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Healthcare-related injuries and illnesses

This is list of preventable conditions for which Medicaid will no longer pay:

• Foreign Object Retained After Surgery

• Air Embolism

• Blood Incompatibility

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• Stage III and IV Pressure Ulcers

• Falls and Trauma

• Fractures

• Dislocations

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• Intracranial Injuries

• Crushing Injuries

• Burns

• Electric Shock

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• Catheter-Associated Urinary Tract Infection (UTI)

• Vascular Catheter-Associated Infection

• Manifestations of Poor Glycemic Control

• Diabetic Ketoacidosis

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• Nonketotic Hyperosmolar Coma

• Hypoglycemic Coma

• Secondary Diabetes with Ketoacidosis

• Secondary Diabetes with Hyperosmolarity

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• Surgical Site Infection Following:

• Coronary Artery Bypass Graft (CABG) - Mediastinitis

• Bariatric Surgery

• Laparoscopic Gastric Bypass

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• Gastroenterostomy

• Laparoscopic Gastric Restrictive Surgery

• Orthopedic Procedures

• Spine

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• Neck

• Shoulder

• Elbow

• Deep Vein Thrombosis (DVT)/Pulmonary Embolism (PE) Following Total Knee Replacement or Hip Replacement – with pediatric and obstetric exceptions

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•Surgery on the wrong patient, wrong surgery on a patient, and wrong site surgery

Source: Centers for Medicare and Medicaid Services


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