Definitions for Hospitalization Indicators

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 Refined (CCSR) Categories: INF001-INF012.

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

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

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

Viral Infection

Resident hospitalizations with a primary diagnosis of a viral disease.

Clinical Classifications Software Refined (CCSR) Categories: INF002.

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

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 Refined (CCSR) Categories: NEO001-NEO078.

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

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 Refined (CCSR) Categories: NEO001-NEO074.

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

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 Refined (CCSR) Categories: NEO072-NEO073, NEO075-NEO078.

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

Nutrition/Metabolic

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 Refined (CCSR) Categories: END001-END017.

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

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 Refined (CCSR) Categories: END011.

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

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 Refined (CCSR) Categories: END002-END003.

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

Obesity

Resident hospitalizations with a primary diagnosis of obesity.

Clinical Classifications Software Refined (CCSR) Categories: END009.

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

Anemia

Resident hospitalizations 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 hospitalizations 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.

Mood Disorders

Resident hospitalizations 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.

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 Refined (CCSR) Categories: MBD001.

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

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 Refined (CCSR) Categories: MBD017.

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

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 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.

Epilepsy

Resident hospitalizations 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 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 Refined (CCSR) Category: CIR001-CIR039.

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

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 Refined (CCSR) Category: CIR011-CIR018.

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

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 Refined (CCSR) Category: CIR020-CIR025.

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

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 Refined (CCSR) Category: RSP001-RSP017.

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

Pneumonia

Resident hospitalizations 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 hospitalizations 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.

Chronic Obstructive Pulmonary Disease (COPD)

Resident hospitalizations 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.

Hospitalizations 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 hospitalizations 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.

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 Refined (CCSR) Category: DIG001-DIG025.

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

Gastrointestinal Hemorrhage

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

Clinical Classifications Software Refined (CCSR) Category: DIG021.

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

Biliary Tract (Gallbladder)

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

Clinical Classifications Software Refined (CCSR) Category: DIG021.

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

Upper/Lower Gastrointestinal Disorders

Resident hospitalizations with a primary diagnosis of upper or lower gastrointestinal disorders.

Clinical Classifications Software Refined (CCSR) Category: DIG004-DIG009, DIG011-DIG016.

International Classification of Diseases (ICD-10) codes: Upper/Lower Gastrointestinal Disorders ICD-10-CM List.

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 Refined (CCSR) Category: GEN001-GEN026.

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

Urinary Tract Infection

Resident hospitalizations 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.

Acute and Unspecified Renal Failure

Resident hospitalizations with a primary diagnosis of some other unspecified or acute renal failure.

Clinical Classifications Software Refined (CCSR) Category: GEN002.

International Classification of Diseases (ICD-10) codes: Acute and Unspecified Renal Failure ICD-10-CM List.

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 Refined (CCSR) Categories: PRG001-PRG029.

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

Trauma to Perineum and Vulva

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

Clinical Classifications Software Refined (CCSR) Categories: PRG026.

International Classification of Diseases (ICD-10) codes: Trauma to Perineum and Vulva ICD-10-CM List.

Complications Specified During Puerperium

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 Refined (CCSR) Categories: PRG027.

International Classification of Diseases (ICD-10) codes: Complications Specified During Puerperium ICD-10-CM List.

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 Refined (CCSR) Categories: PRG029.

International Classification of Diseases (ICD-10) codes: Normal Pregnancy and Delivery ICD-10-CM List.

Skin Infections

Resident hospitalizations 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 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 Refined (CCSR) Category: MUS001-MUS038.

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

Spondylopathies/Spondyloarthropathy/Low Back Pain

Resident hospitalizations 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.

Congenital Anomalies

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

Clinical Classifications Software Refined (CCSR) Categories: MAL001-MAL010.

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

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 Refined (CCSR) Category: INJ001-INJ076.

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

Complications of Device/Surgery/Medical Care

Resident hospitalizations 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.

Hip Fractures

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

Clinical Classifications Software Refined (CCSR) Category: INJ006, INJ043.

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

Poisoning

Resident hospitalizations 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.