Potentially preventable hospitalisations
The International Statistical Classification of DIseases and Realted Health Problems
National Centre for Classification in Health, Australia; AM - Australian Modification
| Category | ICD-10-AM | Comments |
|---|---|---|
| Vaccine preventable conditions | ||
| Pneumonia and influenza (vaccine-preventable) | J10, J11, J13, J14 |
In any diagnosis. Exclude people under 2 months. Rehabilitation records are excluded. |
| Other vaccine-preventable conditions | A08.0, A35, A36, A37, A80, B01, B05, B06, B16.1, B16.9, B18.0, B18.1, B26, G00.0 |
In any diagnosis. Rotaviral Enteritis (A08.0) included for records with separation date 1 July 2007 onwards. Rehabilitation records are excluded. |
| Chronic | ||
| Asthma | J45, J46 |
As principal diagnosis. Exclude children aged less than 4 years. Rehabilitation records are excluded. |
| Congestive cardiac failure | I50, I11.0, J81 |
As principal diagnosis. Exclude cases with the following cardiac procedure codes: Blocks 600-606, 608-650, 653-657, 660-664, 666, 669-682, 684-691, 693, 705-707, 717 and codes 33172-00[715], 33827-01[733], 34800-00[726], 35412-00[11], 38721-01[733], 90217-02[734], 90215-02[732]. Rehabilitation records are excluded. |
| Diabetes complications | E10, E11, E13, E14 | As principal diagnosis. Rehabilitation records are excluded. |
| COPD | J20, J41, J42, J43, J44 |
J41-J44 as principal diagnosis. J20 as principal diagnosis with additional diagnoses of J41, J42, J43, J44. Rehabilitation records are excluded. |
| Bronchiectasis | J47, J20 |
As principal diagnosis. J20 only with additional diagnosis of J47. Rehabilitation records are excluded. |
| Angina | I20, I24.0, I24.8, I24.9 |
As principal diagnosis. Exclude cases according to the list of procedures excluded from the Congestive cardiac failure category above. Rehabilitation records are excluded. |
| Iron deficiency anaemia | D50.1, D50.8, D50.9 | As principal diagnosis. Rehabilitation records are excluded. |
| Hypertension | I10, I11.9 |
As principal diagnosis.Exclude cases with procedure codes according to the list of procedures excluded from the Congestive cardiac failure category above. Rehabilitation records are excluded. |
| Nutritional deficiencies | E40, E41, E42, E43, E55.0, E64.3 | As principal diagnosis. Rehabilitation records are excluded. |
| Rheumatic heart diseases | I00, I01, I02, I05, I06, I07, I08, I09 | As principal diagnosis. Rehabilitation records are excluded. |
| Acute | ||
| Pneumonia (not vaccine-preventable) | J15.3, J15.4, J15.7, J16.0 |
In any diagnosis. Exclude people under 2 months. Rehabilitation records are excluded. |
| Urinary tract infections, including pyelonephritis | N10, N11, N12, N13.6, N15.1, N15.9, N28.9, N39.0, N39.9 | As principal diagnosis. Rehabilitation records are excluded. |
| Perforated/bleeding ulcer | K25.0, K25.1, K25.2, K25.4, K25.5, K25.6, K26.0, K26.1, K26.2, K26.4, K26.5, K26.6, K27.0, K27.1, K27.2, K27.4, K27.5, K27.6, K28.0, K28.1, K28.2, K28.4, K28.5, K28.6 | As principal diagnosis. Rehabilitation records are excluded. |
| Cellulitis | L02, L03, L04, L08, L88, L98.0, L98.3 |
As principal diagnosis. Exclude cases with any procedure except those in blocks 1820 to 2016, or if procedure is 30216-00, 30216-01, 30216-02, 30676-00, 30223-01, 30223-02, 30064-00, 90660-00, 90661-00, and this is the only listed procedure. Rehabilitation records are excluded. |
| Pelvic inflammatory disease | N70, N73, N74 | As principal diagnosis. Rehabilitation records are excluded. |
| Ear, nose and throat infections | H66, J02, J03, J06, J31.2 | As principal diagnosis. Rehabilitation records are excluded. |
| Dental conditions | K02, K03, K04, K05, K06, K08, K09.8, K09.9, K12, K13, K14.0 | As principal diagnosis. Rehabilitation records are excluded. |
| Convulsions and epilepsy | G40, G41, R56 | As principal diagnosis. Rehabilitation records are excluded. |
| Eclampsia | O15 | As principal diagnosis. Rehabilitation records are excluded. |
| Gangrene | R02, I70.24, E09.52 | R02 in any diagnosis. I70.2 and E09.52 as principal diagnosis. Rehabilitation records are excluded. |
Based on National Healthcare Agreement: PI 18-Selected potentially preventable hospitalisations, 2021. In HealthStats NSW, ‘In any diagnosis’ uses 51 diagnosis fields.