Missouri Resident Emergency Room Profile

Infection

Resident emergency room visits with a primary diagnosis of an infectious disease, where the body is invaded by a pathogenic agent (virus or microorganism) that under favorable conditions multiplies and produces injurious effects. This category includes diseases generally recognized as communicable or transmissible as well as a few diseases of unknown but possibly infectious origin. Excluded are acute respiratory infections, carrier or suspected carrier of an infectious organism, certain localized infections, and influenza.

Clinical Classifications Software (CCS) Categories: 1-10.

International Classification of Diseases (ICD-9) codes: 003.1, 010.00-020.0, 020.2, 020.8, 020.9, 021.8, 021.9, 022.3-026.0, 026.9-030.9, 031.2, 031.8, 031.9, 032.89-033.9, 034.1, 036.2, 036.3, 036.81, 036.89-038.9, 039.2-044.9, 050.0-051.9, 052.7-052.9, 053.10-053.19, 053.71-054.2, 054.5-054.71, 054.73-054.9, 055.79-056.00, 056.09, 056.79-061, 065.0-066.1, 066.3-072.0, 072.3-072.9, 073.7-074.1, 074.3-075, 078.0-082.9, 083.1-100.0, 100.89-112.3, 112.5, 112.82, 112.84-112.9, 114.1, 114.3, 114.9-115.00, 115.09, 115.10, 115.19, 115.90, 115.99-129, 130.5-136.2, 136.4-137.4, 139.8.

Viral Infections

Resident emergency room visits with a primary diagnosis of viral infection. This category includes HIV, Hepatitis, common and exotic viral diagnoses.

Clinical Classifications Software (CCS) Categories: 5-7.

International Classification of Diseases (ICD-9) codes: 042.0-044.9, 050.0-057.9, 060.0-061, 065.0-079.9.

Neoplasms (Cancer and Other Growths)

Resident emergency room visits with a primary diagnosis indicating an uncontrolled growth of cells derived from normal tissues. This is an inclusive list of both malignant neoplasms (cancer) and benign neoplasms (non- cancerous growths). Also included are neoplasms of unspecified nature or uncertain behavior and emergency room visits for maintenance chemotherapy and radiotherapy.

Clinical Classifications Software (CCS) Categories: 11-47.

International Classification of Diseases (ICD-9) codes: 140.0-239.9, V10.00-V10.52, V10.59-V10.9, V12.72, V58.0, V58.1, V66.1, V66.2, V67.1, V67.2, V711.

Nutritional/Metabolic/Immunity

Resident emergency room visits with a primary diagnosis of nutritional deficiency, disorder of the thyroid or other endocrine gland, or other metabolic and immunity disorder. Endocrine glands are ductless glands that produce internal secretions discharged into the blood or lymph and then circulated to all parts of the body. Metabolism is the sum of all chemical and physical changes that take place within the body. Metabolic disorders are those that are caused by the absence or deficiency of specific enzymes. Nutrition encompasses processes utilized in the taking in and using of food substances. Immunity is the state of being protected from disease.

Clinical Classifications Software (CCS) Categories: 48-58.

International Classification of Diseases (ICD-9) codes: 240.0-256.3, 256.4-279.09, 279.11-279.13, 279.2-279.9, 712.10-712.99, 783.1-783.5, 783.7-783.9, 790.2, 791.5-791.6, 794.5-794.7, 795.7, 7957.9-799.4, V1.21, V12.2.

Fluid and Electrolyte Disorders (Dehydration)

Resident emergency room visits with a primary diagnosis of a fluid or electrolyte disorder, including dehydration, fluid retention, and problems with composition of the fluids.

Clinical Classifications Software (CCS) Category: 55.

International Classification of Diseases (ICD-9) codes: 276.0-276.9.

Diabetes Mellitus

Resident emergency room visits with a primary diagnosis of diabetes mellitus. This disease is characterized by an excessive urine excretion and an inability to metabolize carbohydrates, proteins and fats with insufficient secretion of insulin. Symptoms may be unremarkable with long-term complications involving kidneys, nerves, blood vessels, and eyes. Included in this category is diabetes both with and without complications.

Clinical Classifications Software (CCS) Categories: 49-50.

International Classification of Diseases (ICD-9) codes: 250.00-250.93, 790.2, 791.5, 791.6.

Blood and Blood Forming

Resident emergency room visits with a primary diagnosis of a blood or blood forming disease or disorder. Anemia, sickle cell, coagulation, and other similar disorders are included in this category.

Clinical Classifications Software (CCS) Categories: 59-64.

International Classification of Diseases (ICD-9) codes: 280.0-289.0, 289.4-289.9, 782.7, 790.0-790.09, V12.3, V58.2.

Anemia

Resident emergency room visits with a primary diagnosis of anemia. This category excludes sickle cell and acute post hemorrhagic anemias.

Clinical Classifications Software (CCS) Category: 5.9.

International Classification of Diseases (ICD-9) codes: 280.0-282.4, 282.7-285.0, 285.21-285.9.

Mental Disorders

Resident emergency room visits with a primary diagnosis of a mental disorder. This category includes psychoses, neurotic disorders, personality disorders, other non-psychotic mental disorders, and mental retardation.

Clinical Classifications Software (CCS) Categories: 65-75.

International Classification of Diseases (ICD-9) codes: 290.0-301.9, 302.1-319, 331.0-331.2, 797, V11.0-V11.9, V15.4-V15.9, V40.0-V40.9, 701, V70.2, V71.01-V71.09, V79.0-V79.9, V66.3, V67.3.

Alcohol- and Substance-Related Disorders

Resident emergency room visits with a primary diagnosis of an alcohol-related or substance-related condition, including associated psychoses, withdrawal disorders, and other forms of dependence.

Clinical Classifications Software (CCS) Categories: 66-67.

International Classification of Diseases (ICD-9) codes: 291.0-292.9, 303.0, 303.9, 304.0-305.9, V15.82.

Anxiety-Related Disorders

Resident emergency room visits with a primary diagnosis of an anxiety-related condition.

Clinical Classifications Software (CCS) Category: 72.

International Classification of Diseases (ICD-9) codes: 300.0-300.3, 300.5-300.8, 301.0-301.9, 307.4, 307.8, 307.9, 308.0-308.9, 309.81, 312.3.

Brain/Spinal Cord/Eyes/Ears

Resident emergency room visits with a primary diagnosis of a disease or disorder of the central nervous system and sense organs.

Clinical Classifications Software (CCS) Categories: 76-95.

International Classification of Diseases (ICD-9) codes: 003.21, 021.3, 032.81, 036.0, 036.1, 045.00-049.9, 052.0, 053.0, 053.20-053.29, 054.3-054.49, 054.72, 055.2, 055.71, 056.01, 062.0-064, 062, 072.1, 072.2, 076.0-077.99, 100.81, 128.3, 114.2, 150. 1, 150.2, 151.1, 115.12, 115.81, 115.92, 130.0-130.2, 138-139.1, 320.0-330.9, 331.3-348.9, 349.2-389.9, 780.0-780.01, 780.03, 780.09, 780.3-780.4, 781.0-781.4, 781.7, 781.8, 782.0, 784.0, 784.3, 784.5-784.69, 792.0, 793.0, 794.00-794.19, 796.1, V12.02, V1 2.4-V12.49, V41.0-V41.3, V41.5, V42.5, V43.0, V43.1, V45.2, V45.6-V45.69, V48.4, V48.5, V49.3, V52.2, V53.0-532, V72.0, V72.1.

Headache/Migraine

Resident emergency room visits with a primary diagnosis of headache or migraine.

Clinical Classifications Software (CCS) Category: 84.

International Classification of Diseases (ICD-9) codes: 346.0-346.2, 346.8-346.9, 784.0.

Eye Infections

Resident emergency room visits with a primary diagnosis of eye infection.

Clinical Classifications Software (CCS) Category: 90.

International Classification of Diseases (ICD-9) codes: 021.3, 032.81, 053.2, 054.4, 055.71, 076.0-077.9, 115.02, 115.12, 115.92, 130.1, 130.2, 139.1, 360.0-360.19, 363.0-363.2, 364.0-364.3, 370.2-370.5, 370.8, 370.9, 372.0-372.3, 373.0, 373.1, 373.3- 373.6, 373.8, 373.9, 375.0, 375.3, 375.4, 376.0, 376.1, 377.3, 379.0.

Otitis Media and Related Conditions

Resident emergency room visits with a primary diagnosis of otitis media or related condition.

Clinical Classifications Software (CCS) Category: 92.

International Classification of Diseases (ICD-9) codes: 055.2, 381.0-383.9, 384.2-385.2, 387.0-387.9.

Heart and Circulation

Resident emergency room visits with a primary diagnosis of a disease of the circulatory system. This category includes hypertension, stroke, and any disease of the veins or arteries, as well as those of the heart.

Clinical Classifications Software (CCS) Categories: 96-121.

International Classification of Diseases (ICD-9) codes: 032.82, 036.40-036.43, 074.20-074.23, 112.81, 115.03, 115.04, 115.13, 115.14, 115.93, 115.94, 391.0-392.0, 393-414.01, 414.10-415.1, 415.19, 429.3, 429.5-440.23, 440.29, 440.8-455.9, 456.3-458.1, 458.8-459.9, 557.0-557.9, 785.0-785.3, 785.9, 786.50-786.51, 786.59, 794.30-794.39, 796.2, V12.5-V125.9, V15.1, V42.1, V42.2, V43.2-V43.4, V45.0-V45.09, V45.81, V45.82, V53.3-V53.39.

Hypertension

Resident emergency room visits with a primary diagnosis of hypertension and related complications.

Clinical Classifications Software (CCS) Categories: 98-99.

International Classification of Diseases (ICD-9) codes: 401.0-405.9, 437.2.

Heart Disease

Resident emergency room visits with a primary diagnosis solely of the heart itself. This category includes any pathological condition of the heart, including “ischemic heart disease” – a temporary and local deficiency of blood supply to the heart or heart muscle.

Clinical Classifications Software (CCS) Categories: 96-97, 100-108.

International Classification of Diseases (ICD-9) codes: 032.82, 036.40-036.43, 074.20-074.23, 112.81, 115.03, 115.04, 115.13, 115.14, 115.93, 115.94, 130.3, 391.0-392.0, 393-398.98, 410.0-414.01, 414.10-415.1, 415.19-429.1, 429.5-429.9, 785.0-785.3, 786.50, 786.51, 786.59, V42.2, V43.3, V50-V50.9, V45.81, V45.82, V53.3-V53.39.

Stroke/Other Cerebrovascular Disease

Resident emergency room visits with a primary diagnosis of stroke or other diseases involving blood vessels to the brain, whether due to bleeding or to blockage of arteries in the brain. This category also includes emergency room visits due to transient cerebral ischemia (TIA) and the late effects of strokes.

Clinical Classifications Software (CCS) Categories: 109-113.

International Classification of Diseases (ICD-9) codes: 430-438.9.

Respiratory (Throat and Lung)

Resident emergency room visits with a primary diagnosis of pneumonia, influenza, asthma, pleurisy, as well as other lung or respiratory conditions.

Clinical Classifications Software (CCS) Categories: 122-134.

International Classification of Diseases (ICD-9) codes: 003.22, 020.3-020.5, 021.2, 022.1, 031.0, 032.0-032.3, 034.0, 039.1, 052.1, 055.1, 073.0, 083.0, 112.4, 114.0, 114.4, 114.5, 115.05, 115.15, 115.95, 130.4, 136.3, 460-477.0, 477.8-512.0, 512.8-518.5, 518.81-518.89, 519.1-519.9, 782.5, 784.1, 784.40-784.49, 784.7-784.9, 786.00-786.4, 786.52, 786.6-786.9, 793.1, 794.2, 799.1, V12.6, V41.4, V42.6, V44.0, V46.1, V55.0.

Respiratory Infections

Resident emergency room visits with a primary diagnosis of respiratory infection.

Clinical Classifications Software (CCS) Categories: 122-126.

International Classification of Diseases (ICD-9) codes: 003.22, 020.3-020.5, 021.2, 022.1, 031.0, 032.0, 034.0, 039.1, 052.1, 055.1, 073.0, 083.0, 112.4, 114.0, 114.4, 114.5, 115.05, 115.15, 115.95, 130.4, 136.3, 460, 461.0-466.1, 473.0-475, 480.0-487.8, 513.0, 517.1.

Chronic Obstructive Pulmonary Disease (COPD)

Resident emergency room visits with a primary diagnosis of chronic obstructive pulmonary disease (COPD). This category includes chronic (non-acute) bronchitis, emphysema, bronchiectasis, and chronic airway obstruction not elsewhere classified. Emergency room visits for asthma are not included in this definition.

Clinical Classifications Software (CCS) Category: 127.

International Classification of Diseases (ICD-9) codes: 490-492.8, 494-494.1, 496.

Asthma

Resident emergency room visits with a primary diagnosis of asthma.

Clinical Classifications Software (CCS) Category: 128.

International Classification of Diseases (ICD-9) codes: 493.00-493.92.

Pneumonia and Influenza

Resident emergency room visits with a primary diagnosis of pneumonia or influenza.

Clinical Classifications Software (CCS) Categories: 122-123.

International Classification of Diseases (ICD-9) codes: 003.22, 020.3-020.5, 021.2, 022.1, 031.0, 039.1, 052.1, 055.1, 073.0, 083.0, 112.4, 114.0, 114.4, 114.5, 115.05, 115.15, 115.95, 130.4, 136.3, 480.0-487.8, 513.0, 517.1.

Digestive System

Resident emergency room visits with a primary diagnosis of conditions of the mouth or teeth, ulcers, intestinal infections, hernias, the pancreas, liver, rectal conditions, or other gastrointestinal conditions.

Clinical Classifications Software (CCS) Categories: 135-155.

International Classification of Diseases (ICD-9) codes: 010.0-003.0, 003.20, 032.9-009.3, 456.0-456.21, 520.0-536.3, 536.8-556.9, 558.1, 558.2, 558.9-564.1, 564.5-569.5, 569.81-571.3, 571.5-573.0, 573.4-579.2, 579.4-579.9, 782.4, 787.1-787.99, 789.1789 .5, 789.9, 790.4, 790.5, 792.1, 792.4, 793.3, 793.4, 793.6, 794.8, V12.7-V12.71, V12.79, V41.6, V42.7, V44.1-V44.4, V45.3, V47.3, V52.3, V53.4, V53.5, V55.1-V55.4, V58.5, V72.2.

Teeth and Jaw Disorders

Resident emergency room visits with a primary diagnosis involving the teeth and/or jaw. This category includes developmental and pathological conditions.

Clinical Classifications Software (CCS) Category: 136.

International Classification of Diseases (ICD-9) codes: 520.0-526.9, V523, V534, V585, V722.

Kidneys/Bladder/Genitalia

Resident emergency room visits with a primary diagnosis of diseases of the kidney, bladder, male or female genital organs, ovarian cysts, pelvic inflammatory disease (PID), menopausal disorders, or other related conditions and diseases.

Clinical Classifications Software (CCS) Categories: 156-175.

International Classification of Diseases (ICD-9) codes: 032.84, 256.31, 256.39, 580.0-629.9, 788.0-788.9, 791.0-791.4, 791.7, 791.9, 792.2, 792.5, 793.5, 793.80-793.89, 794.4, V07.4, V13.0-V130.9, V13.2, V41.7, V42.0, V43.5, V44.5-V44.6, V45.1, V47.4, V47.5, V53.6, V55.5-V55.7, V56.0-V56.8, V72.3.

Urinary Tract Infections

Resident emergency room visits with a primary diagnosis of an infected kidney or other urinary tract infections.

Clinical Classifications Software (CCS) Category: 159.

International Classification of Diseases (ICD-9) codes: 032.84, 590.00-590.9, 595.9-595.9, 597.0-598.01, 59.90.

Pelvic Inflammatory Disorders (PID)

Resident emergency room visits with a primary diagnosis of a pelvic inflammatory disorder.

Clinical Classifications Software (CCS) Category: 168.

International Classification of Diseases (ICD-9) codes: 614.0-616.9.

Pregnancy/Childbirth/Reproduction

Resident emergency room visits with a primary diagnosis of conditions related to pregnancy, contraception, complications of pregnancy, early labor, and fetal distress, as well as women with normal deliveries.

Normally delivered infants are not included.

Clinical Classifications Software (CCS) Categories: 176-196.

International Classification of Diseases (ICD-9) codes: 630-677, V15.7, V22.0-V27.9, V45.5-V45.59, V72.4.

Pregnancy Complications

Resident emergency room visits with a primary diagnosis of complications associated with pregnancy, including early or threatened labor and prolonged pregnancy.

Clinical Classifications Software (CCS) Categories: 180-186.

International Classification of Diseases (ICD-9) codes: 630-633.9, 640.0-648.9.

Skin

Resident emergency room visits with a primary diagnosis of diseases associated with the skin; includes ulceration and infection.

Clinical Classifications Software (CCS) Categories: 197-200.

International Classification of Diseases (ICD-9) codes: 020.1, 021.0, 022.0, 031.1, 032.85, 035, 039.0, 680.0-682.9, 684-690.8, 692.75-692.77, 694.0-707.9, 709.0-709.9, 780.8, 792.1, 782.2, V13.3, V42.3.

Skin Infections

Resident emergency room visits with a primary diagnosis of skin infection.

Clinical Classifications Software (CCS) Category: 197.

International Classification of Diseases (ICD-9) codes: 020.1, 021.0, 022.0, 031.1, 032.85, 035, 035.90, 680.0-682.9, 684-686.9.

Bone/Connective Tissue/Muscle

Resident emergency room visits with a primary diagnosis of arthritis, bone infections, joint disorders, back problems, foot and other deformities, as well as other bone, connective tissue, and muscle disorders.

Clinical Classifications Software (CCS) Categories: 201-212.

International Classification of Diseases (ICD-9) codes: 003.23, 003.24, 026.1, 036.82, 056.71, 710.0-711.99, 713.0-716.09, 716.20-716.99, 718.10-718.29, 718.40-739.9, V13.4, V13.5, V42.4, V43.6-V43.7, V53.7, V45.4, V48.1-V48.3, V48.6, V48.7, V49.0, V49.2, V49.4, V49.77.

Arthritis and Related Joint Disorders

Resident emergency room visits with a primary diagnosis of osteoarthritis, rheumatoid arthritis, or other non-traumatic joint disorder.

Clinical Classifications Software (CCS) Categories: 202-204.

International Classification of Diseases (ICD-9) codes: 713.0-715.9, 716.0, 716.2-716.9, 718.1-718.2, 718.5-719.9.

Spondylosis/Intervertebral Disc and Other Back Problems

Resident emergency room visits with a primary diagnosis of back disorders and inflammations as well as spinal disc disorders.

Clinical Classifications Software (CCS) Category: 205.

International Classification of Diseases (ICD-9) codes: 720.1-724.9.

Injury and Poisoning

Resident emergency room visits with a primary diagnosis of fractures, wounds, dislocations, poisonings, or injuries due to external causes, as well as medical, drug, or other complications of care.

Clinical Classifications Software (CCS) Categories: 225-244.

International Classification of Diseases (ICD-9) codes: 716.10-716.19, 717.0-718.09, 718.30-718.39, 796.0, 799.0, 800.00-994.9, 995.1-995.2, 995.4-995.59, 995.80-999.9, V15.5, V15.6, V54.0, V64, V67.4, or V71.3-V71.6.

Fractures

Resident emergency room visits with a primary diagnosis of bone fracture, including late effects and aftercare.

Clinical Classifications Software (CCS) Categories: 226, 228-231.

International Classification of Diseases (ICD-9) codes: 800.0, 800.5, 801.0, 801.5, 802.0-803.0, 803.5, 804.0, 804.5, 805.1-805.9, 807.0-823.4, 823.8-829.1, 905.0-905.2, 905.4, 905.5, V540, V541.0-V542.9, V664, V674.

Open Wounds

Resident emergency room visits with a primary diagnosis of an open wound. This category includes broken teeth and amputations.

Clinical Classifications Software (CCS) Categories: 235, 236.

International Classification of Diseases (ICD-9) codes: 870.0-897.7, 905.8-906.1.

Sprains and Strains

Resident emergency room visits with a primary diagnosis of sprain or strain.

Clinical Classifications Software (CCS) Category: 232.

International Classification of Diseases (ICD-9) codes: 840.0-848.9, 905.7.

Burns

Resident emergency room visits with a primary diagnosis of burns. This category includes chemical and thermal burns.

Clinical Classifications Software (CCS) Category: 240.

International Classification of Diseases (ICD-9) codes: 940.0-949.5.
International Classification of Diseases (ICD-9) codes: 349.0, 349.1, 414.02-414.05, 415.11, 429.4, 440.30-440.32, 458.2, 512.1, 519.0-519.09, 536.40-536.49, 564.2-564.4, 569.6-569.69, 579.3, 909.3, 995.4, 995.86, 996.00-999.9.

Complications of Device/Surgery/Medical Care

Resident emergency room visits with a primary diagnosis of postoperative infection or other complications of medical care, or a malfunctioning implant, device, or reattached limb, or other graft.

Clinical Classifications Software (CCS) Categories: 237-238.

International Classification of Diseases (ICD-9) codes: 349.0, 349.1, 414.02-414.05, 415.11, 429.4, 440.30-440.32, 458.2, 512.1, 519.0-519.09, 536.40-536.49, 564.2-564.4, 569.6-569.69, 579.3, 909.3, 995.4, 995.86, 996.00-999.9.

Poisoning

Resident emergency room visits with a primary diagnosis of poisoning.

Clinical Classifications Software (CCS) Categories: 241-243

International Classification of Diseases (ICD-9) codes: 969.0-969.9, 909.0, 909.5, 960.0-960.9, 961.0-961.9, 962.0-962.9, 963.0-963.5, 963.8, 963.9, 964.0-964.9, 965.00-965.02, 965.09, 965.1, 965.4-965.6, 965.61, 965.69, 965.7-965.9, 966.0-966.4, 967.0-967.6, 967.8-967.9, 968.0-968.7, 968.9, 970.0-970.1, 970.8-970.9, 971.0-971.3, 971.9, 972.0-972.9, 973.0-973.6, 973.8-973.9, 974.0-974.7, 975.0-975.8, 976.0-976.9, 977.0-977.4, 977.8-977.9, 978.0-978.6, 978.8-978.9, 979.0-979.7, 979.9, 995.2, 909.1, 980.0-980.3, 980.8, 980.9, 981, 982.0-982.4, 982.8, 983.0-983.2, 983.9, 984.0-984.1, 984.8-984.9, 985.0-985.6, 985.8-985.9, 986, 987.0-987.9, 988.0-988.2, 988.8-988.9, 989.0-989.8, 989.81-989.84, 989.89, 989.9

Symptoms and Ill-Defined Conditions

Resident emergency room visits with a primary diagnosis of shock, fever, and an illness that does not clearly fit into a known disease category; also includes rehabilitation, evaluations, other aftercare and screening for suspected conditions, and other factors influencing health care.

Clinical Classifications Software (CCS) Categories: 245-258.

International Classification of Diseases (ICD-9) codes: 289.1-289.3, 440.24, 477.1, 518.6, 558.3, 683, 691.0-692.74, 692.79-693.9, 708.0-708.9, 780.2, 780.6-780.79, 785.4-785.6, 787.0-787.03, 789.0-789.09, 789.60-789.69, 995.0, 995.3, 995.60-995.7, V07.1, V14.0-V15.09, V20.0-V20.2, V28.0-V28.5, V28.8-V29.9, V51-V52.1, V52.4-V52.9, V53.8, V53.9, V54.8, V54.9, V55.8, V55.9, V57.0-V57.9, V58.3-V58.49, V58.61-V58.9, V60.0-V61.49, V61.6- V63.9, V65.0-V66.0, V66.5-V67.09, V67.51-V68.9, V70.0, V70.3-V70.9, V 71.8-V71.9, V72.5-V72.9, V76.0-V78.9, V80.0-V82.9.

Allergic Reactions

Resident emergency room visits with a primary diagnosis of allergy or allergic reaction.

Clinical Classifications Software (CCS) Category: 253.

International Classification of Diseases (ICD-9) codes: 477.1, 518.6, 558.3, 691.0-693.9, 708, 995.0, 995.3, 995.6, 995.7, V071, V140-V150.9, V727.