC)
250.20-250.23 (MCC)
251.0 (CC)
249.10-249.11 (MCC)
249.20-249.21 (MCC)
Surgical Site Infection, Mediastinitis, Following Coronary Artery Bypass Graft (CABG) 519.2 (MCC)
And one of the following procedure codes: 36.10–36.19

Surgical Site Infection Following Certain Orthopedic Procedures

  • Spine
  • Neck
  • Shoulder
  • Elbow
 996.67 (CC)
998.59 (CC)
And one of the following procedure codes: 81.01-81.08, 81.23-81.24, 81.31-81.38, 81.83, or 81.85

Surgical Site Infection Following Bariatric Surgery for Obesity

  • Laparoscopic Gastric Bypass
  • Gastroenterostomy
  • Laparoscopic Gastric Restrictive Surgery
 Principal Diagnosis – 278.01
998.59 (CC)
And one of the following procedure codes: 44.38, 44.39, or 44.95

Deep Vein Thrombosis and Pulmonary Embolism Following Certain Orthopedic Procedures

  • Total Knee Replacement
  • Hip Replacement
 415.11 (MCC)
415.19 (MCC)
453.40-453.42 (MCC)
And one of the following procedure codes: 00.85-00.87, 81.51-81.52, or 81.54