Hospitalisations for diabetes and a procedure of lower-extremity amputation (except toe amputations) per 100,000 population, ages 18 years and older

Hospital discharges for patients ages 18 years and older, with any listed ICD-10-PCS procedure code for lower-extremity amputation (ACSLEAP) and any listed ICD-10-CM diagnosis code for diabetes (ACSLEAD) .

Population ages 18 years and older in metropolitan area1 or county. Discharges in the numerator are assigned to the denominator based on the metropolitan area or county of the patient residence, not the metropolitan area or county of the hospital where the discharge occurred.

Exclude discharges: with any listed ICD-10-CM diagnosis code for traumatic amputation of the lower extremity (ACLEA2D*), with admission source for transferred from a different hospital or other health care facility (Appendix A) (UB04 Admission source - 2, 3), with a point of origin code for transfer from a hospital, skilled nursing facility (SNF) or intermediate care facility (ICF), or other healthcare facility (Appendix A) (UB04 Point of Origin - 4, 5, 6), with a principal ICD-10-CM diagnosis code assigned to MDC 14 Pregnancy, Childbirth, & the Puerperium (Appendix F: MDC14PRINDX), with an ungroupable DRG (DRG=999), with missing gender (SEX=missing), age (AGE=missing), quarter (DQTR=missing), year (YEAR=missing), principal diagnosis (DX1=missing), or county (PSTCO=missing)

qualityindicators.ahrq.gov/measures/PQI_TechSpec

qualityindicators.ahrq.gov/Downloads/Modules/PQI/V2024/TechSpecs/PQI16LowerExtremityAmputationamongPatientswithDiabetes_Rate.pdf