Table 2. Estimated PPC Costs for California Data.
| PPC | Description | Freq | Coeff | Std Error | % Total Cost | % Pat Cost | |
|---|---|---|---|---|---|---|---|
| 1 | Stroke & Intracranial Hemorrhage | 2,066 | $14,013 | $251 | 0.16% | 22.54% | |
| 2 | Extreme CNS Complications | 675 | $23,526 | $442 | 0.09% | 24.02% | |
| 3 | Acute Pulmonary Edema and Respiratory Failure without Ventilation | 5,712 | $7,109 | $153 | 0.22% | 14.69% | |
| 4 | Acute Pulmonary Edema and Respiratory Failure with Ventilation | 2,725 | $27,134 | $227 | 0.40% | 30.08% | |
| 5 | Pneumonia & Other Lung Infections | 10,781 | $16,901 | $115 | 0.98% | 24.89% | |
| 6 | Aspiration Pneumonia | 4,483 | $13,932 | $174 | 0.34% | 22.26% | |
| 7 | Pulmonary Embolism | 1,057 | $16,331 | $353 | 0.09% | 25.44% | |
| 8 | Other Pulmonary Complications | 6,250 | $11,566 | $148 | 0.39% | 18.32% | |
| 9 | Shock | 2,393 | $10,996 | $247 | 0.14% | 12.25% | |
| 10 | Congestive Heart Failure | 5,922 | $5,801 | $151 | 0.19% | 11.94% | |
| 11 | Acute Myocardial Infarction | 2,980 | $8,147 | $210 | 0.13% | 16.79% | |
| 12 | Cardiac Arrythmias & Conduction Disturbances | 2,892 | $4,431 | $234 | 0.07% | 6.68% | |
| 13 | Other Cardiac Complications | 1,029 | $4,642 | $353 | 0.03% | 13.06% | |
| 14 | Ventricular Fibrillation/Cardiac Arrest | 1,759 | $15,241 | $275 | 0.14% | 20.51% | |
| 15 | Peripheral Vascular Complications Except Venous Thrombosis | 732 | $10,429 | $421 | 0.04% | 15.99% | |
| 16 | Venous Thrombosis | 3,376 | $15,976 | $201 | 0.29% | 23.68% | |
| 17 | Major Gastrointestinal Complications without Transfusion or Significant Bleeding | 1,663 | $12,574 | $279 | 0.11% | 21.15% | |
| 18 | Major Gastrointestinal Complications with Transfusion or Significant Bleeding | 530 | $21,923 | $492 | 0.06% | 29.86% | |
| 19 | Major Liver Complications | 770 | $12,217 | $411 | 0.05% | 16.63% | |
| 20 | Other Gastrointestinal Complications without Transfusion or Significant Bleeding | 910 | $17,886 | $377 | 0.09% | 26.17% | |
| 21 | Clostridium Difficile Colitis | 2,478 | $25,401 | $230 | 0.34% | 31.11% | |
| 22 | Urinary Tract Infection | 12,677 | $9,637 | $103 | 0.66% | 21.48% | |
| 23 | GU Complications Except UTI | 796 | $7,643 | $401 | 0.03% | 17.09% | |
| 24 | Renal Failure without Dialysis | 8,834 | $9,934 | $125 | 0.47% | 18.50% | |
| 25 | Renal Failure with Dialysis | 620 | $47,888 | $459 | 0.16% | 38.53% | |
| 26 | Diabetic Ketoacidosis & Coma | 48 | $3,118 | $1,629 | * | 0.00% | 8.20% |
| 27 | Post-Hemorrhagic & Other Acute Anemia with Transfusion | 1,492 | $7,604 | $294 | 0.06% | 18.60% | |
| 28 | In-Hospital Trauma and Fractures | 429 | $5,370 | $547 | 0.01% | 15.29% | |
| 29 | Poisonings Except from Anesthesia | 204 | ($574) | $790 | * | 0.00% | -2.50% |
| 30 | Poisonings due to Anesthesia | 3 | ($7,457) | $6,508 | * | 0.00% | -41.58% |
| 31 | Decubitus Ulcer | 1,668 | $28,272 | $280 | 0.25% | 31.16% | |
| 32 | Transfusion Incompatibility Reaction | 3 | $5,859 | $6,508 | * | 0.00% | 44.96% |
| 33 | Cellulitis | 2,907 | $4,950 | $220 | 0.08% | 10.20% | |
| 34 | Moderate Infectious | 2,483 | $16,063 | $231 | 0.22% | 23.51% | |
| 35 | Septicemia & Severe Infections | 7,018 | $23,451 | $154 | 0.89% | 26.59% | |
| 36 | Acute Mental Health Changes | 2,174 | $3,206 | $243 | 0.04% | 10.08% | |
| 37 | Post-Operative Infection & Deep Wound Disruption without Procedure | 2,776 | $14,347 | $227 | 0.22% | 20.50% | |
| 38 | Post-Operative Wound Infection & Deep Wound Disruption with Procedure | 200 | $27,814 | $804 | 0.03% | 29.67% | |
| 39 | Reopening Surgical Site | 408 | $19,442 | $562 | 0.04% | 29.16% | |
| 40 | Post-Operative Hemorrhage & Hematoma without Hemorrhage Control Procedure or I&D Procedure | 6,925 | $6,758 | $138 | 0.25% | 16.33% | |
| 41 | Post-Operative Hemorrhage & Hematoma with Hemorrhage Control Procedure or I&D Procedure | 614 | $16,481 | $458 | 0.05% | 25.67% | |
| 42 | Accidental Puncture/Laceration During Invasive Procedure | 4,133 | $5,651 | $179 | 0.13% | 15.13% | |
| 43 | Accidental Cut or Hemorrhage During Other Medical Care | 0 | |||||
| 44 | Other Surgical Complication – Mod | 925 | $14,677 | $373 | 0.07% | 25.28% | |
| 45 | Post-procedure Foreign Bodies | 86 | $10,846 | $1,217 | 0.01% | 24.15% | |
| 46 | Post-Operative Substance Reaction & Non-O.R. Procedure for Foreign Body | 2 | $4,634 | $7,972 | * | 0.00% | 20.26% |
| 47 | Encephalopathy | 2,164 | $11,260 | $246 | 0.13% | 17.14% | |
| 48 | Other Complications of Medical Care | 1,128 | $21,307 | $339 | 0.13% | 25.69% | |
| 49 | Iatrogenic Pneumothrax | 1,797 | $7,508 | $270 | 0.07% | 15.68% | |
| 50 | Mechanical Complication of Device, Implant & Graft | 1,405 | $15,655 | $302 | 0.12% | 26.04% | |
| 51 | Gastrointestinal Ostomy Complications | 732 | $25,882 | $420 | 0.10% | 31.33% | |
| 52 | Inflammation & Other Complications of Devices, Implants or Grafts Except Vascular Infection | 3,289 | $12,832 | $201 | 0.23% | 21.69% | |
| 53 | Infection, Inflammation and Clotting complications of Peripheral Vascular Catheters and Infusions | 3,399 | $22,747 | $205 | 0.42% | 26.32% | |
| 54[1] | Infections due to Central Venous Catheters | 0 | |||||
| 55 | Obstetrical Hemorrhage without Transfusion | 6,817 | $441 | $139 | 0.02% | 9.19% | |
| 56 | Obstetrical Hemorrhage wtih Transfusion | 821 | $3,081 | $398 | 0.01% | 27.32% | |
| 57 | Obstetric Lacerations & Other Trauma without Instrumentation | 6,194 | $181 | $145 | * | 0.01% | 4.95% |
| 58 | Obstetric Lacerations & Other Trauma with Instrumentation | 2,612 | $617 | $222 | 0.01% | 15.70% | |
| 59 | Medical & Anesthesia Obstetric Complications | 1,812 | $558 | $268 | 0.01% | 6.88% | |
| 60 | Major Puerperal Infection and Other Major Obstetric Complications | 1,133 | $1,200 | $338 | 0.01% | 11.49% | |
| 61 | Other Complications of Obstetrical Surgical & Perineal Wounds | 892 | ($688) | $383 | * | 0.00% | -8.09% |
| 62 | Delivery with Placental Complications | 1,130 | $497 | $337 | * | 0.00% | 10.86% |
| 63 | Post-Operative Respiratory Failure with Tracheostomy | 164 | $118,841 | $892 | 0.00% | 50.78% | |
| 64 | Other In-Hospital Adverse Events | 0 |
1
The lack of an estimate for PPC 54 in the California data results from the timing of the data source. PPC 54 was created using the increased specificity afforded by the creation of the code 999.31 within the ICD-9-CM classification system. The California data predates the creation of this code.
NOTE: Change in total cost associated with PPCs is 9.39%.
SOURCE: Fuller,R.L., McCullough,E.C., Bao,M.Z., and Averill,R.F, 3M Health Information Systems, calculations using FY2006 Inpatient Acute Hospital Data, California Office of Statewide Health Planning and Development.