Table A3.5: ICD-10-AM and ICD-9-CM codes for selected tables.

Selected procedures in Tables 4.6 and 4.7

Category

ICD-10-AM codes

Appendicectomy

Block [926]

Coronary artery bypass graft

Blocks [672][679]

Coronary Angioplasty

Blocks [669], [671], codes 35304-00, 35305-00

Caesarean section

Block [1340]
In-hospital births are identified by diagnosis code Z37 in any diagnosis field.

Cholecystectomy

Block [965]

Diagnostic gastrointestinal
endoscopies

Codes 30473-03, 41822-00, 30473-04, 30473-00, 30473-05, 30473-01,

32090-0,132084-01
Blocks [894], [905], [1005][1008] (without 30473-02)

Hip replacement

Block [1492], codes 4752200, 4931500, 4931800, 4931900

Revision of hip replacement

Block [1492] (Note: a subset of Hip replacements)

Hysterectomy

Blocks [1268], [1269], codes 90450-00 and 90450-01

Lens insertion

Codes 42701-01, 42702-00 to 42702-11, 42703-00, 42710-00, 42707-00,

42701-00

Myringotomy

Codes 41632-00, 41632-01

Knee replacement

Blocks [1518], [1519], [1523], code 49527-00

Prostatectomy

Blocks [1165], [1167], codes 37200-06, 37207-00, 37207-01, 90407-00,

36839-01, 36839-03

Arthroscopic procedures

Codes 50100-00, 49118-00, 49218-00, 49360-00, 49557-00, 49700-00,

53215-00, 48945-00, 53218-02, 53218-00, 53218-01, 48954-00, 48948-01, 90600-00,
48945-01, 48948-00, 48948-02, 48951-00, 48957-00, 48960-00, 49121-00, 49121-01,
49121-04, 49118-01, 49109-00, 49121-02, 49121-03, 49221-00, 49221-01, 49221-02,
49218-01, 49224-00, 49224-01, 49224-02, 49227-00, 49366-01, 49366-00, 49363-00,
49560-00, 49560-02, 49557-01, 49557-02, 49558-00, 49560-01, 49560-03, 49566-00,
49561-02, 49562-02, 49561-00, 49562-00, 49561-01, 49562-01, 49558-01, 49558-02,
49559-00, 49563-00, 49539-00, 49542-00, 49703-00, 49703-02, 49700-01, 49703-01,
49703-04, 49703-03, 50100-01, 50102-00, 49703-05

Tonsillectomy

Codes 41789-00, 41789-01, 41787-01, 41786-01

(continued)

Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.
Diagnosis codes used for identifying potentially preventable hospitalisations presented in Hospitals and a glance, and
Tables 4.8 and 4.9
Category

ICD-10-AM and ICD-9-CM codes

Vaccine-preventable:
Influenza and pneumonia

ICD-10-AM
J10, J11, J13, J14, J153, J154, J157, J159, J168, J181, J188 in any diagnosis field,
excludes cases with additional diagnosis of D57 (sickle-cell disorders) and people under 2
months.
ICD-9-CM
481 4870 4871 4878 4822 4823 4829 483 in any diagnosis field, excludes cases with
secondary diagnosis of 2826 and people under 2 months.

Other vaccine-preventable
conditions

ICD-10-AM
A35, A36, A37, A80, B05, B06, B161, B169, B180, B181, B26, G000, M014 in any
diagnosis field.
ICD-9-CM
032 033 037 045 055 056 0703 072 3200 in any diagnosis field.

Chronic
Asthma

ICD-10-AM
J45, J46 as principal diagnosis only.
ICD-9-CM
493 as principal diagnosis only.

Congestive cardiac failure

ICD-10-AM
I50, I110, J81 as principal diagnosis only, exclude cases with the following procedure
codes:
33172-00, 35304-00, 35305-00, 35310-02, 35310-00, 38281-11, 38281-07, 38278-01,
38278-00, 38281-02, 38281-01, 38281-00, 38256-00, 38278-03, 38284-00, 38284-02,
38521-09, 38270-01, 38456-19, 38456-15, 38456-12, 38456-11, 38456-10, 38456-07,
38456-01, 38470-00, 38475-00, 38480-02, 38480-01, 38480-00, 38488-06, 38488-04,
38489-04, 38488-02, 38489-03, 38487-00, 38489-02, 38488-00, 38489-00, 38490-00,
38493-00, 38497-04, 38497-03, 38497-02, 38497-01, 38497-00, 38500-00, 38503-00,
38505-00, 38521-04, 38606-00, 38612-00, 38615-00, 38653-00, 38700-02, 38700-00,
38739-00, 38742-02, 38742-00, 38745-00, 38751-02, 38751-00, 38757-02, 38757-01,
38757-00, 90204-00, 90205-00, 90219-00, 90224-00
ICD-9-CM
428 40201 40211 40291 5184, as principal diagnosis only, exclude cases with procedure
codes of 35 36 375 376 377 378.

Diabetes complications

ICD-10-AM
E101, E102, E103, E104, E105, E106, E107, E108, E110, E111, E112, E113, E114, E115,
E116, E117, E118, E130, E131, E132, E133, E134, E135, E136, E137, E138, E140, E141,
E142, E143, E144, E145, E146, E147, E148 in any diagnosis field.
ICD-9-CM
2501 2502 2503 2504 2505 2506 2507 2508 2509 in any diagnosis field.

COPD

ICD-10-AM
J20, J41, J42, J43, J44, J47 as principal diagnosis only, J20 only with additional
diagnoses of J41, J42, J43, J47, J44.
ICD-9-CM
491 492 494 496 4660 as principal diagnosis only, 4660 only with additional diagnosis of
491 492 494 496.
(continued)

Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.
Diagnosis codes used for identifying potentially preventable hospitalisations presented in Hospitals and a glance, and
Tables 4.8 and 4.9 (continued)
Category

ICD-10-AM and ICD-9-CM codes

Angina

ICD-10-AM
I20, I240, I248, I249 as principal diagnosis only, exclude cases with procedure codes NOT
in blocks 1820 to 2016.
ICD-9-CM
4111 4118 413 as principal diagnosis only, exclude cases with procedure codes 1 to 8699.

Iron deficiency anaemia

ICD-10-AM
D501, D508, D509 as principal diagnosis only.
ICD-9-CM
2801 2808 2809 as principal diagnosis only.

Hypertension

ICD-10-AM
I10, I119 as principal diagnosis only, exclude cases with procedure codes according to the
list of procedures excluded from the Congestive cardiac failure category above.
ICD-9-CM
4010 4019 40200 40210 40290 as principal diagnosis only, exclude cases with procedure
codes of 35 36 375 376 377 378.

Nutritional deficiencies

ICD-10-AM
E40, E41, E42, E43, E550, E643 as principal diagnosis only.
ICD-9-CM
260 261 262 2680 2681 as principal diagnosis only.

Acute
Dehydration and gastroenteritis

ICD-10-AM
E86, K522, K528, K529 as principal diagnosis only.
ICD-9-CM
2765 5589 as principal diagnosis only.

Pyelonephritis

ICD-10-AM
N390, N10, N12, N11, N136 as principal diagnosis only.
ICD-9-CM
5900 5901 5908 5990 as principal diagnosis only.

Perforated/bleeding ulcer

ICD-10-AM
K250, K251, K252, K254, K255, K256, K260, K261, K262, K264, K265, K266, K270,
K271, K272, K274, K275, K276, K280, K281, K282, K284, K285, K286 as principal
diagnosis only.
ICD-9-CM
5310 5311 5312 5314 5315 5316 5320 5321 5322 5324 5325 5326 5330 5331 5332 5334
5335 5336 5340 5341 5342 5344 5345 5346 as principal diagnosis only.

Cellulitis

ICD-10-AM
L03, L04, L08, L980, L88, L983 as principal diagnosis only, exclude cases with any
procedure except those in blocks 1820 to 2016 or if procedure is 30216-02, 30676-00,
30223-02, 30064-00, 34527-01, 34527-00, 90661-00 and this is the only listed procedure.
ICD-9-CM
681 682 683 686 as principal diagnosis only, exclude cases with procedure codes of 01 to
8699, except 860 where it is the only listed procedure.
(continued)

Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.
Diagnosis codes used for identifying potentially preventable hospitalisations presented in Hospitals and a glance, and

Tables 4.8 and 4.9 (continued)

Category

ICD-10-AM and ICD-9-CM codes

Pelvic inflammatory disease

ICD-10-AM
N70, N73, N74 as principal diagnosis only.
ICD-9-CM
614 as principal diagnosis only.

Ear, nose and throat infections

ICD-10-AM
H66, H67, J02, J03, J06, J312 as principal diagnosis only.
ICD-9-CM
382 462 463 465 4721 as principal diagnosis only.

Dental conditions

ICD-10-AM
K02, K03, K04, K05, K06, K08, K098, K099, K12, K13 as principal diagnosis only.
ICD-9-CM
521 522 523 525 528 as principal diagnosis only.

Appendicitis

ICD-10-AM
K35, K36, K37 in any diagnosis field.
ICD-9-CM
540 541 542 in any diagnosis field.

Convulsions and epilepsy

ICD-10-AM
O15, G40, G41, R56 as principal diagnosis only.
ICD-9-CM
345 7803 6426 as principal diagnosis only.

Gangrene

ICD-10-AM
R02 in any diagnosis field.
ICD-9-CM
7854 in any diagnosis field.

Selected diagnosis codes presented in Hospitals at a glance

Category

ICD-10-AM codes

Delivery and caesarean delivery

Z37 in any diagnosis field

Fractures

S02, S12, S220, S221, S222, S223, S224, S228, S229, S32, S42, S52, S62, S72, S82,
S92, T02, T0808, T1010, T1212, T142 as principal diagnosis only.

Asthma and chronic obstructive

pulmonary disease

J45, J46 as principal diagnosis only.

Angina pectoris

I20, I240, I248, I249 as principal diagnosis only, exclude cases with procedure codes NOT
in blocks 1820 to 2016.

Depression

F32, F33 as principal diagnosis only.

Rhematoid and osteoarthritis arthritis

M05, M06, M15, M16, M17, M18, M19 as principal diagnosis only.

Influenza and pneumonia

J10, J11, J12, J13, J14, J154, J157, J159, J168, J181, J188, J253 as principal diagnosis
only.

Diabetes

E10, E11, E12, E13, E14 in any diagnosis field.

Heart failure

I50 as principal diagnosis only.

Acute myocardial infarction

I21 as principal diagnosis only.

Colorectal cancer

C18, C19, C20, C21 as principal diagnosis only.

Ulcer (digestive system)

K25, K26, K27, K28 as principal diagnosis only.

J20, J41, J42, J43, J44, J47 as principal diagnosis only, J20 only with additional
diagnoses of J41, J42, J43, J47, J44.

(continued)

Table A3.5 (continued): ICD-10-AM and ICD-9-CM codes for selected tables.
Selected procedure codes presented in Hospitals at a glance

Category

ICD-10-AM and ICD-9-CM codes

Coronary artery bypass graft

Blocks [672][679]

Hip replacement

Block [1492], codes 4752200, 4931500, 4931800, 4931900

Prostatectomy

Blocks [1165], [1167], codes 37200-06, 37207-00, 37207-01, 90407-00,

36839-01, 36839-03

Release of carpal and tarsal tunnel

Codes 39331-00, 39331-01, 39330-01

Appendicectomy

Block [926]

Hysterectomy

Blocks [1268], [1269], codes 90450-00 and 90450-01

Inguinal herniorrhaphy

Codes 30614-03, 30615-00, 30609-03, 30614-02, 30609-02

Dilation and curretage of uterus

Codes 35640-00, 35643-00

Lens insertion

Codes 42701-01, 42702-00 to 42702-11, 42703-00, 42710-00, 42707-00,

42701-00

Chemotherapy administration(a)

ICD-9-CM
Code 9925
ICD-10-AM
Block [1780]

Panendoscopy

Codes 30476-03, 32095-00, 30568-00, 30569-00, 30473-05, 30473-00, 30473-02, 3047800, 30478-14, 30478-01, 30478-02, 30478-03, 30478-15, 30478-16, 30478-17, 30478-20,
30478-21, 30473-01, 30478-04, 30473-06, 30478-18.

Haemodialysis

Block [1059]

(a) For figure 9 in Hospitals at a glance, ICD-10-AM procedure codes 13915-00, 13918-00 and 13921-00 were used.