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Appendix C. Potential Complications in the Index Admission for AMI Payment Model CC # CC 1 CC 2 CC 3 CC 4 CC 5 CC 6 CC 7 CC 8 CC 9 CC 10 CC 11 CC 12 CC 13 CC 14 CC 15 CC 16 CC 17 CC 18 CC 19 CC 20 CC 21 CC 22 CC 23 CC 24 CC 25 CC 26 CC 27 CC 28 CC 29 CC 30 CC 31 CC 32 CC 33 CC 34 CC 35 CC 36 CC 37 CC 38 CC 39 CC 40 CC 41 CC 42 CC 43 CC 44 CC 45 CC 46 CC 47 CC 48 Description HIV/AIDS Septicemia/Shock Central Nervous System Infection Tuberculosis Opportunistic Infections Other Infectious Diseases Metastatic Cancer and Acute Leukemia Lung, Upper Digestive Tract, and Other Severe Cancers Lymphatic, Head and Neck, Brain, and Other Major Cancers Breast, Prostate, Colorectal and Other Cancers and Tumors Other Respiratory and Heart Neoplasms Other Digestive and Urinary Neoplasms Other Neoplasms Benign Neoplasms of Skin, Breast, Eye Diabetes with Renal Manifestation Diabetes with Neurologic or Peripheral Circulatory Manifestation Diabetes with Acute Complications Diabetes with Ophthalmologic Manifestation Diabetes with No or Unspecified Complications Type I Diabetes Mellitus Protein-Calorie Malnutrition Other Significant Endocrine and Metabolic Disorders Disorders of Fluid/Electrolyte/Acid-Base Other Endocrine/Metabolic/Nutritional Disorders End-Stage Liver Disease Cirrhosis of Liver Chronic Hepatitis Acute Liver Failure/Disease Other Hepatitis and Liver Disease Gallbladder and Biliary Tract Disorders Intestinal Obstruction/Perforation Pancreatic Disease Inflammatory Bowel Disease Peptic Ulcer, Hemorrhage, Other Specified Gastrointestinal Disorders Appendicitis Other Gastrointestinal Disorders Bone/Joint/Muscle Infections/Necrosis Rheumatoid Arthritis and Inflammatory Connective Tissue Disease Disorders of the Vertebrae and Spinal Discs Osteoarthritis of Hip or Knee Osteoporosis and Other Bone/Cartilage Disorders Congenital/Developmental Skeletal and Connective Tissue Disorders Other Musculoskeletal and Connective Tissue Disorders Severe Hematological Disorders Disorders of Immunity Coagulation Defects and Other Specified Hematological Disorders Iron Deficiency and Other/Unspecified Anemias and Blood Disease Delirium and Encephalopathy Potential Complication in Index Admission No Yes No No No Yes No No No No No No No No No No Yes No No No No No Yes No No No No Yes No No Yes No No Yes No No No No No No No No No No No Yes No Yes CC # CC 49 CC 50 CC 51 CC 52 CC 53 CC 54 CC 55 CC 56 CC 57 CC 58 CC 59 CC 60 CC 61 CC 62 CC 63 CC 64 CC 65 CC 66 CC 67 CC 68 CC 69 CC 70 CC 71 CC 72 CC 73 CC 74 CC 75 CC 76 CC 77 CC 78 CC 79 CC 80 CC 81 CC 82 CC 83 CC 84 CC 85 CC 86 CC 87 CC 88 CC 89 CC 90 CC 91 CC 92 CC 93 CC 94 CC 95 CC 96 CC 97 CC 98 Description Dementia Senility, Nonpsychotic Organic Brain Syndromes/Conditions Drug/Alcohol Psychosis Drug/Alcohol Dependence Drug/Alcohol Abuse, Without Dependence Schizophrenia Major Depressive, Bipolar, and Paranoid Disorders Reactive and Unspecified Psychosis Personality Disorders Depression Anxiety Disorders Other Psychiatric Disorders Profound Mental Retardation/Developmental Disability Severe Mental Retardation/Developmental Disability Moderate Mental Retardation/Developmental Disability Mild/Unspecified Mental Retardation/Developmental Disability Other Developmental Disability Attention Deficit Disorder Quadriplegia, Other Extensive Paralysis Paraplegia Spinal Cord Disorders/Injuries Muscular Dystrophy Polyneuropathy Multiple Sclerosis Parkinson’s and Huntington’s Diseases Seizure Disorders and Convulsions Coma, Brain Compression/Anoxic Damage Mononeuropathy, Other Neurological Conditions/Injuries Respirator Dependence/Tracheostomy Status Respiratory Arrest Cardio-Respiratory Failure and Shock Congestive Heart Failure Acute Myocardial Infarction Unstable Angina and Other Acute Ischemic Heart Disease Angina Pectoris/Old Myocardial Infarction Coronary Atherosclerosis/Other Chronic Ischemic Heart Disease Heart Infection/Inflammation, Except Rheumatic Valvular and Rheumatic Heart Disease Major Congenital Cardiac/Circulatory Defect Other Congenital Heart/Circulatory Disease Hypertensive Heart and Renal Disease or Encephalopathy Hypertensive Heart Disease Hypertension Specified Heart Arrhythmias Other Heart Rhythm and Conduction Disorders Other and Unspecified Heart Disease Cerebral Hemorrhage Ischemic or Unspecified Stroke Precerebral Arterial Occlusion and Transient Cerebral Ischemia Cerebral Atherosclerosis and Aneurysm Potential Complication in Index Admission No No No No No No No No No No No No No No No No No No No No No No No No No No Yes No Yes Yes Yes Yes Yes Yes No No No No No No No No No Yes Yes Yes Yes Yes Yes No CC # Description CC 99 CC 100 CC 101 CC 102 CC 103 CC 104 CC 105 CC 106 CC 107 CC 108 CC 109 CC 110 CC 111 CC 112 CC 113 CC 114 CC 115 CC 116 CC 117 CC 118 CC 119 CC 120 CC 121 CC 122 CC 123 CC 124 CC 125 CC 126 CC 127 CC 128 CC 129 CC 130 CC 131 CC 132 CC 133 CC 134 CC 135 CC 136 CC 137 CC 138 CC 139 CC 140 CC 141 CC 142 CC 143 CC 144 CC 145 CC 146 CC 147 CC 148 Cerebrovascular Disease, Unspecified Hemiplegia/Hemiparesis Diplegia (Upper), Monoplegia, and Other Paralytic Syndromes Speech, Language, Cognitive, Perceptual Cerebrovascular Disease Late Effects, Unspecified Vascular Disease with Complications Vascular Disease Other Circulatory Disease Cystic Fibrosis Chronic Obstructive Pulmonary Disease Fibrosis of Lung and Other Chronic Lung Disorders Asthma Aspiration and Specified Bacterial Pneumonias Pneumococcal Pneumonia, Emphysema, Lung Abscess Viral and Unspecified Pneumonia, Pleurisy Pleural Effusion/Pneumothorax Other Lung Disorders Legally Blind Major Eye Infections/Inflammations Retinal Detachment Proliferative Diabetic Retinopathy and Vitreous Hemorrhage Diabetic and Other Vascular Retinopathies Retinal Disorders, Except Detachment and Vascular Retinopathies Glaucoma Cataract Other Eye Disorders Significant Ear, Nose, and Throat Disorders Hearing Loss Other Ear, Nose, Throat, and Mouth Disorders Kidney Transplant Status End Stage Renal Disease Dialysis Status Renal Failure Nephritis Urinary Obstruction and Retention Incontinence Urinary Tract Infection Other Urinary Tract Disorders Female Infertility Pelvic Inflammatory Disease and Other Specified Female Genital Disorders Other Female Genital Disorders Male Genital Disorders Ectopic Pregnancy Miscarriage/Abortion Completed Pregnancy With Major Complications Completed Pregnancy With Complications Completed Pregnancy Without Complication Uncompleted Pregnancy With Complications Uncompleted Pregnancy With No or Minor Complications Decubitus Ulcer of Skin Potential Complication in Index Admission No Yes Yes Yes No Yes Yes Yes No No No No Yes Yes No Yes No No No No No No No No No No No No No No Yes Yes Yes Yes Yes No Yes No No No No No No No No No No No No Yes CC # CC 149 CC 150 CC 151 CC 152 CC 153 CC 154 CC 155 CC 156 CC 157 CC 158 CC 159 CC 160 CC 161 CC 162 CC 163 CC 164 CC 165 CC 166 CC 167 CC 168 CC 169 CC 170 CC 171 CC 172 CC 173 CC 174 CC 175 CC 176 CC 177 CC 178 CC 179 CC 180 CC 181 CC 182 CC 183 CC 184 CC 185 CC 186 CC 187 CC 188 CC 189 Description Chronic Ulcer of Skin, Except Decubitus Extensive Third-Degree Burns Other Third-Degree and Extensive Burns Cellulitis, Local Skin Infection Other Dermatological Disorders Severe Head Injury Major Head Injury Concussion or Unspecified Head Injury Vertebral Fractures Hip Fracture/Dislocation Major Fracture, Except of Skull, Vertebrae, or Hip Internal Injuries Traumatic Amputation Other Injuries Poisonings and Allergic Reactions Major Complications of Medical Care and Trauma Other Complications of Medical Care Major Symptoms, Abnormalities Minor Symptoms, Signs, Findings Extremely Low Birth weight Neonates Very Low Birth weight Neonates Serious Perinatal Problem Affecting Newborn Other Perinatal Problems Affecting Newborn Normal, Single Birth Major Organ Transplant Major Organ Transplant Status Other Organ Transplant/Replacement Artificial Openings for Feeding or Elimination Amputation Status, Lower Limb/Amputation Amputation Status, Upper Limb Post-Surgical States/Aftercare/Elective Radiation Therapy Chemotherapy Rehabilitation Screening/Observation/Special Exams History of Disease Oxygen CPAP/IPPB/Nebulizers Patient Lifts, Power Operated Vehicles, Beds Wheelchairs, Commodes Walkers Potential Complication in Index Admission No No No Yes No Yes Yes Yes No Yes Yes No No No Yes No Yes No No No No No No No No Yes Yes Yes Yes Yes Yes No No No No No No No No No No