Missouri Resident Inpatient Hospitalization Profile

Infection

Resident hospitalizations 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. 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, or 139.8.
Septicemia (except in labor)

Resident hospitalizations with a primary diagnosis in this category have bacteria in the blood. Septicemia is a systemic disease associated with the presence and persistence of pathogenic microorganisms or their toxins in the blood.

Clinical Classifications Software (CCS) Category: 2

International Classification of Diseases (ICD-9) codes: 003.1, 020.2, 022.3, 036.2, 038.0-038.9, 054.5, or 790.7

Neoplasms

Resident hospitalizations 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 hospitalizations 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, or V711.

Cancer (Malignant Neoplasms)

Resident hospitalizations with a primary diagnosis in this category suffer from an uncontrolled growth of cells derived from normal tissues. Includes leukemia, cancers of various organs, and carcinomas in situ but excludes benign neoplasms, and neoplasms of unspecified nature or uncertain behavior.

Clinical Classifications Software (CCS) Categories: 11-43.

International Classification of Diseases (ICD-9) codes: 140.0-208.91, 230.0-234.9, 795.0, 795.1, V10.00-V10.52, or V10.59-V10.9.

Neoplasms-Other

Resident hospitalizations with a primary diagnosis indicating neoplasms of uncertain behavior and non-recurrent, benign (non-malignant, non-cancerous) growths.

Clinical Classifications Software (CCS) Categories: 44-47

International Classification of Diseases (ICD-9) codes: 210.0-229.9, 235.0-239, 9,V12.72, V58.0, V58.1, V66.1, V66.2, V67.1, V67.2

Nutrition/Endocrine/Metabolic/Immunity

Resident hospitalizations 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 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, or V12.2.

Fluid and Electrolyte Disorders (Dehydration)

Resident hospitalizations 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 hospitalizations 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, or 791.6.

Blood and Blood-Forming

Resident hospitalizations 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, or V58.2.

Mental Disorders

Resident hospitalizations with a primary diagnosis of a mental disorder. 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, or V67.3.

Affective Disorders

Resident hospitalizations with a primary diagnosis of affective psychosis, depression, or certain types of affective personality disorders.

Clinical Classifications Software (CCS) Category: 69.

International Classification of Diseases (ICD-9) codes: 296.00-296.99, 298.0, 300.4, 301.11, or 301.13.

Schizophrenia and Related Disorders

Resident hospitalizations with a primary diagnosis of schizophrenia or a related disorder. Characterized by disturbance in form or content of thought, mood, and behavior.

Clinical Classifications Software (CCS) Category: 70

International Classification of Diseases (ICD-9) codes: 295.00-295.95, or 299.00-299.91.

Alcohol-Related Disorders

Resident hospitalizations with a primary diagnosis of an alcohol related condition, including alcoholic psychosis, alcohol withdrawal disorders, and other forms of alcoholic dependence.

Clinical Classifications Software (CCS) Category: 66

International Classification of Diseases (ICD-9) codes: 291.0-291.9, or 303.00-303.93.

Brain/Spinal Cord/Eyes/Ears

Resident hospitalizations 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, or V72.1.

Heart and Circulation

Resident hospitalizations with a primary diagnosis of a disease of the circulatory system. 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, 074.20074.23, 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, or V53.3-V53.39.

Heart Disease

Resident hospitalizations with a primary diagnosis solely of the heart itself. 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, 78 6.50, 786.51, 786.59, V42.2, V43.3, V50-V50.9, V45.81, V45.82, or V53.3-V53.39.

Stroke/Other Cerebrovascular Disease

Resident hospitalizations 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 hospitalizations 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 hospitalizations 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, or V55.0.

Pneumonia and Influenza

Resident hospitalizations with a primary diagnosis of pneumonia or influenza.

Clinical Classifications Software (CCS) Categories: 122-123

International Classification of Diseases (ICD-9) codes: 003.22, 020.3020.5, 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, or 517.1.

Chronic Obstructive Pulmonary Disease (COPD)

Resident hospitalizations with a primary diagnosis of chronic obstructive pulmonary disease (COPD). Includes chronic (non-acute) bronchitis, emphysema, bronchiectasis, and chronic airway obstruction not elsewhere classified. Hospitalizations 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, or 496.

Asthma

Resident hospitalizations with a primary diagnosis of asthma.

Clinical Classifications Software (CCS) Category: 128.

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

Digestive System

Resident hospitalizations 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, or V72.2.

Gastrointestinal Hemorrhage

Resident hospitalizations with a primary diagnosis of stomach ulcers or bleeding in the esophagus or other gastrointestinal areas.

Clinical Classifications Software (CCS) Category: 153.

International Classification of Diseases (ICD-9)codes: 456.0, 456.20, 530.7, 530.82, 531.00, 531.01, 531.20, 531.21, 531.40, 531.41, 531.60, 531.61, 532.00, 532.01, 532.20, 532.21, 532.40, 532.41, 532.60, 532.61, 533.00, 533.01, 533.20, 533.21, 533.40, 533.41, 533.60, 533.61, 534.00, 534.01, 534.20, 534.21, 534.40, 534.41, 534.60, 534.61, 569.3, or 578.0-578.09.

Biliary Tract (Gallbladder)

Resident hospitalizations with a primary diagnosis of gallbladder disease or involving the bile ducts.

Clinical Classifications Software (CCS) Category: 149.

International Classification of Diseases (ICD-9) codes: 574.00-576.9, or 793.3.

Kidneys/Bladder/Genitalia

Resident hospitalizations 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, V13.0V130.9, V13.2, V41.7, V42.0, V43.5, V44.5-V44.6, V45.1, V47.4, V 47.5, V53.6, V55.5-V55.7, V56.0-V56.8, or V72.3.

Urinary Tract Infection

Resident hospitalizations 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, or 59.90.

Pregnancy/Childbirth/Reproduction

Resident hospitalizations 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, orV72.4.

Trauma to Perineum and Vulva

Resident hospitalizations with a primary diagnosis of tearing of the pelvic floor during delivery.

Clinical Classifications Software (CCS) Category: 193.

International Classification of Diseases (ICD-9) codes: 664.00-64.94.

Other Complications of Birth

Resident hospitalizations with a primary diagnosis of complications associated with delivery, including problems both during and after delivery, as well as complications associated with multiple deliveries.

Clinical Classifications Software (CCS) Category: 195.

International Classification of Diseases (ICD-9) codes: 651.03, 651.13, 651.23-651.63, 651.83, 651.93, 654.00-654.14, 654.30-656.23, 656.40-656.93, 659.00-659.93, 665.00-669.44, 669.60-677, or V230-V239.

Normal Pregnancy and Delivery

Resident hospitalizations with a primary diagnosis of a normal delivery by the mother. Does not include health status of the fetus.

Clinical Classifications Software (CCS) Category: 196.

International Classification of Diseases (ICD9)codes: 650-651.01, 651.10, 651.11, 651.20, 651.21, 651.80, 651.81, 651.90, 651.91, V22.0-V22.2, V24.0, V24.1, V24.2, V27.0-V27.9, or V72.4.

Skin

Resident hospitalizations 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, or V42.3.

Skin Infections

Resident hospitalizations 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, or 684-686.9.

Bone/Connective Tissue/Muscle

Resident hospitalizations 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, or V49.77.

Spondylosis/Intervertebral Disc/Other Back Problems

Resident hospitalizations with a primary diagnosis relating to spondylosis, intervertebral disorders, and other disorders of the back.

Clinical classification Software (CCS) Category: 205

International Classification of Diseases (ICD-9) codes: 720.1-720.2, 720.81, 720.89, 720.9-721.3, 721.41-721.42, 721.5-721.8, 721.90-721.91, 722.0, 722.10-722.11, 722.2, 722.30-722.32, 722.39, 722.4, 722.51-722.52, 722.6, 722.70-722.73, 722.80-722.83, 722.90-722.93, 723.0-723.9, 724.00-724.03, 724.09, 724.1-724.6, 724.70-724.71, 724.79, 724.8-724.9

Congenital Anomalies

Resident hospitalizations with a primary diagnosis of cardiac, gastrointestinal, nervous system and other anomalies present at birth.

Clinical Classifications Software (CCS) Categories: 213-217.

International Classification of Diseases (ICD-9) codes: 740.0-759.9, 795.2, or V13.6-V136.9.

Injury and Poisoning

Resident hospitalizations 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.

Complications of Device/Implant/Graft

Resident hospitalizations with a primary diagnosis of a malfunctioning implant, device, or reattached limb or other graft.

Clinical Classifications Software (CCS) Category: 237.

International Classification of Diseases (ICD-9) codes: 414.02-414.05, 440.30-440.32, 569.60, 569.61, 569.69, or 996.00-996.99.

Hip Fractures

Resident hospitalizations with a primary diagnosis of a fracture of the hip.

Clinical Classifications Software (CCS) Category: 226.

International Classification of Diseases (ICD-9) codes: 820.00-820.9, or 905.3.

Complications of Surgical Procedures/Medical Care

Resident hospitalizations with a primary diagnosis of postoperative infection or other complications of medical care.

Clinical Classifications Software (CCS) Category: 238.

International Classification of Diseases (ICD-9) codes: 349.0-349.1, 415.11, 429.4, 458.2, 512.1, 536.40-536.49, 564.2-564.4, 569.6, 569.62, 909.3, 995.4, 995.86, or 997.0-999.9.

Symptoms and Ill-Defined Conditions

Resident hospitalizations 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, 691.0-6927.4, 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, V0 .71, 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, V7 1.8-V71.9, V72.5-V72.9, V76.0-V78.9, or V80.0-V82.9.

Rehab Care/Fitting/Adjusting Prostheses and Devices

Resident hospitalizations with a primary diagnosis of rehabilitation.

Clinical Classifications Software (CCS) Category: 254.
International Classification of Diseases (ICD-9) codes: V52.0, V52.1, V52.4-V52.9, V53.8, V57.0-V57.9, or V58.82.