Table 1: List of Group Indicators and Associated ICD-9-CM Codes
Ambulatory Sensitive Hospitalizations* (Billings
et al. 1993):
Congenital syphilis 090
Immunization-related/preventable 033,037,045,320.0,390,391.
Grand mal/epileptic convulsions 345,780.3.
Severe ENT infections 382,462,463,465,472.1
Pulmonary tuberculosis 011
Other tuberculosis 012-018
COPD 491,492,494,496
Bacterial pneumonia 481,482.2,482.3,482.9, 483,485,486.
Asthma 493
Congestive heart failure 428,402.01,402.11,402.91,518.4
Hypertension 401.0,401.9,402.00,402.10,402.90
Angina 411.1,411.8,413
Cellulitis 681,682,683,686
Diabetes 250.1,250.2,250.3
Hypoglycemia 251.2
Gastroenteritis 558.9
Kidney/urinary infection 590,599.0,599.9
Rehydration/volume depletion 276.5
Iron deficiency anemia 280.1,280.8,280.9
Nutritional deficiencies 260,261,262,268.0,268.1
Failure to thrive 783.4
Pelvic inflammatory disease 614
Dental conditions 521,522,523,525,528
Avoidable Hospitalizations* (Weissman et al.
1992):
Ruptured appendix 540.0, 540.1
Asthma 493
Cellulitis 681,682
Congestive heart failure 428, 402.01, 402.11,402.91
Diabetes 250.1,250.2,250.3,251.0
Gangrene 785.4
Hypokalemia 276.8
Immunizable conditions 032,033,037,072,045,055
Malignant hypertension 401.0,402.0,403.0, 404.0,405.0,437.2
Pneumonia 481,482,483,485,486
Pyelonephritis 590.0,590.1,590.8
Perforated or bleeding ulcer 531.0,531.2,531.4, 531.6,532.0,532.2,532.4,532.6,533.0,533.1,533.2,
533.4,533.5,633.6
Conditions Amenable To Medical Treatment* (Charlton
et al 1983, Poikolainen & Eskola, Desmeules
& Semenciw):
Enteritis & other diarrhoeal diseases 001-009
Syphilis 090-097
Tuberculosis 010-018,137
Other infectious & parasitic diseases 004,320-322,381-383,391,680-686,711,730
Cervical cancer 180
Hodgkin's disease 201
Goiter, thyrotoxicosis 240-242
Diabetes 250
Avitaminosis, nutritional deficits 260-269
Epilepsy 34
Active rheumatic fever 390,392-398
Hypertensive disease 401-405
Acute respiratory infections 460-466
Influenza 487
Pneumonia 480-486
Chronic bronchitis & emphysema 490-492,496
Asthma 493
Peptic ulcer 531-534
Gallbladder disease 574-576
Appendicitis 540-543+
Intestinal obstruction & hernia 550-553,560
Complications of pregnancy 630-676+
Perinatal mortality 760-779
Disability Among Youth (Physician Visits):
Epilepsy 345
Hydrocephalus 742
Spina bifida 741
Developmental delay 315
Hearing loss 389
Cystic fibrosis 277,748
Emotional problems 307,312,313,314
Cerebral palsy 343
Blindness 369
Infectious Disease Indicators (Hospital and Mortality):
Pneumonia 481,482.3,482.9,485-486
Influenza 487.0-487.8
Hepatitis 70.2,70.3,40.0,70.1,70.4-70.6,70.9
Tuberculosis 10.0-18.9
Sexually transmitted diseases 90.0-99.9,54.1
Pelvic inflammatory disease 614-616
AIDS 42.0-44.9
Injury Indicators (Hospital and Mortality):
Motor vehicle E810-E819
Falls E880-E888
Vehicular non-traffic E820-E829
Drowning E910-E915
Poisoning E850-E869
Fire & flames E890-E899
Suicide/attempted suicide E950-E959
Homicide/homicide related E960-E969
Cancer Indicators (Hospital and Mortality):
Lung 162
Non-melanoma skin 173
Bladder 188
Colon 153-154
Breast 174.0-179.7
Kidney 189.0
All cancers 140-239
Chronic Disease Indicators (Hospital and Mortality):
Ischemic heart disease 410-414
Diabetes 250
Asthma 493
Hypertension 401-405
Vascular complications 430-437
Emphysema 492-496
* Some age and other restrictions apply
+ Excluded from hospitalization indicator
-
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(1993). Impact of socioeconomic status on hospital use in New York City.
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Charlton J, Hartley R, Silver R, Holland W (1983)
Geographical variation in mortality from conditions amenable to medical
intervention in England and Wales. Lancet, 1(8326 Pt 1):691-6. [abstract]
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Desmeules M, Semenciw R. (1991) The impact of medical
care on mortality in Canada, 1958-1988. Can J Public Health;May-Jun;82(3):209-11
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Poikolainen K, Eskola J. (1986). The effect of
health services on mortality: decline in deaths rates from amenable and
non-amenable causes in Finland 1969-81. Lancet, 1(8474):199-202
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Weissman JS, Gatsonis C, Epstein AM (1992). Rates
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©2003 Manitoba Centre for Health Policy (MCHP)