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PN3a--Blood Cultures Performed Within 24 Hours Prior to or 24 Hours After Hospital Arrival for Patients Who Were Transferred or Admitted to the ICU Within 24 Hours of Hospital Arrival

CBE ID
0356
Endorsement Status
1.1 New or Maintenance
Previous Endorsement Cycle
Is Under Review
No
1.3 Measure Description

Percent of pneumonia patients, age 18 years or older, transferred or admitted to the ICU within 24 hours of hospital arrival who had blood cultures performed within 24 hours prior to or 24 hours after arrival at the hospital.

        • 1.14 Numerator

          Number of pneumonia patients transferred or admitted to the ICU within 24 hours of hospital arrival who had blood cultures performed within 24 hours prior to or 24 hours after arrival at the hospital

        • 1.15 Denominator

          Patients, age 18 years or older, discharged with: ICD-9-CM principal diagnosis code of pneumonia OR ICD-9-CM principal diagnosis code of septicemia or respiratory failure (acute or chronic) AND an ICD-9-CM Other diagnosis code of pneumonia
          Table 3.1 Pneumonia (PN)
          ICD-9 Code Shortened Description
          481 PNEUMOCOCCAL PNEUMONIA
          482.0 K. PNEUMONIAE PNEUMONIA
          482.1 PSEUDOMONAL PNEUMONIA
          482.2 H.INFLUENZAE PNEUMONIA
          482.30 STREPTOCOCCAL PNEUMN NOS
          482.31 PNEUMONIA STRPTOCOCCUS A
          482.32 PNEUMONIA STRPTOCOCCUS B
          482.39 PNEUMONIA OTH STREP
          482.40 STAPHYLOCOCCAL PNEU NOS
          482.41 METH SUS PNEUM D/T STAPH
          482.42 METH RES PNEU D/T STAPH
          482.49 STAPH PNEUMONIA NEC
          482.82 PNEUMONIA E COLI
          482.83 PNEUMO OTH GRM-NEG BACT
          482.84 LEGIONNAIRES´ DISEASE
          482.89 PNEUMONIA OTH SPCF BACT
          482.9 BACTERIAL PNEUMONIA NOS
          483.0 PNEU MYCPLSM PNEUMONIAE
          483.1 PNEUMONIA D/T CHLAMYDIA
          483.8 PNEUMON OTH SPEC ORGNSM
          485 BRONCHOPNEUMONIA ORG NOS
          486 PNEUMONIA, ORGANISM NOS

          Table 3.2 Septicemia
          ICD-9 Code Shortened Description
          038.0 STREPTOCOCCAL SEPTICEMIA
          038.10 STAPHYLCOCC SEPTICEM NOS
          038.11 METH SUSC STAPH AUR SEPT
          038.12 MRSA SEPTICEMIA
          038.19 STAPHYLCOCC SEPTICEM NEC
          038.2 PNEUMOCOCCAL SEPTICEMIA
          038.3 ANAEROBIC SEPTICEMIA
          038.40 GRAM-NEG SEPTICEMIA NOS
          038.41 H. INFLUENAE SEPTICEMIA
          038.42 E COLI SEPTICEMIA
          038.43 PSEUDOMONAS SEPTICEMIA
          038.44 SERRATIA SEPTICEMIA
          038.49 GRAM-NEG SEPTICEMIA NEC
          038.8 SEPTICEMIA NEC
          038.9 SEPTICEMIA NOS
          995.91 SEPSIS
          995.92 SEVERE SEPSIS

          Table 3.3 Respiratory Failure
          ICD-9 Code Shortened Description
          518.81 ACUTE RESPIRATRY FAILURE
          518.84 ACUTE & CHRONC RESP FAIL

          Table 3.1 Pneumonia (PN)
          ICD-10 Code Shortened Description
          J 13 Pneumonia due to Streptococcus pneumoniae
          J 18.1 Lobar pneumonia, unspecified organism
          J 15.0 Pneumonia due to Klebsiella pneumoniae
          J 15.1 Pneumonia due to Pseudomonas
          J 14 Pneumonia due to Hemophilus influenzae
          J 15.4 Pneumonia due to other streptococci
          J 15.3 Pneumonia due to streptococcus, group B
          J 15.20 Pneumonia due to staphylococcus, unspecified
          J 15.21 Pneumonia due to staphylococcus aureus
          Z 16 Infection and drug resistant microorganisms
          J 15.29 Pneumonia due to other staphylococcus
          J 15.5 Pneumonia due to Escherichia coli
          J 15.6 Pneumonia due to other aerobic Gram-negative bacteria
          A 48.1 Legionnaires’ disease
          J 15.8 Pneumonia due to other specified bacteria
          J 15.9 Unspecified bacterial pneumonia
          J 15.7 Pneumonia due to Mycoplasma pneumoniae
          J 16.0 Chlamydial pneumonia
          J 16.8 Pneumonia due to other specified infectious organisms
          J 18.0 Bronchopneumonia, unspecified organism
          J 18.8 Other pneumonia, unspecified organism
          J 18.9 Pneumonia, unspecified organism
          J 17 Pneumonia in diseases classified elsewhere
          J 18.2 Hypostatic pneumonia, unspecified organism
          J 85.1 Abscess of lung with pneumonia

          Table 3.2 Septicemia
          ICD-10 Code Shortened Description
          A 40.0 Sepsis due to streptococcus, group A
          A 40.1 Sepsis due to streptococcus, group B
          A 40.3 Sepsis due to Streptococcus pneumoniae
          A 40.8 Other streptococcal sepsis
          A 40.9 Streptococcal sepsis, unspecified
          A 41.9 Sepsis unspecified
          A 41.2 Sepsis due to other unspecified specified staphylococcus
          A 41.0 Sepsis due to Staphylococcus aureus
          A 41.0 AND U80.1 Sepsis due to Staphylococcus aureus AND Methicillin-resistant staph aureus infection
          A 41.1 Sepsis due to other specified staphylococcus
          A 41.89 Other specified sepsis
          A 41.4 Sepsis due to anaerobes
          A 41.50 Gram-negative sepsis, unspecified
          A 41.3 Sepsis due to Hemophilus influenzae
          A 41.51 Sepsis due to Escherichia coli ( E coli)
          A 41.52 Sepsis due to pseudomonas
          A 41.53 Sepsis due to Serratia
          A 41.59 Other Gram-negative sepsis
          A 41.81 Sepsis due to Enterococcus
          A 42.7 Actinomycotic sepsis
          A 41.9 Sepsis, unspecified
          R65.20 Severe sepsis without septic shock
          R65.21 Severe sepsis with septic shock

          Table 3.3 Respiratory Failure
          ICD-10 Code Shortened Description
          J 96.0 Acute respiratory failure
          J 96.9 Respiratory failure, unspecified
          J 96.2 Acute and chronic respiratory failure
          J 96.1 Chronic respiratory failure
          J 80 Acute respiratory syndrome
          J 22 Unspecified acute lower respiratory infection
          J 98.8 Other specified respiratory disorders

        • Exclusions

          Patients less than 18 years of age,
          Patients with a length of stay greater than 120 days,
          Patients with Cystic Fibrosis,
          Patients who had not chest x-ray or CT scan that indicated abnormal findings within 24 hours prior to hospital arrival or anytime during this hospitalization,
          Patients with Comfort Measures Only,
          Patients enrolled in clinical trial,
          Patients received as a transfer from emergency/observation department of another hospital,
          Patients received as a transfer from an inpatient or outpatient department of another hospital,
          Patients received as a transfer from an ambulatory surgery center,
          Patients who had no diagnosis of pneumonia either as an ED final diagnosis/impression or direct admission diagnosis/impression and
          Patients who have a duration of stay less than or equal to one day

        • Most Recent Endorsement Activity
          Measure Retired and Endorsement Removed Pulmonary Endorsement Maintenance Project
          Initial Endorsement
          Last Updated
          Removal Date
        • Steward
          Centers for Medicare & Medicaid Services
          Steward Organization POC Email
          Steward Organization Copyright

          Public measure