Definition of Indicator

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 Refined (CCSR) Categories: INF001-INF012.

International Classification of Diseases (ICD-10) codes: Infections ICD-10-CM List.

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 Refined (CCSR) Categories: INF006-INF008, INF012.

International Classification of Diseases (ICD-10) codes: Viral Infections ICD-10-CM List.

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 Refined (CCSR) Categories: NEO001-NEO74.

International Classification of Diseases (ICD-10) codes: Neoplasms ICD-10-CM List.

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 Refined (CCSR) Categories: END001-END017.

International Classification of Diseases (ICD-10) codes: Nutritional/Metabolic/Immunity ICD-10-CM List.

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 Refined (CCSR) Categories: END011.

International Classification of Diseases (ICD-10) codes: Fluid/Electrolyte ICD-10-CM List.

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 Refined (CCSR) Categories: END002-END003.

International Classification of Diseases (ICD-10) codes: Diabetes ICD-10-CM List.

Anemia

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

Clinical Classifications Software Refined (CCSR) Categories: BLD001-BLD005.

International Classification of Diseases (ICD-10) codes: Anemia ICD-10-CM List.

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.

Clinical Classifications Software Refined (CCSR) Categories: MBD001-MBD034.

International Classification of Diseases (ICD-10) codes: Mental Disorders ICD-10-CM List.

Alcohol-Related Disorders

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

Clinical Classifications Software Refined (CCSR) Categories: MBD017.

International Classification of Diseases (ICD-10) codes: Alcohol Disorders ICD-10-CM List.

Suicide-Related Disorders

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

Clinical Classifications Software Refined (CCSR) Categories: MBD027.

International Classification of Diseases (ICD-10) codes: Suicide Related ICD-10-CM List.

Mood-Related Disorders

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

Clinical Classifications Software Refined (CCSR) Categories: MBD002-MBD004.

International Classification of Diseases (ICD-10) codes: Mood Disorders ICD-10-CM List.

Anxiety-Related Disorders

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

Clinical Classifications Software Refined (CCSR) Categories: MBD005-MBD007.

International Classification of Diseases (ICD-10) codes: Anxiety Disorders ICD-10-CM List.

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 Refined (CCSR) Categories: EAR001-EAR006, EYE001-EYE012, NVS001-NVS022.

International Classification of Diseases (ICD-10) codes: Brain/Spinal Cord/Eyes/Ears ICD-10-CM List.

Headache/Migraine

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

Clinical Classifications Software Refined (CCSR) Categories: NVS010

International Classification of Diseases (ICD-10) codes: Headache/Migraine ICD-10-CM List.

Cornea and External Disease

Resident emergency room visits with a primary diagnosis of a cornea or external disease.

Clinical Classifications Software Refined (CCSR) Category: EYE001.

International Classification of Diseases (ICD-10) codes: Cornea ICD-10-CM List.

Ear Conditions

Resident emergency room visits with a primary diagnosis of an ear condition.

Clinical Classifications Software Refined (CCSR) Category: EAR001-EAR006.

International Classification of Diseases (ICD-10) codes: Ear Condition ICD-10-CM List.

Epilepsy

Resident emergency room visits with a primary diagnosis of epilepsy.

Clinical Classifications Software Refined (CCSR) Category: NVS009.

International Classification of Diseases (ICD-10) codes: Epilepsy ICD-10-CM List.

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 Refined (CCSR) Category: CIR001-CIR039.

International Classification of Diseases (ICD-10) codes: Heart and Circulation ICD-10-CM List.

Hypertension

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

Clinical Classifications Software Refined (CCSR) Category: CIR007-CIR008.

International Classification of Diseases (ICD-10) codes: Hypertension ICD-10-CM List.

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 Refined (CCSR) Category: CIR011-CIR018.

International Classification of Diseases (ICD-10) codes: Heart Disease ICD-10-CM List.

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 Refined (CCSR) Category: CIR020-CIR025.

International Classification of Diseases (ICD-10) codes: Stroke ICD-10-CM List.

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 Refined (CCSR) Category: RSP001-RSP017.

International Classification of Diseases (ICD-10) codes: Respiratory ICD-10-CM List.

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 Refined (CCSR) Category: RSP008.

International Classification of Diseases (ICD-10) codes: COPD ICD-10-CM List.

Asthma

Resident emergency room visits with a primary diagnosis of asthma.

Clinical Classifications Software Refined (CCSR) Category: RSP009.

International Classification of Diseases (ICD-10) codes: Asthma ICD-10-CM List.

Pneumonia

Resident emergency room visits with a primary diagnosis of pneumonia.

Clinical Classifications Software Refined (CCSR) Category: RSP002.

International Classification of Diseases (ICD-10) codes: Pneumonia ICD-10-CM List.

Influenza

Resident emergency room visits with a primary diagnosis of influenza.

Clinical Classifications Software Refined (CCSR) Category: RSP003.

International Classification of Diseases (ICD-10) codes: Influenza ICD-10-CM List.

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 Refined (CCSR) Category: DIG001-DIG025.

International Classification of Diseases (ICD-10) codes: Digestive ICD-10-CM List.

Disorders of the Teeth and Gingiva

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

Clinical Classifications Software Refined (CCSR) Category: DIG002.

International Classification of Diseases (ICD-10) codes: Teeth and Gingiva ICD-10-CM List.

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 Refined (CCSR) Category: GEN001-GEN026.

International Classification of Diseases (ICD-10) codes: Kidneys/Bladder/Genitalia ICD-10-CM List.

Urinary Tract Infections

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

Clinical Classifications Software Refined (CCSR) Category: GEN004.

International Classification of Diseases (ICD-10) codes: Urinary Tract Infection ICD-10-CM List.

Pelvic Inflammatory Disorders (PID)

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

Clinical Classifications Software Refined (CCSR) Category: GEN018.

International Classification of Diseases (ICD-10) codes: PID ICD-10-CM List.

Calculus of Urinary Tract (Kidney Stones)

Resident emergency room visits with a primary diagnosis of urinary tract calculus.

Clinical Classifications Software Refined (CCSR) Category: GEN005.

International Classification of Diseases (ICD-10) codes: Kidney Stones ICD-10-CM List.

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 Refined (CCSR) Category: PRG005-PRG012, PRG019-PRG023, PRG025, PRG027-PRG028.

International Classification of Diseases (ICD-10) codes: Pregnancy Complications ICD-10-CM List.

Skin Infections

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

Clinical Classifications Software Refined (CCSR) Category: SKN001.

International Classification of Diseases (ICD-10) codes: Skin Infections ICD-10-CM List.

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 Refined (CCSR) Category: MUS001-MUS038.

International Classification of Diseases (ICD-10) codes: Bone/Connective Tissue/Muscle ICD-10-CM List.

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 Refined (CCSR) Category: MUS001-MUS006.

International Classification of Diseases (ICD-10) codes: Arthritis ICD-10-CM List.

Spondylopathies/Spondyloarthropathy/Low Back Pain

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

Clinical Classifications Software Refined (CCSR) Category: MUS011, MUS038.

International Classification of Diseases (ICD-10) codes: Low Back Pain ICD-10-CM List.

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 Refined (CCSR) Category: INJ001-INJ076.

International Classification of Diseases (ICD-10) codes: Injury ICD-10-CM List.

Fractures

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

Clinical Classifications Software Refined (CCSR) Category: INJ001-INJ006, INJ038-INJ043, MUS014-MUS020.

International Classification of Diseases (ICD-10) codes: Fractures ICD-10-CM List.

Open Wounds

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

Clinical Classifications Software Refined (CCSR) Category: INJ011-INJ013, INJ048-INJ050.

International Classification of Diseases (ICD-10) codes: Open Wounds ICD-10-CM List.

Sprains and Strains

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

Clinical Classifications Software Refined (CCSR) Category: INJ024, INJ061.

International Classification of Diseases (ICD-10) codes: Sprains and Strains ICD-10-CM List.

Burns

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

Clinical Classifications Software Refined (CCSR) Category: INJ019, INJ056.

International Classification of Diseases (ICD-10) codes: Burns ICD-10-CM List.

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 Refined (CCSR) Category: INJ033-INJ037, INJ069-INJ072.

International Classification of Diseases (ICD-10) codes: Device/Surgery/Medical Care ICD-10-CM List.

Poisoning

Resident emergency room visits with a primary diagnosis of poisoning.

Clinical Classifications Software Refined (CCSR) Category: INJ022-INJ023, INJ030, INJ059-INJ060, INJ075.

International Classification of Diseases (ICD-10) codes: Poisoning ICD-10-CM List.

Allergic Reactions

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

Clinical Classifications Software Refined (CCSR) Category: INJ031, INJ067.

International Classification of Diseases (ICD-10) codes: Allergies ICD-10-CM List.