Book 1. Data for Metropolitan Areas: Table A-2

You Are Here: AHRQ Archive Home > Safety Net Monitoring > Book 1: Data for Metropolitan Areas > Appendix A

This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://info.ahrq.gov. Let us know the nature of the problem, the Web address of what you want, and your contact information.

Please go to www.ahrq.gov for current information.

Table A-2: Ambulatory Care Sensitive (ACS) Conditions

ACS Condition and ICD-9-CM Code(s)	Comments
Congenital syphilis [090]	Secondary diagnosis for newborns only
Immunization-related and preventable conditions [033, 037, 045, 320.0, 390, 391]	Hemophilus meningitis [320.2] ages 1-5 only
Grand mal status and other epileptic convulsions [345]
Convulsions "A" [780.3]	Ages 0-5
Convulsions "B" [780.3]	Age > 5
Severe ear, nose, and throat infections [382, 462, 463, 465, 472.1]	Exclude otitis media cases [382] with myringotomy with insertion of tube [20.01]
Pulmonary tuberculosis [011]
Other tuberculosis [012-018]
Chronic obstructive pulmonary disease [491, 492, 494, 496, 466.0]	Acute bronchitis [466.0] only with secondary diagnosis of 491, 492, 494, 496
Bacterial pneumonia [481, 482.2, 482.3, 482.9, 483, 485, 486]	Exclude case with secondary diagnosis of sickle cell [282.6] and patients < 2 months
Asthma [493]
Congestive heart failure [428, 402.01, 402.11, 402.91, 518.4]	Exclude cases with the following surgical procedures: 36.01, 36.02, 36.05, 36.1, 37.5, or 37.7
Hypertension [401.0, 401.9, 402.00, 402.10, 402.90]	Exclude cases with the following procedures: 36.01, 36.02, 36.05, 36.1, 37.5, or 37.7
Angina [411.1, 411.8, 413]	Exclude cases with a surgical procedure [01-86.99]
Cellulitis [681, 682, 683, 686]	Exclude cases with a surgical procedure [01-86.99], except incision of skin and subcutaneous tissue [86.0] where it is the only listed surgical procedure
Skin grafts with cellulitis [primary diagnosis of 681.00, 681.01, 681.02, 681.10, 681.11, 682.0, 682.1, 682.2, 682.3, 682.4, 682.5, 682.6, 682.7, 682.8, 682.9, 707.0, 707.1, 707.8, or 707.9 AND primary or secondary procedure code of 85.82, 85.83, 85.84, 85.85, 86.22, 86.4, 86.60, 86.61, 86.62, 86.63, 86.65, 86.66, 86.69, 86.70, 86.71, 86.72, 86.73, 86.74, 86.75, 86.91, or 86.93]	Exclude admissions from skilled nursing facilities or intermediate care facilities
Diabetes "A" [250.1, 250.2, 250.3]
Diabetes "B" [250.8, 250.9]
Diabetes "C" [250.0]
Hypoglycemia [251.2]
Gastroenteritis [558.9]

Return to Contents
Proceed to Table A-3

The information on this page is archived and provided for reference purposes only.