National Hospital Discharge Survey - Centers for Disease Control and ...

December 2010

Series 13, Number 168

National Hospital Discharge Survey: 2006 Annual Summary

Copyright information All material appearing in this report is in the public domain and may be reproduced or copied without permission; citation as to source, however, is appreciated. Suggested citation Buie VC, Owings MF, DeFrances CJ, Golosinskiy A. National Hospital Discharge Survey: 2006 summary. National Center for Health Statistics. Vital Health Stat 13(168). 2010.

Library of Congress Catalog Card Number 97–10617

For sale by the U.S. Government Printing Office Superintendent of Documents Mail Stop: SSOP Washington, DC 20402-9328 Printed on acid-free paper.

Series 13, Number 168


Data From the National Health Care Surveys

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Health Statistics Hyattsville, Maryland December 2010 DHHS Publication No. (PHS) 2011–1739

National Center for Health Statistics Edward J. Sondik, Ph.D., Director Jennifer H. Madans, Ph.D., Associate Director for Science

Division of Health Care Statistics Jane E. Sisk, Ph.D., Director

Contents

Abstract . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1

Highlights. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Patient and Hospital Characteristics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Diagnoses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Deliveries and Newborn Infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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1

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2

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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2

Methods . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Data Source . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Estimation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Use of Tables . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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3

4

4

References . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5

Appendix. Technical Notes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

53

Text Figures 1. 2. 3. 4. 5.

Inpatient discharges by size of hospital and metropolitan status of hospital: United States, 2006 . . . . . . . . . . . . . . . . . . . . Age distribution for hospital discharges, days of care, and the civilian population: United States, 2006 . . . . . . . . . . . . . . . Rate of discharges age 65 and over with a first-listed diagnosis of stroke (cerebrovascular disease), by age group:

United States, 1996–2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Discharges and days of care, by first-listed diagnosis ICD–9–CM chapters: United States, 2006 . . . . . . . . . . . . . . . . . . . . Number and type of procedures for inpatient discharges, by age group: United States, 2006. . . . . . . . . . . . . . . . . . . . . . . .

2

2

3

3

4

Detailed Tables Tables on Patient and Hospital Characteristics 1. 2. 3. 4. 5. 6. 7. 8.

Number and rate of discharges from short-stay hospitals and of days of care with average length of stay, by age:

United States, selected years 1970–2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number, percent distribution, and rate of discharges from short-stay hospitals and of days of care with average length

of stay, by sex and age: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of discharges from short-stay hospitals and of days of care with average length of stay, by sex, age,

and geographic region: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of discharges from short-stay hospitals and of days of care with average length of stay, by principal expected

source of payment, sex, age, and geographic region: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of discharges from short-stay hospitals and of days of care with average length of

stay, by bed size of hospital, according to sex, age, and geographic region: United States, 2006 . . . . . . . . . . . . . . . . . . . Number and percent distribution of discharges from short-stay hospitals and of days of care, with average length

of stay, by hospital ownership, according to sex and age: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of discharges by type and source of admission to short-stay hospitals, according to

sex and age: United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of discharges from short-stay hospitals and of days of care, with average length

of stay, by disposition of patient, according to sex, age, and geographic region: United States, 2006 . . . . . . . . . . . . . . . .

7

8

9

11

14

16

17

18

iii

Diagnosis Tables 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25.

Number and rate of discharges from short-stay hospitals and of days of care, with average length of stay, by selected

first-listed diagnostic categories: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of discharges from short-stay hospitals with average length of stay, for patients age 65 and over,

by age and selected first-listed diagnostic categories: United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of discharges from short-stay hospitals, by age and first-listed diagnosis: United States, 2006 . . . . . . . . . . . . . . Rate of discharges from short-stay hospitals, by age and first-listed diagnosis: United States, 2006 . . . . . . . . . . . . . . . . . Average length of stay for discharges from short-stay hospitals, by age and first-listed diagnosis: United States, 2006. . Number of discharges from short-stay hospitals, by sex and first-listed diagnosis: United States, 2006 . . . . . . . . . . . . . . Rate of discharges from short-stay hospitals, by sex and first-listed diagnosis: United States, 2006 . . . . . . . . . . . . . . . . . Average length of stay for discharges from short-stay hospitals, by sex and first-listed diagnosis: United States, 2006 . . Number of discharges from short-stay hospitals, by geographic region and first-listed diagnosis: United States, 2006 . . Rate of discharges from short-stay hospitals, by geographic region and first-listed diagnosis: United States, 2006 . . . . . Average length of stay for discharges from short-stay hospitals, by geographic region and first-listed diagnosis:

United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of all-listed diagnoses for discharges from short-stay hospitals, by age and diagnosis: United States, 2006 . . . . Number of all-listed diagnoses for discharges from short-stay hospitals, by sex and diagnosis: United States, 2006 . . . . Number of all-listed diagnoses for discharges from short-stay hospitals, by geographic region and diagnosis:

United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of discharges from short-stay hospitals with a human immunodeficiency virus diagnosis, by selected

characteristics: United States, selected years 1990–2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Annual average number and rate of discharges from short-stay hospitals with a first-listed injury diagnosis, by Barell

injury diagnosis matrix categories: United States, 2004–2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of deaths for discharges from short-stay hospitals, by age and selected first-listed diagnosis:

United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20

21

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

Procedure Tables 26. 27. 28. 29. 30. 31. 32. 33. 34. 35.

Number of discharges from short-stay hospitals with and without procedures and percentage with procedures, by

selected characteristics: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of all-listed surgical and nonsurgical procedures for discharges from short-stay hospitals, by selected

procedure categories: United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of all-listed surgical and nonsurgical procedures for patients age 65 and over discharged from

short-stay hospitals, by age and selected procedure categories: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of discharges from short-stay hospitals with a coronary artery bypass graft and number and rate of

procedures, by sex, age, and geographic region: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of all-listed procedures for discharges from short-stay hospitals, by age and procedure category: United States,

2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of all-listed procedures for discharges from short-stay hospitals, by age and procedure category: United States,

2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of all-listed procedures for discharges from short-stay hospitals, by sex and procedure category: United States,

2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of all-listed procedures for discharges from short-stay hospitals, by sex and procedure category: United States,

2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of all-listed procedures for discharges from short-stay hospitals, by geographic region and procedure category:

United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Rate of all-listed procedures for discharges from short-stay hospitals, by geographic region and procedure category:

United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37

38

39

40

41

42

43

44

45

46

Tables on Deliveries and Newborn Infants 36. 37. 38. 39.

iv

Number, percent distribution, and rate of discharges and days of care, with average length of stay for females with

deliveries discharged from short-stay hospitals, by type of delivery, age, and geographic region: United States, 2006 . . Number and percent distribution of females with deliveries discharged from short-stay hospitals, by length of stay

and type of delivery: United States, selected years 1980–2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of selected obstetrical procedures for females with deliveries discharged from short-stay hospitals:

United States, selected years 1980–2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and rate of females with deliveries discharged from short-stay hospitals, by type of delivery: United States,

selected years 1980–2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

47

48

49

49

40. 41. 42. 43. 44.

Number and rate of females with deliveries discharged from short-stay hospitals, by type of delivery, age, and

geographic region: United States, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number, percent distribution, and average length of stay for newborn infants discharged from short-stay hospitals,

by sex, geographic region, and health status: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percent distribution of newborn infants discharged from short-stay hospitals, by length of stay, and

average length of stay, by health status: United States, selected years 1980–2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number of all-listed diagnoses for sick newborn infants discharged from short-stay hospitals, by sex and selected

diagnostic categories: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Number and percentage of male newborn infants circumcised during hospitalization, by geographic region:

United States, selected years 1980–2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50

51

51

52

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Appendix Tables I. II. III. IV. V. VI.

Civilian population by age, geographic region, and sex: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Estimated parameters for approximate relative standard error equations for National Hospital Discharge Survey

statistics, by selected characteristics: United States, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Code numbers for Barell injury diagnosis matrix categories in Table 24 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Code numbers for procedures considered nonsurgical in the National Hospital Discharge Survey, by ICD–9–CM

category, 2006. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Changes in ICD–9–CM diagnosis codes, 1986–2005. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Changes in ICD–9–CM procedure codes, 1986–2005 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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56

58

59

61

68

Appendix Figure Medical abstract form for the National Hospital Discharge Survey, 2006 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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v

Objectives


This report presents 2006 national estimates and selected trend data on the use of nonfederal short-stay hospitals in the United States. Estimates are provided by selected patient and hospital characteristics, diagnoses, and surgical and nonsurgical procedures performed. Estimates of diagnoses and procedures are presented according to the International Classification of Diseases, Ninth Revision, Clinical Modification codes.

by Verita C. Buie, Dr.P.H.; Maria F. Owings, Ph.D.; Carol J. DeFrances, Ph.D.; and Alexander Golosinskiy, M.S., Division of Health Care Statistics

Methods

Patient and Hospital Characteristics

The estimates are based on data collected through the National Hospital Discharge Survey (NHDS). The survey has been conducted annually since 1965. In 2006, data were collected for approximately 376,000 discharges. Of the 478 eligible nonfederal short-stay hospitals in the sample, 438 (92 percent) responded to the survey.

Results An estimated 34.9 million inpatients were discharged from nonfederal short-stay hospitals in 2006. These discharges used 166.3 million days of care and had an average length of stay of 4.8 days. In 2006, hospitals with under 100 beds accounted for 77 percent of inpatient discharges in nonmetropolitan areas, but only 13 percent of inpatient discharges in metropolitan areas. Forty-three percent of the total days of care were accounted for by persons age 65 and over, although this age group represented only 12 percent of the population. The rate of discharges with a first-listed diagnosis of stroke among persons age 65–74, 75–84, and 85 and over dropped significantly from 1996 to 2006. The leading diagnostic category was diseases of the circulatory system. Among the 8.7 million inpatient discharges age 45–64, 4.2 million (48 percent) had at least one surgical procedure. Keywords: hospitalization c inpatient c diagnoses c procedures

Highlights

+ There were an estimated 34.9 million discharges from nonfederal short-stay hospitals in 2006. Those discharges used an estimated 166.3 million days of care and were hospitalized for an average of 4.8 days per stay. + About 77 percent of inpatients discharged from nonmetropolitan hospitals were from facilities with fewer than 100 beds, while hospitals of the same bed size accounted for only 13 percent of all inpatient discharges among metropolitan hospitals (Figure 1). Sixteen percent of all discharges from nonfederal short-stay hospitals in 2006 were from hospitals not in metropolitan areas. + In 2006, 12 percent of the U.S. population was age 65 and over; however, this age group used approximately 43 percent of the total days of care and comprised 38 percent of all inpatient discharges. This compares to 20 percent of the U.S. population who were under age 15 who accounted for only 7 percent of the total days of care and 7 percent of all inpatient discharges (Figure 2).

+ Regionally, the average length of stay in days for nonfederal short-stay hospitals in the United States ranged from 4.2 in the Midwest to 5.3 in the Northeast. + The status at discharge for 77.2 percent of all inpatients was described as routine or discharged to home.

Diagnoses + From 1996 to 2006 the rate of discharges with a first-listed diagnosis of stroke (cardiovascular disease) declined 18 percent for those age 65–74, 34 percent for those age 75–84, and 29 percent for those age 85 and over (Figure 3). + The leading cause of children’s hospitalizations was respiratory diseases, which accounted for 576,000 (25 percent) of discharges under age 15. + Inpatients under age 65 with a first-listed diagnosis of heart disease were less likely to die during hospitalization (1.2 per 100 discharges) than those age 65 and over (3.5 per 100 discharges). + Circulatory diseases accounted for both the greatest number of total days of care (27.4 million days) and the largest number of discharges (6.2 million discharges) among the major diagnostic categories (Figure 4).

This report was prepared in the Division of Health Care Statistics. The report was edited by Betsy M. Finley, Laura Drescher, and Demarius V. Miller, CDC/CCHIS/NCHM/Division of Creative Services, Writer-Editor Services Branch; typeset by Annette F. Holman, and graphics produced by Sarah M. Hinkle, CDC/OSELS/NCHS/OD/Office of Information Services, Information Design and Publishing Staff.

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200– 299 beds 100–199 9% beds 14%

500 beds Under 100 beds or more 16% 13% 100–199 beds 22%

300–499 beds 28%

Under 100 beds 77%

200–299 beds 21%

Hospitals in metropolitan areas

Hospitals not in metropolitan areas

SOURCE: CDC/NCHS, National Hospital Discharge Survey, 2006.

Figure 1. Inpatient discharges by size of hospital and metropolitan status of hospital: United States, 2006

+ Over one-half of all deliveries resulted in a length of stay of 2 or fewer days. + The rate of episiotomies per 100 vaginal deliveries decreased from 43.2 in 1996 to 16.0 in 2006. + Fifty-four percent of newborn infants were discharged in 2006 without any illness or risk-related diagnoses. These newborn infants had an average length of stay of 2.1 days compared with 4.9 days among newborns with at least one illness or risk-related diagnosis. + In 2006, 56.1 percent of all male newborn infants were circumcised during the birth hospitalization compared with 60.2 in 1996.

Introduction Under 15 years

15–44 years

45–64 years

65 years and over

Discharges

Days of care

Population

0

10

20

30

40

50 60 Percent

70

80

90

100


Figure 2. Age distribution for hospital discharges, days of care, and the civilian population: United States, 2006

Procedures + In 2006, 28.1 million surgical procedures and 17.9 million nonsurgical procedures were performed on hospital inpatients. + Of the 8.7 million discharges of inpatients age 45–64, 4.2 million (48%) had at least one surgical procedure (Figure 5). + Among the 444,000 coronary artery bypass grafts performed in 2006, only 27.7 percent were performed on women.

+ The rate of total hip replacement among inpatients age 65 and over (33.8 per 10,000 population) was over 2 times that of their counterparts age 45–64 (12.3 per 10,000 population).

Deliveries and Newborn Infants + In 2006, approximately 4.1 million discharges were for delivery; their average stay was 2.6 days.

This report presents data from the 2006 National Hospital Discharge Survey (NHDS). The survey has been conducted continuously by the Centers for Disease Control and Prevention’s (CDC) National Center for Health Statistics (NCHS) since 1965. National estimates of hospital use derived from NHDS are published for each calendar year by NCHS. This report provides a summary of the 2006 data, including estimates of diagnoses and procedures by the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) codes (1). NHDS is the principal source for national data on the characteristics of inpatients discharged from nonfederal short-stay hospitals. Data from NHDS are used for evaluating the health status of the population, planning programs to improve health status, studying trends in morbidity, and carrying out research activities in the health field (2–6). The Department of Health and Human Services uses NHDS data in the development and monitoring of goals for the Healthy People 2010 health objectives. Other CDC centers, including the National Center for Injury Prevention and Control, and the National Center for Chronic Disease Prevention and Health Promotion, use NHDS to track a variety of conditions, including injuries and chronic diseases.

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450

Rate per 10,000 population

400

85 years and over

350

300

75–84 years

250

200

65–74 years

150

100

50

0

1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 Year SOURCE: CDC/NCHS, National Hospital Discharge Survey, 1996–2006.

Figure 3. Rate of discharges age 65 and over with a first-listed diagnosis of stroke (cerebrovascular disease), by age group: United States, 1996–2006

Discharges

Methods

Days of care

Circulatory diseases Supplemental classifications

Data Source

Digestive diseases Respiratory diseases Injury and poisoning Mental disorders Genitourinary diseases Musculoskeletal diseases Endocrine, nutritional, and metabolic diseases Neoplasms Infectious and parasitic diseases 7

short-stay hospitals. Data on ambulatory medical care services are collected in other NCHS surveys. Data on ambulatory surgery performed in hospitals and freestanding surgery centers were collected in the National Survey of Ambulatory Surgery from 1994 through 1996 and in 2006 (9,10). The National Ambulatory Medical Care Survey obtains information on visits to physicians’ offices (11). The National Hospital Ambulatory Medical Care Survey (NHAMCS) collects data on visits to hospital outpatient and emergency departments (12,13). NHAMCS started covering hospitalbased ambulatory surgery centers in 2009, and will add freestanding centers in 2010. Information about long-term care is collected in the National Nursing Home Survey (14) and the National Home and Hospice Care Survey (15).

2

0

13 3 8 Number in millions

18

23

28


Figure 4. Discharges and days of care, by first-listed diagnosis ICD–9–CM chapters: United States, 2006

The National Institutes of Health make extensive use of NHDS data on heart disease and cancer. The Veterans Administration and Department of Defense compare NHDS data with

statistics on the inpatient care provided in their hospitals (7–8). NHDS produces estimates of utilization by inpatients in nonfederal

NHDS data are collected from a sample of inpatient records acquired from a national probability sample of hospitals. Because persons with multiple discharges during the year can be sampled more than once, NHDS produces estimates for discharges, not people. General hospitals, children’s general hospitals, or hospitals with an average length of stay of fewer than 30 days for all patients are eligible for inclusion in the survey. Federal, military, and Department of Veterans Affairs hospitals, as well as hospital units of institutions (such as prison hospitals) and hospitals with fewer than six beds staffed for patient use, are excluded. From 1988 until 2003, the hospital sampling frame for NHDS was constructed from the SMG Hospital Market Database (16). In 2003 and 2006, the sampling frame was constructed from products of Verispan, L.L.C., specifically their ‘‘Healthcare Market Index’’ and their ‘‘Hospital Market Profiling Solution’’ (17). These two products were formerly known as the SMG Hospital Market Database. The sampling frame and sample are updated


12

Only nonsurgical procedures At least one surgical procedure

Number in millions

10

No procedures

8

6

For manual data collection in NHDS, an ongoing quality control program is utilized for medical coding and data entry of abstraction forms. Approximately 10 percent of abstract forms are independently recoded, with discrepancies resolved by a chief coder. The overall 2006 error rate for records manually coded was 0.3 percent for data entry of medical (ICD–9–CM) coding and 0.3 percent for data entry of demographic information.

4

Estimation 2

0

Under 15

15–44

45–64 65–74 Age in years

75–84

85 and over

SOURCE: CDC/NCHS, National Hospital Discharge Survey, 1996–2006.

Figure 5. Number and type of procedures for inpatient discharges, by age group: United States, 2006

every 3 years to include hospitals that opened or changed their eligibility status since the previous update (18). Since 1988, NHDS has used a modified three-stage sample design. Units selected at the first stage consist of either hospitals or geographic areas, such as counties, groups of counties, or metropolitan statistical areas in the 50 states and the District of Columbia. Within sampled geographic areas, additional hospitals are selected. Finally, at the last stage, discharges are selected within sampled hospitals using systematic random sampling. For 2006, the sample consisted of 501 hospitals, of which 23 were out of scope because they had gone out of business or were otherwise ineligible to be in the NHDS universe. Of the 478 in-scope (eligible) hospitals, 438 (92 percent) responded to the survey. Data were collected for approximately 376,000 discharges from the 438 responding hospitals. Two data collection procedures are used for the survey. One is a manual system in which sample selection and transcription of information from medical records are performed by hospital staff or by staff of the U.S. Census Bureau on behalf of NCHS. In

addition, NCHS purchases electronic files containing medical record data from commercial organizations, state data systems, hospitals, or hospital associations. Discharges from these files are systematically sampled. Approximately 45 percent of respondent hospitals provided data through this automated system for the 2006 survey. The NHDS medical abstract form (Appendix figure) and the automated data contain items that relate to the personal characteristics of the patient. These include birth date (converted to age), sex, race, ethnicity, marital status, ZIP Code, and expected sources of payment. Administrative items such as admission and discharge dates, admission type and source, and discharge status are also included. The medical information includes final medical diagnoses, procedures performed, and dates of surgery. Medical data are coded according to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) (1). Date of birth and ZIP Code are confidential information and are not available to the public, though they can be used, with privacy safeguards, through the NCHS Research Data Center: http://www.cdc.gov/rdc/.

Because they are sample data, the survey data must be inflated or weighted to produce national estimates. The estimation procedure produces essentially unbiased national estimates and has three basic components: inflation by reciprocals of the probabilities of sample selection, adjustment for nonresponse, and population weighting ratio adjustments. These three components of the final weight are described in more detail in another report (18). Information about the standard errors of statistics for the 2006 NHDS is found in Table II.

Use of Tables Demographic information about patients and utilization estimates by hospital characteristics are shown in Tables 1–8. Diagnostic data are included in Tables 9–25 and information about procedures is found in Tables 26–35. Tables 36–44 present data on deliveries and newborn infants. Beginning with 2006 NHDS data, estimates of diagnoses, days of care by diagnosis, and procedures shown by ICD–9–CM codes previously referred to as detailed Tables 45–48 are available only on the Web at http://www.cdc.gov/nchs/nhds/ nhds_products.htm. Figures 1–5 highlight findings from the survey data. Definitions of terms used in these tables and figures are presented in the appendix. Diagnostic and procedure data are presented by chapter using the ICD–9–CM classification system with frequently occurring broad and specific subcategories within chapters also shown (Tables 11–22 and 30–35). The


diagnostic categories shown in Table 9 are the same as the subcategories within chapters shown in Tables 11–18. Categories shown in Table 10 become subcategories in Tables 11–18 for the estimates of 100,000 or more for patients age 65 and over. The procedure categories shown in Table 27 are the same as subcategories in Tables 30–35, except that they are divided into surgical and nonsurgical components. The categories in Table 28 are subcategories in Tables 30–35 for patients age 65 and over, divided into surgical and nonsurgical components with estimates of 100,000 or more. In 2006, the list of nonsurgical procedures was updated (see Table IV for the current list of procedure codes considered nonsurgical). In 2002, the ICD–9–CM Coordination and Maintenance Committee created Chapter 00, ‘‘Procedures and Interventions Not Elsewhere Classified,’’ as a way to handle space limitations of the existing hierarchical structure. From 2003 through 2005, NHDS included this new chapter in the miscellaneous diagnostic and therapeutic procedures and new technologies category. Beginning with the 2006 NHDS, 00 codes that had previous code assignments in other chapters are included in the categories and chapters of their previous codes. For example, ‘‘Balloon angioplasty of coronary artery or coronary atherectomy’’ has been reassigned ICD–9–CM code 00.66, but it is included with other operations of the cardiovascular system. This approach has been adopted to preserve comparability in procedure categories over time. Diagnoses assigned ICD–9–CM codes E800–E999 (supplementary classification of external causes of injury and poisoning) are not included in this report. However, detailed information about injury diagnoses and E codes has been published (19). Injury data are presented in this report using the Barell injury diagnosis matrix (Table 24). This is a twodimensional array of ICD–9–CM codes (excluding external cause codes) that groups injuries by body site and type of injury. The codes for the matrix are

shown in Table III. The matrix provides a standard format for reporting injury data that improves the usefulness and comparability of epidemiological and clinical analyses (20). Data categorized using the Barell matrix are included in this report to provide a national benchmark for states and localities. Table 29 compares the number of coronary artery bypass graft (CABG) procedures to the number of discharges of inpatients who received them. Multiple codes are often assigned to a single patient to indicate the number and type of bypasses performed during a single operation, resulting in a much larger number of procedures than of discharges who had them. Beginning with 2003 NHDS data, estimates for the procedure of ‘‘Insertion of coronary artery stent(s)’’ are shown separately from estimates for ‘‘Balloon angioplasty of coronary artery or coronary atherectomy’’ (Tables 27–28 and 30–35). Previously, these were combined in the category ‘‘Removal of coronary artery obstruction and insertion of stent(s).’’ Tables 8 and 25 show death rates per 100 hospital discharges, based on the first-listed diagnosis of a patient who dies in the hospital. These rates are different from mortality rates published regularly by NCHS (21), which are ratios of deaths to the population. Mortality rates include deaths that occur in hospitals and other settings and are for the underlying cause of death, which may differ from the first-listed diagnosis of a patient who dies in the hospital. Data for newborn infants are included only in Tables 41–44. Because estimates of newborn infants are based on a sample and because they do not include out-of-hospital births, these estimates may not agree with data on births published in the National Vital Statistics Reports (22), which are based on birth certificate data. Tables that provide information by three-digit, four-digit, and five-digit ICD–9–CM diagnostic codes, as well as two-digit, three-digit, and four-digit procedure codes are no longer included in this report. These tables are now available on the Web at http://www. cdc.gov/nchs/nhds/nhds_products.htm.

Estimates in all tables are rounded to the nearest thousand. Totals may include data for categories that are not shown individually in the tables. For these reasons, figures within tables do not always add to the totals. Rates, percentages, and average lengths of stay are calculated from unrounded figures and may not precisely agree with measures calculated from rounded data. Because of low reliability, estimates in Tables 1–44 are suppressed if they have relative standard errors of more than 30 percent or are based on fewer than 30 records; only an asterisk (*) then appears in the tables. Estimates based on 30–59 records are presented but are preceded by an asterisk (*) to indicate that they also may have low reliability. The population estimates used to compute rates are shown in Appendix Table I. These are postcensal estimates for July 1, 2006 based on the 2000 census. A weighted least squares regression method (23) was used to test the significance of trend data shown in Figure 3. Throughout the report, the two-sided t test was used to test for differences among NHDS estimates. Terms that express differences such as higher, lower, largest, smallest, leading, increased, or decreased were used in this report only when the differences were statistically significant at the 0.05 level.

References 1.

2.

3.

4.

National Center for Health Statistics. International Classification of Diseases, Ninth Revision, Clinical Modification, 6th ed. Washington, DC: Public Health Service. 2004. Available from: http://www.cdc.gov/nchs/icd/ icd9cm.htm. Oliphant SS, Wang L, Bunker CH, Lowder JL. Trends in stress urinary incontinence inpatient procedures in the United States, 1979–2004. Am J Obstet Gynecol 200(5):521.e1–6. 2009. Frankman EA, Wang L, Bunker CH, Lowder JL. Episiotomy in the United States: Has anything changed? Am J Obstet Gynecol 200(5):573.e1–7. 2009. Stein PD, Goldman J, Matta F, Yaekoub AY. Diabetes mellitus and risk of venous thromboembolism. Am J Med Sci 337(4):259–64. 2009.


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Turaga K, Kaushik M, Forse RA, Sasson AR. In hospital outcomes after pancreatectomies: An analysis of a national database from 1996 to 2004. J Surg Oncol 98(3):156–60. 2008. Fang J, Mensah GA, Croft JB, Keenan NL. Heart failure-related hospitalization in the U.S., 1979 to 2004. J Am Coll Cardiol 52(6):428–34. 2008. Rosenthal GE, Kaboli PJ, Barnett MJ. Differences in length of stay in Veterans Health Administration and other United States hospitals: Is the gap closing? Med Care 41(8):882–94. 2003. Jackson JL, Cheng EY, Jones DL, Meyer G. Comparison of discharge diagnoses and inpatient procedures between military and civilian health care systems. Mil Med 164(10):701–4. 1999. Owings MF, Kozak LJ. Ambulatory and inpatient procedures in the United States, 1996. National Center for Health Statistics. Vital Health Stat 13(139). 1998. Available from: http://www.cdc.gov/nchs/data/series/ sr_13/sr13_139.pdf. Cullen KA, Hall MJ, Golosinskiy A. Ambulatory surgery in the United States, 2006. National health statistics reports; no 11. Hyattsville, MD: National Center for Health Statistics. 2009. Available from: http://www. cdc.gov/nchs/data/nhsr/nhsr011.pdf. Cherry DK, Hing E, Woodwell DA, Rechtsteiner EA. National Ambulatory Medical Care Survey: 2006 summary. National health statistics reports; no 3. Hyattsville, MD: National Center for Health Statistics. 2008. Available from: http://www.cdc.gov/nchs/data/nhsr/ nhsr003.pdf. Hing E, Hall MJ, Xu J. National Hospital Ambulatory Medical Care Survey: 2006 outpatient department summary. National health statistics reports; no 4. Hyattsville, MD: National Center for Health Statistics. 2008. Available from: http://www.cdc.gov/ nchs/data/nhsr/nhsr004.pdf. Pitts SR, Niska RW, Xu J, Burt CW. National Hospital Ambulatory Medical Care Survey: 2006 emergency department summary. National health statistics reports; no 7. Hyattsville, MD: National Center for Health Statistics. 2008. Available from: http://www. cdc.gov/nchs/data/nhsr/nhsr007.pdf. Jones AL, Dwyer LL, Bercovitz AR, Strahan GW. The National Nursing Home Survey: 2004 overview. National Center for Health Statistics. Vital Health Stat 13(167). 2009. Available

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from: http://www.cdc.gov/nchs/data/ series/sr_13/sr13_167.pdf. Haupt BJ. Characteristics of hospice care discharges and their length of service: United States, 2000. National Center for Health Statistics. Vital Health Stat 13(154). 2003. Available from: http://www.cdc.gov/nchs/data/ series/sr_13/sr13_154.pdf. SMG Marketing Group, Inc. Hospital Market Database. Chicago, IL: Healthcare Information Specialists. April 1987, April 1991, April 1994, April 1997, April 2000. Verispan, L.L.C. Releases of the healthcare market index and hospital market profiling solution. 2003, 2006. Dennison CF, Pokras R. Design and operation of the National Hospital Discharge Survey: 1988 redesign. National Center for Health Statistics. Vital Health Stat 1(39). 2000. Available from: http://www.cdc.gov/nchs/data/ series/sr_01/sr01_039.pdf. Heinen M, Hall MJ, Boudreault MA, Fingerhut LA. National trends in injury hospitalizations, 1979–2001. Hyattsville, MD: National Center for Health Statistics. 2005. Available from: http://www.cdc.gov/nchs/data/injury/ InjuryChartbook79–01.pdf. Barell V, Aharonson-Daniel L, Fingerhut LA, Mackenzie EJ, Ziv A, Boyko V, et al. An introduction to the Barell body region by nature of injury diagnosis matrix. Inj Prev 8(2):91–6. 2002. Heron M, Hoyert DL, Murphy SL, et al. Deaths: Final data for 2006. National vital statistics reports; vol 57 no 14. Hyattsville, MD: National Center for Health Statistics. 2009. Available from: http://www.cdc.gov/ nchs/data/nvsr/nvsr57/nvsr57_14.pdf. Martin JA, Hamilton BE, Sutton PD, et al. Births: Final data for 2006. National vital statistics reports; vol 57 no 7. Hyattsville, MD: National Center for Health Statistics. 2009. Available from: http://www.cdc.gov/nchs/data/nvsr/ nvsr57/nvsr57_07.pdf. Gillum BS, Graves EJ, Kozak LJ. Trends in hospital utilization: United States, 1988–92. National Center for Health Statistics. Vital Health Stat 13(124). 1996. Available from: http://www.cdc.gov/nchs/data/series/ sr_13/sr13_124.pdf. Research Triangle Institute. SUDAAN language manual, release 9.0. Research Triangle Park, NC: Research Triangle Institute. 2004. Hansen MH, Hurwitz WN, Madow

WG. Sample survey methods and theory, vol 1, methods and applications. Wiley Classics Library Ed. New York, NY: John Wiley & Sons. 1993. 26. Cochran WG. Sampling techniques, 3rd edition. New York, NY: John Wiley & Sons. 1977.

Series 13, No. 168 [ Page 7 Table 1. Number and rate of discharges from short-stay hospitals and of days of care with average length of stay, by age: United States, selected years 1970–2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Age

1970

1980

1985

1990

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29,127

37,832

35,056

30,788

Under 15 years . . . . 15–44 years . . . . . . 45–64 years . . . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over .

3,873 12,664 6,693 5,897 3,163 2,099 635

3,672 15,635 8,660 9,864 4,943 3,611 1,310

2,972 13,966 7,610 10,508 5,011 3,969 1,528

2,412 11,799 6,244 10,333 4,689 3,949 1,694

1995

2000

2005

2006

30,722

31,706

34,667

34,854

2,405 10,593 6,168 11,556 4,832 4,590 2,134

2,383 9,969 6,958 12,396 4,678 5,119 2,599

2,431 10,659 8,349 13,228 4,900 5,394 2,934

2,298 10,800 8,686 13,070 4,793 5,252 3,025

Number of discharges in thousands

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

Rate of discharges per 1,000 population1 All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

144.3

167.7

148.4

122.3

115.7

112.8

117.4

116.9


. . . . . . .

66.8 154.6 159.6 293.3 253.2 339.5 443.7

71.6 150.1 194.8 383.7 315.8 463.9 576.4

57.7 125.0 170.8 369.8 297.3 446.4 572.9

43.1 99.3 135.5 334.1 261.6 395.7 560.6

40.4 87.8 118.5 347.7 260.0 415.6 592.5

39.5 80.9 111.4 353.4 254.6 412.4 605.1

40.0 85.3 114.7 359.6 262.9 413.2 575.8

37.8 86.1 116.1 350.8 253.4 402.6 571.1

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

226,445

274,508

226,217

197,422

164,627

155,857

165,925

166,342

. . . . . . .

18,189 71,605 62,419 74,232 37,873 27,633 8,726

16,191 81,951 71,008 105,358 49,253 40,355 15,750

13,554 67,397 53,541 91,726 41,090 36,024 14,612

11,655 54,062 42,153 89,552 37,422 35,926 16,204

10,715 40,825 34,207 78,880 31,310 31,974 15,597

10,734 36,593 34,443 74,086 26,438 31,525 16,123

11,371 39,786 41,619 73,149 26,068 30,228 16,853

10,990 40,486 43,335 71,530 24,914 29,579 17,037

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,121.6

1,216.7

957.7

784.0

620.2

554.6

562.1

557.8


. . . . . . .

313.9 874.0 1,488.8 3,691.9 3,031.6 4,469.2 6,102.1

315.7 786.8 1,596.9 4,098.4 3,147.0 5,183.7 6,932.1

263.0 603.3 1,201.6 3,228.0 2,437.3 4,052.2 5,478.7

208.4 454.9 914.4 2,895.6 2,087.8 3,599.5 5,361.7

179.9 338.4 657.5 2,373.7 1,684.7 2,894.7 4,330.6

178.0 297.1 551.5 2,111.9 1,439.0 2,539.8 3,753.8

187.3 318.5 571.7 1,988.3 1,398.5 2,315.5 3,307.1

180.9 322.9 579.3 1,919.7 1,317.0 2,267.2 3,216.5

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7.8

7.3

6.5

6.4

5.4

4.9

4.8

4.8

4.7 5.7 9.3 12.6 12.0 13.2 13.7

4.4 5.2 8.2 10.7 10.0 11.2 12.0

4.6 4.8 7.0 8.7 8.2 9.1 9.6

4.8 4.6 6.8 8.7 8.0 9.1 9.6

4.5 3.9 5.5 6.8 6.5 7.0 7.3

4.5 3.7 5.0 6.0 5.7 6.2 6.2

4.7 3.7 5.0 5.5 5.3 5.6 5.7

4.8 3.7 5.0 5.5 5.2 5.6 5.6

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

Number of days of care in thousands


. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

Rate of days of care per 1,000 population1

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

Average length of stay in days


. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

1 Rates were calculated using the U.S. Census Bureau estimates of the civilian population. Rates for 1990 and 1995 were based on population estimates adjusted for the net underenumeration in the 1990 census. Rates for 2000, 2005, and 2006 were calculated using 2000-based postcensal estimates. Rates for 2000 differ from the ones shown in earlier reports because they were calculated using revised population estimates.

Page 8 [ Series 13, No. 168 Table 2. Number, percent distribution, and rate of discharges from short-stay hospitals and of days of care with average length of stay, by sex and age: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Discharges

Days of care

Number in thousands

Percent distribution

Rate per 1,000 population1

Number in thousands


All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

100.0

116.9

166,342

100.0

557.8

4.8

Under 15 years . . . Under 1 year . . . 1–4 years . . . . . 5–14 years . . . . . 15–44 years . . . . . 15–19 years . . . . 20–24 years . . . . 25–34 years . . . . 35–44 years . . . . 45–64 years . . . . . 45–54 years . . . . 55–64 years . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over

. . . . . . . . . . . . . . . .

2,298 751 682 865 10,800 1,200 1,932 4,045 3,623 8,686 4,195 4,491 13,070 4,793 5,252 3,025

6.6 2.2 2.0 2.5 31.0 3.4 5.5 11.6 10.4 24.9 12.0 12.9 37.5 13.8 15.1 8.7

37.8 181.8 41.9 21.4 86.1 56.5 93.1 101.1 83.5 116.1 97.0 142.2 350.8 253.4 402.6 571.1

10,990 4,801 2,289 3,900 40,486 4,734 6,354 13,850 15,548 43,335 20,174 23,161 71,530 24,914 29,579 17,037

6.6 2.9 1.4 2.3 24.3 2.8 3.8 8.3 9.3 26.1 12.1 13.9 43.0 15.0 17.8 10.2

180.9 1,162.4 140.5 96.7 322.9 222.8 306.3 346.2 358.2 579.3 466.7 733.4 1,919.7 1,317.0 2,267.2 3,216.5

4.8 6.4 3.4 4.5 3.7 3.9 3.3 3.4 4.3 5.0 4.8 5.2 5.5 5.2 5.6 5.6

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Sex and age



Both sexes

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

Male 13,990

100.0

95.5

72,483

100.0

494.7

5.2

. . . . . . . . . . . . . . . .

1,295 424 377 495 2,922 360 383 824 1,355 4,287 2,031 2,255 5,487 2,241 2,236 1,010

9.3 3.0 2.7 3.5 20.9 2.6 2.7 5.9 9.7 30.6 14.5 16.1 39.2 16.0 16.0 7.2

41.7 200.5 45.2 24.0 46.2 33.1 36.1 40.8 62.7 117.6 95.6 148.2 350.4 258.4 422.0 598.4

6,312 2,778 1,226 2,309 14,574 1,834 1,915 3,970 6,854 21,893 10,189 11,704 29,705 11,499 12,702 5,504

8.7 3.8 1.7 3.2 20.1 2.5 2.6 5.5 9.5 30.2 14.1 16.1 41.0 15.9 17.5 7.6

203.1 1,314.6 147.1 111.8 230.2 168.8 180.7 196.4 317.0 600.4 479.6 769.0 1,897.2 1,326.2 2,397.3 3,260.4

4.9 6.6 3.3 4.7 5.0 5.1 5.0 4.8 5.1 5.1 5.0 5.2 5.4 5.1 5.7 5.4

All ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

20,864

100.0

137.5

93,858

100.0

618.7

4.5

1,003 327 306 370 7,878 841 1,549 3,221 2,268 4,399 2,163 2,236 7,584 2,552 3,016 2,015

4.8 1.6 1.5 1.8 37.8 4.0 7.4 15.4 10.9 21.1 10.4 10.7 36.3 12.2 14.5 9.7

33.8 162.3 38.4 18.8 126.9 81.0 152.7 162.8 104.1 114.7 98.4 136.6 351.0 249.1 389.3 558.4

4,678 2,023 1,064 1,592 25,913 2,900 4,439 9,879 8,694 21,442 9,985 11,456 41,826 13,415 16,878 11,533

5.0 2.2 1.1 1.7 27.6 3.1 4.7 10.5 9.3 22.8 10.6 12.2 44.6 14.3 18.0 12.3

157.7 1,003.0 133.6 80.8 417.3 279.5 437.7 499.3 399.1 559.2 454.3 700.2 1,936.1 1,309.2 2,178.2 3,196.0

4.7 6.2 3.5 4.3 3.3 3.5 2.9 3.1 3.8 4.9 4.6 5.1 5.5 5.3 5.6 5.7

Under 15 years . . . Under 1 year . . . 1–4 years . . . . . 5–14 years . . . . . 15–44 years . . . . . 15–19 years . . . . 20–24 years . . . . 25–34 years . . . . 35–44 years . . . . 45–64 years . . . . . 45–54 years . . . . 55–64 years . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

Female

Under 15 years . . . Under 1 year . . . 1–4 years . . . . . 5–14 years . . . . . 15–44 years . . . . . 15–19 years . . . . 20–24 years . . . . 25–34 years . . . . 35–44 years . . . . 45–64 years . . . . . 45–54 years . . . . 55–64 years . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over 1

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . .

Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as of July 1, 2006.

Series 13, No. 168 [ Page 9 Table 3. Number and rate of discharges from short-stay hospitals and of days of care with average length of stay, by sex, age, and geographic region: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Discharges

Sex, age, and region

Days of care

Number in thousands


Number in thousands



Both sexes All ages: United States Northeast . Midwest . . South . . . West . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

34,854 7,277 7,951 13,140 6,486

116.9 133.1 120.2 121.2 94.0

166,342 38,454 33,585 64,474 29,828

557.8 703.2 507.8 594.7 432.3

4.8 5.3 4.2 4.9 4.6

Under 15 years: United States . . Northeast . . . Midwest . . . . South . . . . . West . . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

2,298 475 235 938 *

37.8 46.1 17.7 42.0 *

10,990 2,632 820 4,092 *

180.9 255.4 61.6 183.0 *

4.8 5.5 3.5 4.4 5.3

15–44 years: United States Northeast . Midwest . . South . . . West . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

10,800 2,049 2,236 4,364 2,151

86.1 90.7 81.4 96.0 72.0

40,486 8,939 7,200 17,024 7,323

322.9 395.7 262.1 374.5 245.1

3.7 4.4 3.2 3.9 3.4


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

8,686 1,872 1,948 3,385 1,481

116.1 130.6 115.4 125.3 89.4

43,335 9,854 8,464 17,939 7,077

579.3 687.4 501.3 664.1 427.1

5.0 5.3 4.3 5.3 4.8

65 years and over: United States . . . . Northeast . . . . . Midwest . . . . . . South . . . . . . . West . . . . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

13,070 2,881 3,532 4,452 2,205

350.8 386.9 416.8 327.6 284.6

71,530 17,029 17,101 25,420 11,980

1,919.7 2,286.2 2,018.1 1,870.5 1,546.2

5.5 5.9 4.8 5.7 5.4

Male All ages: United States Northeast . Midwest . . South . . . West . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

13,990 3,045 3,136 5,220 2,589

95.5 114.7 96.4 98.5 75.3

72,483 17,193 13,780 28,225 13,285

494.7 647.4 423.5 532.4 386.2

5.2 5.6 4.4 5.4 5.1


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

1,295 271 133 519 *

41.7 51.5 19.5 45.4 *

6,312 1,605 437 2,372 *

203.1 304.5 64.2 207.6 *

4.9 5.9 3.3 4.6 5.1


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

2,922 674 586 1,174 488

46.2 59.6 42.1 51.5 31.9

14,574 3,717 2,330 6,176 2,351

230.2 328.7 167.6 270.9 153.6

5.0 5.5 4.0 5.3 4.8


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

4,287 918 955 1,653 760

117.6 132.5 115.2 126.4 93.1

21,893 4,911 4,187 9,068 3,727

600.4 708.4 504.8 693.5 456.7

5.1 5.3 4.4 5.5 4.9

See footnotes at end of table.

Page 10 [ Series 13, No. 168 Table 3. Number and rate of discharges from short-stay hospitals and of days of care with average length of stay, by sex, age, and geographic region: United States, 2006—Con. [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Discharges

Sex, age, and region 65 years and over: United States . . . . Northeast . . . . . Midwest . . . . . . South . . . . . . . West . . . . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

Days of care

Number in thousands


Number in thousands



. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

5,487 1,182 1,463 1,873 970

350.4 387.6 414.4 327.9 288.0

29,705 6,961 6,826 10,609 5,309

1,897.2 2,283.6 1,934.0 1,857.2 1,576.8

5.4 5.9 4.7 5.7 5.5

Female All ages: United States Northeast . Midwest . . South . . . West . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

20,864 4,232 4,815 7,920 3,898

137.5 150.4 143.3 143.0 112.7

93,858 21,261 19,805 36,249 16,543

618.7 755.9 589.5 654.3 478.3

4.5 5.0 4.1 4.6 4.2


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

1,003 204 102 419 *

33.8 40.5 15.8 38.3 *

4,678 1,027 383 1,719 *

157.7 204.0 59.0 157.4 *

4.7 5.0 3.7 4.1 5.6


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

7,878 1,375 1,650 3,190 1,663

126.9 121.8 121.7 140.8 114.1

25,913 5,223 4,869 10,848 4,972

417.3 462.8 359.1 478.7 341.0

3.3 3.8 3.0 3.4 3.0


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

4,399 953 993 1,732 721

114.7 128.7 115.6 124.3 85.7

21,442 4,944 4,277 8,871 3,350

559.2 667.6 497.9 636.5 398.3

4.9 5.2 4.3 5.1 4.6

65 years and over: United States . . . . Northeast . . . . . Midwest . . . . . . South . . . . . . . West . . . . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

7,584 1,700 2,069 2,579 1,235

351.0 386.3 418.5 327.4 281.9

41,826 10,067 10,275 14,811 6,672

1,936.1 2,288.1 2,078.1 1,880.2 1,522.7

5.5 5.9 5.0 5.7 5.4

* Figure does not meet standards of reliability or precision. 1 Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as of July 1, 2006.

Series 13, No. 168 [ Page 11 Table 4. Number of discharges from short-stay hospitals and of days of care with average length of stay, by principal expected source of payment, sex, age, and geographic region: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Worker’s compensation and other government payments

Blue Cross Blue Shield and other private insurance

All principal expected sources of payment1

Medicare

Medicaid

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

13,523

5,913

726

4,866

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,990 20,864

5,786 7,737

1,906 4,007

408 319

1,764 3,102

Under 15 years . 15–44 years . . . 45–64 years . . . 65 years and over

2,298 10,800 8,686 13,070

9 621 1,707 11,187

1,130 3,311 1,259 212

36 303 301 86

360 2,147 1,711 648

499 2,738 2,605 652

Region, sex, and age United States All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

HMO or PPO2

Self-pay

Other payments and no charge

6,494

1,627

1,146

2,583 3,911

820 807

478 668

55 923 583 65

* 566 352 83


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Northeast All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7,277

2,787

1,108

93

1,064

1,540

261

168

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3,045 4,232

1,185 1,601

475 633

56 37

402 662

629 910

136 124

64 103


475 2,049 1,872 2,881

* 119 343 2,323

182 579 304 43

* 36 34 *

78 436 380 170

141 599 605 194

18 137 88 *

* 70 46 *

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Midwest All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7,951

3,772

991

*

974

1,566

307

178

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3,136 4,815

1,575 2,197

279 711

56 *

345 628

611 955

161 146

83 95


. . . .

235 2,236 1,948 3,532

* 143 371 3,257

98 645 224 24

* * * *

* 452 397 78

81 685 685 116

* 164 126 12

* 86 76 15

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,140

4,924

2,383

354

1,485

2,466

796

*

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5,220 7,920

2,120 2,804

656 1,727

205 150

527 958

996 1,470

388 408

* *


. . . .

938 4,364 3,385 4,452

* 282 757 3,879

479 1,367 462 75

15 151 152 36

100 681 528 176

176 1,059 1,008 223

21 476 274 25

* * * 21

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6,486

2,041

1,430

175

1,344

923

263

256

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,589 3,898

906 1,135

* 936

92 83

490 853

347 576

134 128

101 155


. . . .

* 2,151 1,481 2,205

* 76 236 1,727

* 720 269 70

12 78 68 17

* 578 406 224

* 396 308 119

11 146 95 *11

* 130 86 *

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

166,342

76,143

28,247

3,615

18,896

25,616

6,467

4,929

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

72,483 93,858

32,191 43,952

12,087 16,160

2,237 1,377

7,595 11,301

11,490 14,126

3,516 2,951

2,273 2,656


10,990 40,486 43,335 71,530

* 3,875 10,572 61,647

6,174 12,879 7,850 1,344

255 1,418 1,494 448

1,535 6,833 7,280 3,248

1,853 9,232 11,114 3,417

186 3,313 2,645 323

* 2,240 1,584 424

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

South All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

West All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

United States All

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Page 12 [ Series 13, No. 168 Table 4. Number of discharges from short-stay hospitals and of days of care with average length of stay, by principal expected source of payment, sex, age, and geographic region: United States, 2006—Con. [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Worker’s compensation and other government payments



Medicare

Medicaid

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

38,454

16,934

6,635

441

4,622

6,623

1,217

775

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17,193 21,261

7,229 9,706

3,361 3,274

280 161

1,822 2,800

2,980 3,643

723 493

352 424


. . . .

2,632 8,939 9,854 17,029

* 807 2,177 13,943

1,237 3,068 2,043 287

* 148 156 *

* 1,582 1,759 973

691 2,237 2,655 1,040

87 583 461 *

* 269 223 *

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

33,585

18,641

3,865

*

3,298

5,437

978

694

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,780 19,805

7,452 11,189

1,372 2,493

* *

1,287 2,011

2,403 3,035

537 441

361 333


820 7,200 8,464 17,101

* 680 2,100 15,861

414 2,165 1,179 107

* * * *

* 1,352 1,455 334

228 1,997 2,665 547

* 468 458 42

* 313 300 *

Region, sex, and age Northeast All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

HMO or PPO2

Self-pay



. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Midwest All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

South All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

64,474

29,010

10,884

1,923

5,917

10,293

3,178

*

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28,225 36,249

12,476 16,534

4,117 6,767

1,256 667

2,429 3,488

4,699 5,594

1,689 1,489

* *


4,092 17,024 17,939 25,420

* 1,951 4,818 22,210

2,309 5,138 3,004 432

68 810 845 201

405 2,152 2,420 940

632 3,739 4,622 1,299

53 1,739 1,243 144

* * * 115

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

29,828

11,557

6,863

815

5,059

3,263

1,094

1,005

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,285 16,543

5,034 6,523

* 3,626

441 374

2,057 3,003

1,408 1,854

567 527

463 541


* 7,323 7,077 11,980

* 437 1,477 9,633

* 2,508 1,624 *

* 318 276 93

* 1,746 1,646 1,002

* 1,259 1,172 531

* 523 483 *53

* 445 345 *

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

West All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

United States All


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

5.6

4.8

5.0

3.9

3.9

4.0

4.3

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.2 4.5

5.6 5.7

6.3 4.0

5.5 4.3

4.3 3.6

4.4 3.6

4.3 3.7

4.8 4.0


4.8 3.7 5.0 5.5

5.3 6.2 6.2 5.5

5.5 3.9 6.2 6.3

7.1 4.7 5.0 5.2

4.3 3.2 4.3 5.0

3.7 3.4 4.3 5.2

3.4 3.6 4.5 4.9

4.7 4.0 4.5 5.1

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Northeast All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.3

6.1

6.0

4.7

4.3

4.3

4.7

4.6

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.6 5.0

6.1 6.1

7.1 5.2

5.0 4.3

4.5 4.2

4.7 4.0

5.3 4.0

5.5 4.1


5.5 4.4 5.3 5.9

* 6.8 6.3 6.0

6.8 5.3 6.7 6.6

7.5 4.1 4.5 5.3

3.9 3.6 4.6 5.7

4.9 3.7 4.4 5.4

4.9 4.3 5.2 4.8

5.7 3.8 4.8 5.3

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Series 13, No. 168 [ Page 13 Table 4. Number of discharges from short-stay hospitals and of days of care with average length of stay, by principal expected source of payment, sex, age, and geographic region: United States, 2006—Con. [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Worker’s compensation and other government payments



Medicare

Medicaid

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.2

4.9

3.9

4.2

3.4

3.5

3.2

3.9

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.4 4.1

4.7 5.1

4.9 3.5

4.7 3.6

3.7 3.2

3.9 3.2

3.3 3.0

4.4 3.5


. . . .

3.5 3.2 4.3 4.8

* 4.7 5.7 4.9

4.2 3.4 5.3 4.5

* 3.8 4.6 4.2

3.4 3.0 3.7 4.3

2.8 2.9 3.9 4.7

*2.1 2.8 3.6 3.5

* 3.7 4.0 5.2

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.9

5.9

4.6

5.4

4.0

4.2

4.0

4.5

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.4 4.6

5.9 5.9

6.3 3.9

6.1 4.5

4.6 3.6

4.7 3.8

4.4 3.7

4.8 4.3


4.4 3.9 5.3 5.7

5.3 6.9 6.4 5.7

4.8 3.8 6.5 5.8

4.6 5.4 5.6 5.5

4.1 3.2 4.6 5.3

3.6 3.5 4.6 5.8

2.5 3.7 4.5 5.8

4.1 4.3 5.0 5.4

Region, sex, and age Midwest All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

HMO or PPO2

Self-pay



. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

South All

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

West All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.6

5.7

4.8

4.7

3.8

3.5

4.2

3.9

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.1 4.2

5.6 5.7

6.5 3.9

4.8 4.5

4.2 3.5

4.1 3.2

4.2 4.1

4.6 3.5


5.3 3.4 4.8 5.4

* 5.7 6.3 5.6

6.0 3.5 6.0 7.4

* 4.1 4.1 5.4

4.9 3.0 4.1 4.5

3.0 3.2 3.8 4.5

3.2 3.6 5.1 *4.9

* 3.4 4.0 4.7

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

* Figure does not meet standards of reliability or precision. 1 Includes discharges for which no expected source of payment was provided. 2 HMO is health maintenance organization; PPO is preferred provider organization.

Page 14 [ Series 13, No. 168 Table 5. Number and percent distribution of discharges from short-stay hospitals and of days of care with average length of stay, by bed size of hospital, according to sex, age, and geographic region: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants]


All bed sizes

6–99 beds

100–199 beds

34,854

7,997

7,308

13,990 20,864

3,108 4,889

200–299 beds

300–499 beds

500 beds or more

6,719

8,053

4,777

2,804 4,504

2,740 3,979

3,229 4,823

2,109 2,668

Number of discharges in thousands All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 15 years . 15–44 years . . . 45–64 years . . . 65 years and over

. . . .

. . . .

. . . .

. . . .

. . . .

Northeast Midwest . South . . West . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

2,298 10,800 8,686 13,070

352 2,353 1,793 3,499

370 2,335 1,817 2,786

* 1,945 1,582 2,542

628 2,624 2,087 2,715

298 1,542 1,408 1,529

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

7,277 7,951 13,140 6,486

1,420 2,944 2,970 *

1,659 1,387 2,624 1,639

1,358 * 2,375 1,578

1,439 * 2,901 2,408

1,401 906 2,270 200

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

22.9

21.0

19.3

23.1

13.7

100.0 100.0

22.2 23.4

20.0 21.6

19.6 19.1

23.1 23.1

15.1 12.8

Region . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Percent distribution of discharges All

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 15 years . 15–44 years . . . 45–64 years . . . 65 years and over

. . . .

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

100.0 100.0 100.0 100.0

15.3 21.8 20.6 26.8

16.1 21.6 20.9 21.3

* 18.0 18.2 19.4

27.3 24.3 24.0 20.8

13.0 14.3 16.2 11.7

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

100.0 100.0 100.0 100.0

19.5 37.0 22.6 *

22.8 17.4 20.0 25.3

18.7 17.7 18.1 24.3

19.8 16.4 22.1 37.1

19.3 11.4 17.3 3.1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

166,342

33,468

33,097

32,024

40,823

26,930

72,483 93,858

13,630 19,838

13,663 19,434

13,990 18,034

18,097 22,726

13,103 13,826

Region . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Number of days of care in thousands All


. . . .

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

10,990 40,486 43,335 71,530

1,466 8,330 7,628 16,043

* 8,038 8,407 15,204

* 7,004 7,624 14,015

3,192 10,142 11,331 16,159

1,503 6,973 8,345 10,109

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

38,454 33,585 64,474 29,828

7,234 10,632 13,110 *

8,347 5,973 11,828 6,949

6,865 * 11,645 *

8,256 * 14,570 11,910

7,752 4,702 13,322 1,154

Region . . . .

. . . .

. . . .

. . . .

. . . .

See footnote at end of table.

. . . .

. . . .

. . . .

. . . .

. . . .

Series 13, No. 168 [ Page 15 Table 5. Number and percent distribution of discharges from short-stay hospitals and of days of care with average length of stay, by bed size of hospital, according to sex, age, and geographic region: United States, 2006—Con. [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants]


All bed sizes

6–99 beds

100–199 beds

100.0

20.1

19.9

100.0 100.0

18.8 21.1

200–299 beds

300–499 beds

500 beds or more

19.3

24.5

16.2

18.8 20.7

19.3 19.2

25.0 24.2

18.1 14.7

Percent distribution of days of care All

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 15 years . 15–44 years . . . 45–64 years . . . 65 years and over

. . . .

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

100.0 100.0 100.0 100.0

* 20.6 17.6 22.4

* 19.9 19.4 21.3

* 17.3 17.6 19.6

29.0 25.1 26.1 22.6

13.7 17.2 19.3 14.1

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

100.0 100.0 100.0 100.0

18.8 31.7 20.3 *

21.7 17.8 18.3 23.3

17.9 18.4 18.1 24.6

21.5 18.1 22.6 39.9

20.2 14.0 20.7 3.9

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

4.2

4.5

4.8

5.1

5.6

5.2 4.5

4.4 4.1

4.9 4.3

5.1 4.5

5.6 4.7

6.2 5.2

Region . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Average length of stay in days All


. . . .

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

4.8 3.7 5.0 5.5

4.2 3.5 4.3 4.6

3.9 3.4 4.6 5.5

5.2 3.6 4.8 5.5

5.1 3.9 5.4 6.0

5.0 4.5 5.9 6.6

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

5.3 4.2 4.9 4.6

5.1 3.6 4.4 3.8

5.0 4.3 4.5 4.2

5.1 4.4 4.9 4.6

5.7 4.7 5.0 4.9

5.5 5.2 5.9 5.8

Region . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

* Figure does not meet standards of reliability or precision.

Page 16 [ Series 13, No. 168 Table 6. Number and percent distribution of discharges from short-stay hospitals and of days of care, with average length of stay, by hospital ownership, according to sex and age: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Sex and age

All

Proprietary

Government

Nonprofit


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

4,107

4,279

26,468

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,990 20,864

1,523 2,583

1,791 2,487

10,676 15,793

. . . .

2,298 10,800 8,686 13,070

* 1,535 955 1,338

233 1,485 1,164 1,397

1,785 7,780 6,567 10,336

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

11.8

12.3

75.9

100.0 100.0

10.9 12.4

12.8 11.9

76.3 75.7

100.0 100.0 100.0 100.0

* 14.2 11.0 10.2

10.2 13.7 13.4 10.7

77.7 72.0 75.6 79.1

Age Under 15 years . 15–44 years . . . 45–64 years . . . 65 years and over

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .



. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

166,342

21,041

22,053

123,248

72,483 93,858

8,555 12,486

10,201 11,852

53,728 69,520

. . . .

10,990 40,486 43,335 71,530

* 6,229 5,481 8,167

876 6,414 6,564 8,199

8,950 27,844 31,290 55,164

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

12.6

13.3

74.1

100.0 100.0

11.8 13.3

14.1 12.6

74.1 74.1

. . . .

100.0 100.0 100.0 100.0

* 15.4 12.6 11.4

8.0 15.8 15.1 11.5

81.4 68.8 72.2 77.1

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

5.1

5.2

4.7

5.2 4.5

5.6 4.8

5.7 4.8

5.0 4.4

4.8 3.7 5.0 5.5

4.2 4.1 5.7 6.1

3.8 4.3 5.6 5.9

5.0 3.6 4.8 5.3


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .



. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .



. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Series 13, No. 168 [ Page 17 Table 7. Number and percent distribution of discharges by type and source of admission to short-stay hospitals, according to sex and age: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Under 15 years

Admission type and source

All ages

Male

Female

All types and sources . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

13,990

20,864

2,298

15–44 years

45–64 years

65 years and over

10,800

8,686

13,070


Type of admission Emergency . . . . Urgent . . . . . . . Elective . . . . . . Item not available

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

14,781 8,500 8,383 3,190

6,766 3,079 2,819 1,326

8,015 5,420 5,564 1,864

865 744 * 207

3,422 3,099 3,113 1,166

4,015 1,723 2,126 822

6,479 2,933 2,663 996

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

13,759 14,921 1,069 429 614 4,061

4,450 6,867 527 192 228 1,725

9,309 8,054 542 237 385 2,337

786 913 150 17 * 381

5,589 3,278 182 51 330 1,369

3,130 4,057 276 89 127 1,007

4,254 6,673 462 272 106 1,304

All types and sources . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

100.0

100.0

100.0

100.0

100.0

100.0

Source of admission Physician referral1 . . . . . . . . . . Emergency department . . . . . . Transfer from a hospital . . . . . . Transfer from other health facility2 Other sources3 . . . . . . . . . . . . Item not available . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .


Type of admission Emergency . . . . Urgent . . . . . . . Elective . . . . . . Item not available

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

42.4 24.4 24.1 9.2

48.4 22.0 20.1 9.5

38.4 26.0 26.7 8.9

37.7 32.4 20.9 9.0

31.7 28.7 28.8 10.8

46.2 19.8 24.5 9.5

49.6 22.4 20.4 7.6

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

39.5 42.8 3.1 1.2 1.8 11.7

31.8 49.1 3.8 1.4 1.6 12.3

44.6 38.6 2.6 1.1 1.8 11.2

34.2 39.7 6.5 0.8 * 16.6

51.8 30.4 1.7 0.5 3.1 12.7

36.0 46.7 3.2 1.0 1.5 11.6

32.5 51.1 3.5 2.1 0.8 10.0

Source of admission Physician referral1 . . . . . Emergency department . Transfer from a hospital . Transfer from other health Other sources3 . . . . . . . Item not available . . . . .

. . . . . . . . . . . . . . . facility2 . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .


1 Referral from personal physician, clinic physician, or health maintenance organization physician.

2 Transfer from skilled nursing facility or other health facility.

3 Includes admissions directed by a court of law or requested by a law enforcement agent and other sources.

Page 18 [ Series 13, No. 168 Table 8. Number and percent distribution of discharges from short-stay hospitals and of days of care, with average length of stay, by disposition of patient, according to sex, age, and geographic region: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Discharged alive Transferred to

All dispositions

Routine or discharged home

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

26,906

1,535

3,161

2,009

730

514

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,990 20,864

10,549 16,357

712 823

1,185 1,976

922 1,087

359 372

264 249


Other short-term hospital

Long-term care institution

Other

Died

Status not stated


Age Under 65 years . . . Under 15 years . . 15–44 years . . . . 45–64 years . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

21,783 2,298 10,800 8,686 13,070 4,793 5,252 3,025

19,073 2,150 9,862 7,061 7,833 3,402 3,112 1,319

638 45 190 403 897 309 369 219

550 11 116 424 2,610 567 1,059 984

973 45 426 502 1,035 314 433 289

206 15 46 145 524 133 213 179

343 32 160 151 171 69 67 36


. . . .

. . . .

. . . .

Region . . . . . . . . . . . . . . . . . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

7,277 7,951 13,140 6,486

5,471 5,867 10,372 5,196

280 360 547 348

846 962 969 383

486 524 630 369

148 164 268 150

45 * 353 *

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

77.2

4.4

9.1

5.8

2.1

1.5

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0 100.0

75.4 78.4

5.1 3.9

8.5 9.5

6.6 5.2

2.6 1.8

1.9 1.2

Age . . . . . . . . . . . . . . . . . . . . . . . .

Under 65 years . . . Under 15 years . . 15–44 years . . . . 45–64 years . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

87.6 93.6 91.3 81.3 59.9 71.0 59.3 43.6

2.9 2.0 1.8 4.6 6.9 6.4 7.0 7.3

2.5 0.5 1.1 4.9 20.0 11.8 20.2 32.5

4.5 2.0 3.9 5.8 7.9 6.5 8.2 9.5

0.9 0.7 0.4 1.7 4.0 2.8 4.0 5.9

1.6 1.4 1.5 1.7 1.3 1.4 1.3 1.2


. . . .

. . . .

. . . .

Region . . . . . . . . . . . . . . . . . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

100.0 100.0 100.0 100.0

75.2 73.8 78.9 80.1

3.8 4.5 4.2 5.4

11.6 12.1 7.4 5.9

6.7 6.6 4.8 5.7

2.0 2.1 2.0 2.3

* * 2.7 *

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

166,342

109,771

9,176

24,864

12,801

6,080

3,649

72,483 93,858

46,817 62,954

4,272 4,905

10,240 14,624

5,957 6,844

3,121 2,959

2,077 1,572

94,811 10,990 40,486 43,335 71,530 24,914 29,579 17,037

75,053 9,473 34,754 30,826 34,718 14,654 13,951 6,113

3,884 * 973 2,459 5,292 1,843 2,193 1,256

5,444 * 1,121 4,104 19,420 4,651 8,243 6,526

5,955 357 2,191 3,406 6,846 1,990 2,971 1,886

2,152 * 398 1,408 3,928 1,180 1,721 1,027

2,323 142 1,050 1,131 1,326 596 499 231

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 65 years . . . Under 15 years . . 15–44 years . . . . 45–64 years . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over

. . . . . . . .

. . . . . . . .

See footnote at end of table.

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

Series 13, No. 168 [ Page 19 Table 8. Number and percent distribution of discharges from short-stay hospitals and of days of care, with average length of stay, by disposition of patient, according to sex, age, and geographic region: United States, 2006—Con. [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants] Discharged alive Transferred to

All dispositions


Routine or discharged home

Region Northeast Midwest . South . . West . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Other short-term hospital

Long-term care institution

Other

Died

Status not stated

1,480 941 2,356 1,303

311 * 2,547 *

Number of days of care in thousands . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

38,454 33,585 64,474 29,828

24,736 20,817 43,709 20,509

1,721 1,664 3,423 2,368

6,965 6,599 7,979 3,321

3,241 3,028 4,461 2,071


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

66.0

5.5

14.9

7.7

3.7

2.2

100.0 100.0

64.6 67.1

5.9 5.2

14.1 15.6

8.2 7.3

4.3 3.2

2.9 1.7


. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

100.0 100.0 100.0 100.0 100.0 100.0 100.0 100.0

79.2 86.2 85.8 71.1 48.5 58.8 47.2 35.9

4.1 4.1 2.4 5.7 7.4 7.4 7.4 7.4

5.7 * 2.8 9.5 27.1 18.7 27.9 38.3

6.3 3.2 5.4 7.9 9.6 8.0 10.0 11.1

2.3 * 1.0 3.2 5.5 4.7 5.8 6.0

2.4 1.3 2.6 2.6 1.9 2.4 1.7 1.4


. . . .

. . . .

. . . .

Region . . . . . . . . . . . . . . . . . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

100.0 100.0 100.0 100.0

64.3 62.0 67.8 68.8

4.5 5.0 5.3 7.9

18.1 19.6 12.4 11.1

8.4 9.0 6.9 6.9

3.8 2.8 3.7 4.4

0.8 * 3.9 *

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

4.1

6.0

7.9

6.4

8.3

7.1

5.2 4.5

4.4 3.8

6.0 6.0

8.6 7.4

6.5 6.3

8.7 8.0

7.9 6.3


. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

4.4 4.8 3.7 5.0 5.5 5.2 5.6 5.6

3.9 4.4 3.5 4.4 4.4 4.3 4.5 4.6

6.1 10.0 5.1 6.1 5.9 6.0 6.0 5.7

9.9 * 9.7 9.7 7.4 8.2 7.8 6.6

6.1 7.9 5.1 6.8 6.6 6.3 6.9 6.5

10.5 23.2 8.7 9.7 7.5 8.9 8.1 5.8

6.8 4.5 6.6 7.5 7.8 8.7 7.5 6.5

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

5.3 4.2 4.9 4.6

4.5 3.5 4.2 3.9

6.1 4.6 6.3 6.8

8.2 6.9 8.2 8.7

6.7 5.8 7.1 5.6

10.0 5.7 8.8 8.7

6.8 7.2 7.2 6.2


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .


Page 20 [ Series 13, No. 168 Table 9. Number and rate of discharges from short-stay hospitals and of days of care, with average length of stay, by selected first-listed diagnostic categories: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)] Discharges

Days of care

Number in thousands



Category of first-listed diagnosis and ICD–9–CM code

Number in thousands


All conditions2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

1,168.7

166,342

5,577.8

4.8

Heart disease . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum . . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung . . . . .162,176.4,197.0,197.3 Fractures, all sites3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Certain complications of surgical and medical care . . . . . . . . . . . . . . . .996–999 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Volume depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Intervertebral disc disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Poisonings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Acute pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Calculus of kidney and ureter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592

4,202 647 953 160 772 1,102 4,127 1,747 333 459 1,232 1,208 154 166 1,074 330 912 889 753 589 584 530 513 480 479 444 378 211 356 335 324 323 318 315 314 293 271 233 217 166

140.9 21.7 32.0 5.4 25.9 36.9 138.4 58.6 11.2 15.4 41.3 40.5 5.2 5.6 36.0 11.1 30.6 29.8 25.3 19.7 19.6 17.8 17.2 16.1 16.0 14.9 12.7 7.1 11.9 11.2 10.9 10.8 10.7 10.6 10.5 9.8 9.1 7.8 7.3 5.6

18,528 3,512 3,081 402 2,626 5,668 10,868 13,420 3,910 3,067 6,308 7,908 1,209 1,188 5,734 2,032 5,580 4,389 2,832 2,603 2,742 4,589 2,397 1,663 2,224 1,426 1,262 510 1,510 1,279 1,005 1,993 993 1,268 1,512 653 787 1,216 692 403

621.3 117.8 103.3 13.5 88.1 190.1 364.4 450.0 131.1 102.8 211.5 265.2 40.5 39.8 192.3 68.1 187.1 147.2 94.9 87.3 92.0 153.9 80.4 55.8 74.6 47.8 42.3 17.1 50.6 42.9 33.7 66.8 33.3 42.5 50.7 21.9 26.4 40.8 23.2 13.5

4.4 5.4 3.2 2.5 3.4 5.1 2.6 7.7 11.7 6.7 5.1 6.5 7.8 7.2 5.3 6.2 6.1 4.9 3.8 4.4 4.7 8.7 4.7 3.5 4.6 3.2 3.3 2.4 4.2 3.8 3.1 6.2 3.1 4.0 4.8 2.2 2.9 5.2 3.2 2.4

1

Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as July 1, 2006.

Includes data for diagnostic conditions not shown in table.

2 3

Excludes fractures coded as 733.1, ‘‘pathologic fracture.’’

Series 13, No. 168 [ Page 21 Table 10. Number and rate of discharges from short-stay hospitals with average length of stay, for patients age 65 and over, by age and selected first-listed diagnostic categories: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


65 years and over

65–74 years

75–84 years

85 years and over

All conditions1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,070

4,793

5,252

3,025

Heart disease . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Certain complications of surgical and medical care . . . . . . . . . . . . . . . .996–999 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Volume depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493

2,624 394 496 522 803 704 636 606 566 293 452 365 345 343 333 240 191 188 174 169 167 152 126 125 116 88

925 137 249 169 218 211 311 210 114 41 249 173 96 76 146 56 82 88 71 66 54 52 43 57 50 46

1,066 155 195 232 317 279 240 247 238 128 169 148 140 134 143 96 72 73 64 63 75 58 54 41 50 29

633 101 52 121 268 214 86 148 214 125 34 44 109 132 44 88 37 27 38 40 38 42 29 27 16 13

Discharges in thousands

Discharge rate per 10,000 population3 1

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3,507.9

2,533.6

4,025.9

5,711.4


704.2 105.7 133.2 140.2 215.5 189.0 170.6 162.5 151.8 78.7 121.3 98.1 92.5 92.0 89.4 64.5 51.2 50.4 46.6 45.5 44.8 40.9 33.7 33.7 31.1 23.7

489.0 72.6 131.8 89.4 115.2 111.3 164.1 111.2 60.1 21.5 131.6 91.4 50.8 40.4 77.2 29.9 43.5 46.5 37.5 35.1 28.7 27.4 22.7 30.2 26.6 24.3

817.2 118.8 149.4 178.0 243.0 214.1 183.6 189.2 182.7 98.0 129.7 113.6 107.3 102.6 109.7 73.5 55.2 55.6 49.2 48.6 57.2 44.8 41.2 31.6 38.3 22.4

1,194.3 191.3 98.3 228.5 506.3 404.5 161.9 280.1 403.6 235.7 63.7 83.7 205.3 250.1 83.4 166.3 69.1 51.5 72.4 74.9 71.7 79.6 55.0 51.4 29.5 25.1


Page 22 [ Series 13, No. 168 Table 10. Number and rate of discharges from short-stay hospitals with average length of stay, for patients age 65 and over, by age and selected first-listed diagnostic categories: United States, 2006—Con. [Discharges of inpatients from nonfederal hospitals. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


65 years and over

65–74 years

75–84 years

85 years and over

All conditions1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5.5

5.2

5.6

5.6


4.7 6.1 3.4 3.7 5.1 5.6 6.9 4.8 5.6 6.2 3.9 6.3 8.4 4.9 4.8 4.1 8.3 5.3 4.9 5.1 6.8 3.8 4.8 2.3 5.2 4.5

4.5 5.8 3.3 3.4 5.1 5.5 6.8 4.6 5.2 6.3 3.7 6.7 9.2 4.5 4.5 3.7 8.7 5.2 4.8 4.8 5.9 3.6 4.1 1.9 4.9 4.4

4.8 6.5 3.6 3.7 5.3 5.6 7.2 4.6 5.9 6.4 4.1 6.1 8.8 5.0 5.1 4.0 8.8 5.8 5.1 5.4 7.2 4.0 5.6 2.6 5.3 4.6

4.8 5.7

3.6

4.2

4.8

5.8

6.4

5.3

5.6

6.1

4.0

5.8

7.2

5.1

4.7

4.6

6.5

4.6

4.6

5.0

7.2

3.9

4.1

2.9

5.9

4.7


1

Includes data for diagnostic conditions not shown in table.


3 Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as of July 1, 2006.

2

Series 13, No. 168 [ Page 23 Table 11. Number of discharges from short-stay hospitals, by age and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


All ages

Under 15 years

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

2,298

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders. . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . .280–289 Anemias. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs. . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure. . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium1 . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue. . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01–V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

1,088 530 1,641 1,208 154 166 378 211 1,663 584 480 451 315 2,419 1,747 333 459 615 6,161 293 4,202 647 953 160 772 1,102 889 3,485 217 1,232 513 444 3,517 318 356 323 314 335 233 1,974 166 479 519 780 589 1,969 753 324 193 200 189 2,968 1,074 330 271 912 5,022 4,127

138 9 34 23 * * 10 * 160 22 112 55 22 * * * * 83 29 * 16 * * * 5 * * 576 152 172 * 145 219 71 44 15 * * *2 75 * 27 * * 56 40 * * 131 200 42 211 63 *1 16 34 70 *

15–44 years

45–64 years

65 years and over

10,800

8,686

13,070

193 43 257 111 8 *5 137 103 365 169 46 98 75 1,332 952 178 256 134 452 45 277 34 42 17 50 49 46 376 10 107 16 89 858 163 95 38 42 117 82 498 58 32 517 233 179 298 21 102 28 * 63 846 243 *6 157 191 4,253 4,112

262 134 628 438 46 51 173 106 483 205 81 102 65 717 522 134 140 151 1,880 122 1,285 218 415 67 193 246 236 804 18 250 163 121 1,111 63 91 103 99 99 92 524 71 77 * 224 184 720 280 148 25 * 44 764 202 28 73 322 246 9

495 345 723 636 101 109 58 * 655 188 240 196 152 239 191 20 42 246 3,801 125 2,624 394 496 76 522 803 606 1,729 36 704 333 88 1,329 21 126 167 174 116 56 877 36 343 ... 223 169 911 452 73 8 * 40 1,147 566 293 26 365 453 ...

Number in thousands


. . . Category not applicable.

1 First-listed diagnosis for females with deliveries is coded as V27, shown under ‘‘Supplementary classifications.’’

2 Excludes fractures coded as 733.1, ‘‘pathologic fracture.’’

Page 24 [ Series 13, No. 168 Table 12. Rate of discharges from short-stay hospitals, by age and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


All ages

Under 15 years

15–44 years

45–64 years

65 years and over

Rate per 10,000 population1 All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,168.7

378.2

861.2

1,161.2

3,507.9


36.5 17.8 55.0 40.5 5.2 5.6 12.7 7.1 55.8 19.6 16.1 15.1 10.6 81.1 58.6 11.2 15.4 20.6 206.6 9.8 140.9 21.7 32.0 5.4 25.9 36.9 29.8 116.9 7.3 41.3 17.2 14.9 117.9 10.7 11.9 10.8 10.5 11.2 7.8 66.2 5.6 16.0 17.4 26.2 19.7 66.0 25.3 10.9 6.5 6.7 6.3 99.5 36.0 11.1 9.1 30.6 168.4 138.4

22.7 1.5 5.5 3.7 * * * * 26.3 3.7 18.4 9.0 3.6 * * * * 13.7 4.8 * 2.7 * * * 0.9 * *0.4 94.9 25.0 28.3 * 23.9 36.1 11.7 7.2 2.4 * *0.4 *0.5 12.4 * 4.4 * * 9.2 6.5 * * 21.6 32.9 7.0 34.7 10.4 * 2.6 5.6 11.6 *

15.4 3.4 20.5 8.8 * *0.4 10.9 8.2 29.1 13.4 3.7 7.8 6.0 106.2 75.9 14.2 20.4 10.7 36.0 3.6 22.1 2.7 3.3 1.3 4.0 3.9 3.6 30.0 0.8 8.5 1.3 7.1 68.4 13.0 7.6 3.1 3.3 9.4 6.5 39.7 4.7 2.5 41.2 18.6 14.3 23.8 1.7 8.1 2.2 * 5.0 67.4 19.4 *0.5 12.5 15.2 339.1 327.9

35.1 17.9 83.9 58.6 6.1 6.8 23.2 14.2 64.6 27.4 10.8 13.6 8.7 95.8 69.8 18.0 18.7 20.2 251.3 16.4 171.7 29.2 55.5 9.0 25.9 32.9 31.5 107.5 2.4 33.4 21.7 16.2 148.6 8.4 12.2 13.7 13.3 13.3 12.3 70.1 9.5 10.4 * 29.9 24.6 96.3 37.4 19.7 3.4 * 5.9 102.1 27.0 3.8 9.8 43.1 32.8 1.1

132.8 92.5 194.0 170.6 27.1 29.3 15.5 * 175.8 50.4 64.5 52.6 40.9 64.1 51.2 5.3 11.3 65.9 1,020.0 33.7 704.2 105.7 133.2 20.4 140.2 215.5 162.5 464.1 9.8 189.0 89.4 23.7 356.7 5.6 33.7 44.8 46.6 31.1 15.1 235.4 9.6 92.0 ... 59.7 45.5 244.5 121.3 19.6 2.2 * 10.7 307.9 151.8 78.7 6.9 98.1 121.6 ...



1 Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as July 1, 2006.



Series 13, No. 168 [ Page 25 Table 13. Average length of stay for discharges from short-stay hospitals, by age and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


All ages

Under 15 years

15–44 years

45–64 years

65 years and over

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

4.8

3.7

5.0

5.5


6.7 8.7 5.8 6.5 7.8 7.2 3.3 2.4 3.9 4.7 3.5 4.3 4.0 7.0 7.7 11.7 6.7 5.7 4.5 2.2 4.4 5.4 3.2 2.5 3.4 5.1 4.9 5.1 3.2 5.1 4.7 3.2 4.6 3.1 4.2 6.2 4.8 3.8 5.2 3.9 2.4 4.6 2.7 4.9 4.4 3.9 3.8 3.1 6.3 10.7 2.4 5.4 5.3 6.2 2.9 6.1 3.8 2.6

3.3 9.0 6.5 7.7 * * 4.0 * 3.1 2.8 2.4 4.1 3.6 9.7 9.2 * 8.8 5.6 7.3 * 9.5 * * * 3.2 * * 3.2 3.2 3.4 * 2.2 3.6 3.2 2.7 3.8 * *2.6 * 3.3 * 3.2 * 2.6 3.2 3.6 * * 6.3 10.7 2.1 4.4 2.9 * 2.3 6.3 4.6 *2.6

5.8 8.5 3.9 5.4 7.2 *7.7 2.7 2.4 3.4 3.9 3.1 4.6 4.4 6.6 7.2 11.6 5.7 3.5 3.8 2.0 3.6 3.9 2.6 1.9 2.3 4.6 5.8 4.4 3.3 5.0 5.1 2.7 3.7 2.6 3.7 4.4 4.2 2.8 4.8 2.6 1.9 3.8 2.8 4.6 3.8 3.7 3.3 2.6 3.5 * 2.5 4.7 5.2 *4.9 2.4 5.9 2.8 2.6

7.2 9.3 5.5 6.2 6.9 7.1 3.1 2.4 3.9 5.0 3.1 4.4 4.1 7.1 8.2 12.1 6.9 5.5 4.1 2.2 3.9 4.5 3.0 2.3 2.8 5.3 5.1 5.4 3.2 5.0 4.3 3.8 4.7 3.6 4.8 6.2 4.9 3.5 5.0 3.7 2.5 4.4 * 5.4 4.7 3.7 3.6 2.9 * * 2.0 5.9 5.5 5.7 3.6 6.0 7.8 2.7

7.6 8.4

6.7

6.9

8.3

7.2

5.4

*

4.4

5.3

4.1

4.1

3.8

7.6

8.3

10.4

10.8

7.1

4.7

2.3

4.7

6.1

3.4

2.8

3.7

5.1

4.8

5.7

3.1

5.6

4.8

4.5

5.4

5.9

4.8

6.8

4.9

5.2

6.1

4.7

3.0

4.9

. . .

5.7

5.1

4.1

3.9

4.4

4.7

*

2.9

5.8

5.6

6.2

4.2

6.3

10.8

...






Page 26 [ Series 13, No. 168 Table 14. Number of discharges from short-stay hospitals, by sex and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)] Category of first-listed diagnosis and ICD–9–CM code

Both sexes

Male

Female

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

13,990

20,864


1,088 530 1,641 1,208 154 166 378 211 1,663 584 480 451 315 2,419 1,747 333 459 615 6,161 293 4,202 647 953 160 772 1,102 889 3,485 217 1,232 513 444 3,517 318 356 323 314 335 233 1,974 166 479 519 780 589 1,969 753 324 193 200 189 2,968 1,074 330 271 912 5,022 4,127

514 250 665 579 67 81 55 ... 673 283 185 194 128 1,222 833 185 174 254 3,121 101 2,213 358 616 81 372 521 404 1,653 110 589 240 177 1,610 190 136 142 124 102 117 635 87 145 ... 427 327 823 290 154 101 104 88 1,522 478 92 129 458 385 ...

573 280 976 629 87 85 323 211 990 301 294 257 187 1,198 914 148 285 361 3,040 192 1,988 289 337 79 400 581 486 1,832 107 643 273 266 1,908 129 220 180 191 234 116 1,339 79 333 519 354 262 1,145 463 170 92 96 100 1,446 596 238 142 455 4,636 4,127

Number in thousands




Series 13, No. 168 [ Page 27 Table 15. Rate of discharges from short-stay hospitals, by sex and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)] Category of first-listed diagnosis and ICD–9–CM code

Both sexes

Male

Female

Rate per 10,000 population1 All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,168.7

954.9

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders. . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . .280–289 Anemias. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs. . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure. . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium2 . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue. . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01-V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

36.5 17.8 55.0 40.5 5.2 5.6 12.7 7.1 55.8 19.6 16.1 15.1 10.6 81.1 58.6 11.2 15.4 20.6 206.6 9.8 140.9 21.7 32.0 5.4 25.9 36.9 29.8 116.9 7.3 41.3 17.2 14.9 117.9 10.7 11.9 10.8 10.5 11.2 7.8 66.2 5.6 16.0 17.4 26.2 19.7 66.0 25.3 10.9 6.5 6.7 6.3 99.5 36.0 11.1 9.1 30.6 168.4 138.4

35.1 17.1 45.4 39.5 4.6 5.5 3.7 ... 45.9 19.3 12.6 13.2 8.7 83.4 56.9 12.7 11.9 17.3 213.0 6.9 151.1 24.4 42.1 5.6 25.4 35.5 27.6 112.8 7.5 40.2 16.4 12.1 109.9 13.0 9.3 9.7 8.4 6.9 8.0 43.3 6.0 9.9 ... 29.1 22.3 56.2 19.8 10.5 6.9 7.1 6.0 103.9 32.7 6.3 8.8 31.2 26.3 ...





1,375.3 37.8 18.5

64.4

41.5

5.7

5.6

21.3

13.9

65.3

19.9

19.4

17.0

12.3

78.9

60.2

9.7

18.8

23.8

200.4

12.7

131.1

19.0

22.2

5.2

26.4

38.3

32.0

120.8

7.0

42.4

18.0

17.6

125.7

8.5

14.5

11.9

12.6

15.4

7.6

88.3

5.2

22.0

34.2

23.3

17.3

75.5

30.5

11.2

6.1

6.3

6.6

95.3

39.3

15.7

9.3

30.0

305.6

272.1

Page 28 [ Series 13, No. 168 Table 16. Average length of stay for discharges from short-stay hospitals, by sex and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)] Category of first-listed diagnosis and ICD–9–CM code

Both sexes

Male

Female

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

5.2

4.5


6.7 8.7 5.8 6.5 7.8 7.2 3.3 2.4 3.9 4.7 3.5 4.3 4.0 7.0 7.7 11.7 6.7 5.7 4.5 2.2 4.4 5.4 3.2 2.5 3.4 5.1 4.9 5.1 3.2 5.1 4.7 3.2 4.6 3.1 4.2 6.2 4.8 3.8 5.2 3.9 2.4 4.6 2.7 4.9 4.4 3.9 3.8 3.1 6.3 10.7 2.4 5.4 5.3 6.2 2.9 6.1 3.8 2.6

6.7 8.8 6.8 6.9 8.3 7.5 4.6 ... 4.2 4.9 3.2 4.6 4.4 6.9 7.7 11.2 6.7 5.7 4.3 2.0 4.2 5.3 3.2 2.7 3.1 5.1 4.7 5.0 3.3 4.9 4.3 2.6 4.6 3.1 4.4 6.0 5.0 4.3 5.0 4.4 2.3 4.6 ... 4.9 4.4 3.9 3.7 3.0 5.8 10.7 2.3 5.5 5.5 6.3 3.1 6.2 9.0 ...

6.6 8.5

5.2

6.2

7.4

6.9

3.1

2.4

3.8

4.5

3.6

4.1

3.8

7.1

7.7

12.4

6.7

5.7

4.6

2.3

4.6

5.6

3.4

2.4

3.7

5.2

5.1

5.2

3.1

5.3

5.0

3.6

4.7

3.2

4.2

6.3

4.7

3.6

5.4

3.6

2.6

4.7

2.7

4.8

4.5

3.9

3.8

3.2

7.0

10.6

2.4

5.2

5.2

6.1

2.7

6.1

3.3

2.6





Series 13, No. 168 [ Page 29 Table 17. Number of discharges from short-stay hospitals, by geographic region and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


United States

Northeast

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34,854

7,277

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum. . . . . . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung. . . . . . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders . . . . . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . .280–289 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium1 . . . . . . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01–V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

1,088 530 1,641 1,208 154 166 378 211 1,663 584 480 451 315 2,419 1,747 333 459 615 6,161 293 4,202 647 953 160 772 1,102 889 3,485 217 1,232 513 444 3,517 318 356 323 314 335 233 1,974 166 479 519 780 589 1,969 753 324 193 200 189 2,968 1,074 330 271 912 5,022 4,127

245 109 340 255 32 38 75 39 370 133 80 108 76 653 445 101 92 160 1,370 83 943 140 197 36 196 251 178 744 40 233 120 122 717 60 78 65 71 64 41 379 39 93 79 157 124 406 155 56 50 32 42 613 212 67 60 208 811 618

Midwest

South

West

7,951

13,140

6,486

242 133 362 273 38 41 74 46 360 107 130 96 68 536 409 52 113 134 1,528 61 1,065 164 242 39 201 280 214 857 40 351 126 94 834 71 89 88 89 67 57 468 48 116 92 164 130 493 214 77 25 22 25 681 280 89 65 190 1,033 849

391 188 611 439 56 63 151 85 646 244 192 175 124 * * 153 * 212 2,250 107 1,508 221 367 60 252 415 331 1,290 85 438 214 146 1,305 100 132 112 111 140 96 761 58 185 245 328 228 667 238 117 58 70 90 1,081 364 119 89 343 1,933 1,613

209 100 329 241 28 24 77 40 287 100 77 72 47 206 155 26 31 108 1,012 42 685 121 148 25 123 156 167 594 * 210 53 * 661 88 56 58 43 63 39 366 21 84 104 132 107 403 146 74 * * 32 593 217 55 57 171 1,244 1,047

Number in thousands




Page 30 [ Series 13, No. 168 Table 18. Rate of discharges from short-stay hospitals, by geographic region and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


United States

Northeast

Midwest

South

West

Rate per 10,000 population1 All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,168.7

1,330.7

1,202.3

1,212.0

940.2

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum. . . . . . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung. . . . . . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders . . . . . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . .280–289 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium2 . . . . . . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01–V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

36.5 17.8 55.0 40.5 5.2 5.6 12.7 7.1 55.8 19.6 16.1 15.1 10.6 81.1 58.6 11.2 15.4 20.6 206.6 9.8 140.9 21.7 32.0 5.4 25.9 36.9 29.8 116.9 7.3 41.3 17.2 14.9 117.9 10.7 11.9 10.8 10.5 11.2 7.8 66.2 5.6 16.0 17.4 26.2 19.7 66.0 25.3 10.9 6.5 6.7 6.3 99.5 36.0 11.1 9.1 30.6 168.4 138.4

44.9 19.9 62.1 46.7 5.9 6.9 13.7 7.2 67.7 24.4 14.7 19.8 13.9 119.4 81.4 18.5 16.9 29.3 250.5 15.2 172.4 25.6 36.1 6.6 35.8 45.8 32.5 136.1 7.2 42.6 21.9 22.4 131.2 10.9 14.3 12.0 13.0 11.8 7.5 69.4 7.2 16.9 14.4 28.7 22.7 74.2 28.3 10.3 9.2 5.8 7.7 112.1 38.8 12.3 11.0 38.0 148.2 113.0

36.5 20.2 54.7 41.3 5.8 6.2 11.2 7.0 54.5 16.2 19.6 14.5 10.3 81.0 61.8 7.9 17.0 20.3 231.1 9.3 161.1 24.8 36.6 5.8 30.4 42.3 32.3 129.5 6.1 53.0 19.0 14.3 126.1 10.8 13.5 13.3 13.5 10.2 8.6 70.8 7.2 17.6 13.9 24.8 19.6 74.5 32.3 11.6 3.7 3.4 3.8 102.9 42.4 13.5 9.8 28.7 156.2 128.4

36.1 17.3 56.3 40.5 5.2 5.8 14.0 7.8 59.6 22.5 17.7 16.2 11.4 * * 14.1 * 19.5 207.6 9.9 139.1 20.4 33.8 5.6 23.3 38.3 30.5 119.0 7.8 40.4 19.7 13.5 120.4 9.2 12.2 10.3 10.2 12.9 8.9 70.2 5.4 17.1 22.6 30.2 21.0 61.6 22.0 10.8 5.4 6.5 8.3 99.7 33.6 11.0 8.2 31.7 178.3 148.8

30.4 14.5 47.6 34.9 4.1 3.5 11.2 5.9 41.6 14.5 11.2 10.4 6.9 29.9 22.5 3.8 4.5 15.7 146.7 6.0 99.3 17.6 21.4 3.7 17.8 22.6 24.3 86.1 * 30.5 7.7 * 95.8 12.7 8.2 8.4 6.2 9.2 5.7 53.0 3.1 12.2 15.0 19.1 15.5 58.4 21.2 10.7 * * 4.6 85.9 31.5 7.9 8.3 24.8 180.4 151.7





Series 13, No. 168 [ Page 31 Table 19. Average length of stay for discharges from short-stay hospitals, by geographic region and first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


United States

Northeast

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.8

5.3

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum. . . . . . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung. . . . . . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders . . . . . . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . .280–289 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium1 . . . . . . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01–V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

6.7 8.7 5.8 6.5 7.8 7.2 3.3 2.4 3.9 4.7 3.5 4.3 4.0 7.0 7.7 11.7 6.7 5.7 4.5 2.2 4.4 5.4 3.2 2.5 3.4 5.1 4.9 5.1 3.2 5.1 4.7 3.2 4.6 3.1 4.2 6.2 4.8 3.8 5.2 3.9 2.4 4.6 2.7 4.9 4.4 3.9 3.8 3.1 6.3 10.7 2.4 5.4 5.3 6.2 2.9 6.1 3.8 2.6

7.2 10.0 6.3 7.1 8.8 7.8 3.6 2.4 4.4 5.1 3.8 4.6 4.3 8.5 9.6 14.8 8.7 5.3 4.8 2.6 4.7 5.5 3.3 2.5 3.8 5.6 5.3 5.4 3.1 5.6 5.0 3.4 5.0 3.0 4.4 6.5 5.4 4.2 5.6 4.4 2.4 5.3 2.8 5.4 4.6 4.2 3.9 3.6 5.8 8.4 2.3 5.5 5.5 6.9 3.1 6.3 4.2 2.9

Midwest

South

West

4.2

4.9

4.6

6.0 7.4 5.0 5.5 6.8 6.3 3.0 2.3 3.6 4.0 3.5 4.0 3.5 5.4 5.9 9.9 5.2 4.4 4.1 2.0 4.1 5.3 2.9 2.2 3.2 4.7 4.1 4.4 2.8 4.5 4.0 2.9 4.1 2.9 3.5 4.8 4.3 3.3 4.7 3.5 2.3 4.1 2.6 4.7 4.3 3.7 3.7 3.3 10.3 6.8 2.7 4.6 4.7 5.6 2.6 5.4 3.6 2.5

6.7 8.7 6.4 7.3 8.2 7.7 3.4 2.5 4.0 5.1 3.4 4.3 4.3 7.0 7.6 10.5 6.7 4.9 4.6 2.2 4.5 5.6 3.5 2.7 3.4 5.3 5.2 5.3 2.9 5.4 5.0 3.5 4.9 3.4 4.5 7.0 5.1 4.0 5.3 4.0 2.5 4.8 2.7 4.8 4.5 3.9 3.7 2.7 5.2 10.2 2.4 6.1 6.1 6.3 3.1 6.7 3.7 2.7

6.7 8.8 5.2 5.9 7.3 6.5 3.2 2.3 3.4 3.9 3.1 4.1 3.4 6.4 7.1 10.8 6.0 9.4 4.2 1.8 4.1 5.3 3.0 2.7 3.1 4.7 5.0 5.0 4.1 5.2 4.1 2.7 4.4 3.0 4.7 6.2 3.9 3.5 5.4 3.7 2.5 4.3 3.0 4.7 4.4 3.7 3.7 3.1 6.3 13.2 2.1 5.0 4.8 5.8 2.7 5.5 3.8 2.5


1

First-listed diagnosis for females with deliveries is coded as V27, shown under ‘‘Supplementary classifications.’’

2


Page 32 [ Series 13, No. 168 Table 20. Number of all-listed diagnoses for discharges from short-stay hospitals, by age and diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]

All-listed diagnoses and ICD–9–CM code

All ages

Under 15 years

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

174,522

7,103

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum. . . . . . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung. . . . . . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders . . . . . . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . .280–289 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium1 . . . . . . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01-V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

4,364 910 4,495 3,449 268 488 879 445 20,812 5,501 2,596 5,189 3,885 13,115 4,148 592 631 4,337 35,396 9,058 19,842 838 4,213 1,935 4,520 4,214 1,895 12,209 355 2,254 1,147 1,911 11,233 353 719 792 642 570 333 10,007 299 2,350 10,602 2,725 1,257 7,090 1,774 605 758 646 8,918 7,416 1,733 368 473 2,209 15,209 4,127

439 25 115 93 * * * * 590 36 299 186 99 372 119 * * 366 163 18 97 * * * 33 14 11 1,118 190 241 * 317 533 75 100 33 * *5 4 167 * 52 *22 207 77 94 * * 429 642 729 431 88 *2 23 78 499 *

15–44 years

45–64 years

65 years and over

43,409

45,764

78,246

979 95 600 290 13 24 291 216 2,810 653 359 1,113 837 5,536 1,492 251 335 751 2,229 759 956 43 119 94 203 140 89 1,503 26 219 38 513 2,312 183 184 117 60 179 110 2,023 106 238 10,547 584 320 1,047 68 161 138 * 1,958 2,205 481 9 286 416 7,069 4,112

1,223 250 1,591 1,187 87 158 364 215 6,564 1,937 519 1,324 928 4,203 1,038 243 197 1,151 9,560 2,999 4,809 269 1,247 688 817 842 471 3,111 51 476 323 568 3,613 70 186 241 177 165 128 2,640 113 434 32 806 415 2,212 513 264 112 * 2,620 1,981 379 32 119 744 3,019 9

1,724 541 2,188 1,879 167 304 206 14 10,848 2,876 1,419 2,565 2,021 3,004 1,498 97 75 2,068 23,445 5,281 13,980 524 2,843 1,150 3,468 3,218 1,325 6,477 88 1,318 785 514 4,775 24 249 401 405 221 91 5,177 78 1,627 ... 1,128 446 3,736 1,192 178 78 * 3,611 2,800 784 324 45 971 4,622 ...

Number in thousands





Series 13, No. 168 [ Page 33 Table 21. Number of all-listed diagnoses for discharges from short-stay hospitals, by sex and diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


Both sexes

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

174,522

71,673

102,849

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm of large intestine and rectum. . . . . . . . . . . . . . .153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung. . . . . . . . .162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .210–229 Benign neoplasm of uterus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders . . . . . . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . .280–289 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .296.2–296.3 Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . .320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .401 Heart disease . . . . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .414.0 Other ischemic heart disease . . . . . . . . . . . . . . . . . . . . . . .411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .493 Diseases of the digestive system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .520–579 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574 Acute pancreatitis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .592 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .599.0 Complications of pregnancy, childbirth, and the puerperium1 . . . . . . . . . . . . . . .630–677 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . .680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . .710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . .760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . .780–799 Injury and poisoning. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–999 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . . . . . . .996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V01-V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .V27

4,364 910 4,495 3,449 268 488 879 445 20,812 5,501 2,596 5,189 3,885 13,115 4,148 592 631 4,337 35,396 9,058 19,842 838 4,213 1,935 4,520 4,214 1,895 12,209 355 2,254 1,147 1,911 11,233 353 719 792 642 570 333 10,007 299 2,350 10,602 2,725 1,257 7,090 1,774 605 758 646 8,918 7,416 1,733 368 473 2,209 15,209 4,127

2,003 452 1,978 1,735 129 257 159 ... 8,700 2,492 1,075 2,040 1,410 6,296 1,870 319 237 1,910 16,992 3,841 9,992 457 2,456 1,145 2,227 1,855 852 5,715 166 1,092 549 657 4,870 201 283 352 244 184 168 3,815 138 660 ... 1,376 660 2,496 630 273 388 355 3,984 4,006 859 103 222 1,104 4,750 ...

2,361 458 2,517 1,714 139 231 720 445 12,112 3,009 1,521 3,149 2,475 6,820 2,279 273 394 2,427 18,405 5,217 9,850 381 1,757 790 2,293 2,359 1,043 6,494 189 1,162 598 1,254 6,363 151 436 440 398 386 165 6,193 162 1,690 10,602 1,349 598 4,593 1,144 332 370 291 4,934 3,411 874 265 251 1,105 10,459 4,127

Male

Female

Number in thousands




Page 34 [ Series 13, No. 168 Table 22. Number of all-listed diagnoses for discharges from short-stay hospitals, by geographic region and diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Diagnostic groupings and code numbers are based on the International Classfication of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


United States

Northeast

All conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

174,522

36,561

Infectious and parasitic diseases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–139 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–239 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 140–208,230–234 Malignant neoplasm of large intestine and rectum . . . . . . . . . . . . . . 153–154,197.5 Malignant neoplasm of trachea, bronchus, and lung . . . . . . . . 162,176.4,197.0,197.3 Benign neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 210–229 Benign neoplasm of uterus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .218–219 Endocrine, nutritional and metabolic diseases, and immunity disorders . . . . . . . .240–279 Diabetes mellitus . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .250 Volume depletion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .276.5 Diseases of the blood and blood-forming organs . . . . . . . . . . . . . . . . . . . . . 280–289 Anemias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 280–285 Mental disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–319 Psychoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .290–299 Schizophrenic disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 295 Major depressive disorder . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 296.2–296.3 Diseases of the nervous system and sense organs . . . . . . . . . . . . . . . . . . . 320–389 Diseases of the circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 390–459 Essential hypertension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 401 Heart disease. . . . . . . . . . . . . . . . . . 391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 410 Coronary atherosclerosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 414.0 Other ischemic heart disease. . . . . . . . . . . . . . . . . . . . . . . 411–413,414.1–414.9 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . . . . . 428.0,428.2–428.4 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 430–438 Diseases of the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 460–519 Acute bronchitis and bronchiolitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 466 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 480–486 Chronic bronchitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 491 Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 493 Diseases of the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 520–579 Appendicitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 540–543 Noninfectious enteritis and colitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 555–558 Intestinal obstruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 560 Diverticula of intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 562 Cholelithiasis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 574 Acute pancreatitis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 577.0 Diseases of the genitourinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . .580–629 Calculus of kidney and ureter . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 592 Urinary tract infection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 599.0 Complications of pregnancy, childbirth, and the puerperium1 . . . . . . . . . . . . . . 630–677 Diseases of the skin and subcutaneous tissue . . . . . . . . . . . . . . . . . . . . . . 680–709 Cellulitis and abscess . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 681–682 Diseases of the musculoskeletal system and connective tissue . . . . . . . . . . . . 710–739 Osteoarthrosis and allied disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .715 Intervertebral disc disorders . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 722 Congenital anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 740–759 Certain conditions originating in the perinatal period . . . . . . . . . . . . . . . . . . . 760–779 Symptoms, signs, and ill-defined conditions . . . . . . . . . . . . . . . . . . . . . . . . 780–799 Injury and poisoning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–999 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 820 Poisonings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 960–989 Certain complications of surgical and medical care . . . . . . . . . . . . . . . . . . 996–999 Supplementary classifications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V01–V85 Females with deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V27

4,364 910 4,495 3,449 268 488 879 445 20,812 5,501 2,596 5,189 3,885 13,115 4,148 592 631 4,337 35,396 9,058 19,842 838 4,213 1,935 4,520 4,214 1,895 12,209 355 2,254 1,147 1,911 11,233 353 719 792 642 570 333 10,007 299 2,350 10,602 2,725 1,257 7,090 1,774 605 758 646 8,918 7,416 1,733 368 473 2,209 15,209 4,127

937 183 968 762 55 104 170 84 4,380 1,227 487 1,001 735 3,209 1,024 168 127 953 7,807 1,999 4,463 188 960 424 1,014 908 378 2,610 64 440 244 499 2,331 66 151 143 140 116 60 2,002 67 483 1,671 609 272 1,451 372 106 179 92 1,885 1,459 317 74 97 506 3,018 618


1

First-listed diagnosis for females with deliveries is coded as V27, shown under ‘‘Supplementary classifications.’’


2

Midwest

Number in thousands 42,612 869 209 1,055 825 70 129 184 93 5,248 1,306 643 1,276 976 3,323 1,013 107 159 1,080 9,164 2,293 5,264 210 1,138 501 1,244 1,169 485 3,024 74 610 276 439 2,726 79 187 200 183 123 76 2,392 79 569 2,227 621 285 1,917 520 155 102 * 2,359 1,717 440 100 122 469 3,456 849

South

West

63,874

31,476

1,679 345 1,624 1,221 95 179 347 177 7,658 2,098 1,012 1,944 1,454 4,734 1,573 246 289 1,517 12,744 3,346 7,019 282 1,508 716 1,506 1,527 662 4,501 142 807 478 640 4,136 111 259 299 217 229 135 3,786 113 882 4,081 1,046 484 2,422 597 219 238 225 3,143 2,742 625 135 156 812 5,653 1,613

880 172 848 641 48 76 177 92 3,526 871 453 969 720 1,850 539 72 57 786 5,682 1,420 3,096 157 607 295 757 610 370 2,074 * 396 149 333 2,040 96 123 151 102 102 62 1,827 40 416 2,622 449 216 1,300 284 125 * * 1,531 1,498 351 59 99 421 3,083 1,047

Series 13, No. 168 [ Page 35 Table 23. Number and rate of discharges from short-stay hospitals with a human immunodeficiency virus diagnosis, by selected characteristics: United States, selected years 1990–2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Data are for discharges with at least one of the following International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) codes: 042–044, 279.19, 795.8 (prior to 1995); 042, V08 (beginning in 1995)] Characteristic

1990

1995

2000

2001

2002

146

249

173

185

189

114 32

183 66

115 58

115 70

2003

2004

2005

2006

207

204

185

223

124 65

136 71

132 73

113 72

145 78

Number in thousands All HIV discharges1 . . . . . . . . . . . . . . . . . . . . . . . . . . Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 25 years . . 25–29 years . . . . 30–34 years . . . . 35–39 years . . . . 40–44 years . . . . 45 years and over

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

Northeast Midwest . South . . . West . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

14 20 38 36 17 21

17 26 48 59 49 51

7 11 28 35 34 58

10 8 28 41 43 56

10 11 23 35 42 68

9 13 21 38 38 87

10 8 15 35 46 90

8 9 11 26 45 85

6 13 17 26 61 99

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

66 20 37 24

95 27 87 41

68 20 64 21

61 18 86 21

57 20 81 31

70 17 94 27

67 21 99 17

71 18 79 17

70 20 107 27

Region . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Rate per 100,000 population2 1

All HIV discharges . . . . . . . . . . . . . . . . . . . . . . . . . .

58.1

93.9

61.6

65.2

65.8

71.6

69.9

62.6

74.9

93.4 24.7

141.6 48.4

83.9 40.1

82.8 48.2

88.5 44.1

95.9 48.2

91.7 48.9

77.7 48.1

99.3 51.4

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 25 years . . 25–29 years . . . . 30–34 years . . . . 35–39 years . . . . 40–44 years . . . . 45 years and over

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .


. . . .

. . . .

. . . .

. . . .

. . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

14.8 95.1 172.8 179.0 94.8 27.4

17.6 132.2 216.2 262.7 241.4 60.2

7.5 56.6 134.9 154.4 152.6 59.8

10.1 41.3 137.6 182.9 187.4 55.8

9.5 57.5 113.0 159.7 185.2 66.6

8.9 71.3 104.6 180.8 166.6 83.1

10.2 38.9 71.9 168.3 201.3 84.6

8.2 43.3 56.6 125.8 197.6 77.9

5.9 65.3 88.6 125.3 272.8 88.6

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

128.8 33.6 42.1 44.1

183.3 43.5 93.1 69.5

126.6 30.8 64.2 33.4

112.3 27.9 84.5 32.6

107.9 31.7 81.7 49.9

129.4 25.9 90.1 40.2

122.1 32.6 94.3 25.7

130.2 26.8 74.3 24.7

127.5 30.2 98.4 39.2

Region . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

1

HIV is human immunodeficiency virus.

Rates are based on the U.S. Census Bureau estimates of the civilian population. Populations for 1990–1995 were adjusted for the net underenumeration in the 1990 census. Populations for

2000–2006 were 2000-based postcensal estimates.

2

NOTE: HIV data are for discharges with an HIV diagnosis listed in any position among the coded diagnoses.

Page 36 [ Series 13, No. 168 Table 24. Annual average number and rate of discharges from short-stay hospitals with a first-listed injury diagnosis, by Barell injury diagnosis matrix categories: United States, 2004–2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. International Classification of Diseases, Ninth Revision, Clinical Modification code numbers for Barell matrix categories are shown in Table III.]

Nature of injury

All body regions

Traumatic brain injury

Other head, face, and neck

Spinal cord

1,964 1,041 18 49 240 93 9 8 65 *4 * * 34 312

202 52 ... ... 150 ... ... ... ... ... ... * ... ...

126 37 * ... 37 ... * 15 * * * 19 ...

11 *8 ... ... *4 ... ... ... ... ... ... ... ... ...

Vertebral column

Torso

Upper extremities

Lower extremities

Other and unspecified

252 165 *6 15 ... 23 *7 * *6 * * * * ...

684 586 8 19 ... 20 * * 22 * * ... * ...

* * * * * ... * * * * * ...

8.5 5.6 *0.2 0.5 ... 0.8 *0.2 * *0.2 * * * *0.0 ...

23.2 19.9 0.3 0.6 ... 0.7 * *0.0 0.7 * * ... * ...

* * * * *0.0 ... * * * *0.0 * ...

Number in thousands1 All injuries . . . . . . . . . . Fracture . . . . . . . . . . . Dislocation . . . . . . . . . Sprains and strains . . . . Internal . . . . . . . . . . . Open wound . . . . . . . . Amputation . . . . . . . . . Blood vessels . . . . . . . Contusions and superficial Crush . . . . . . . . . . . . Burns . . . . . . . . . . . . Nerves and spinal cord . . Unspecified . . . . . . . . . System-wide . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . injuries . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

106 94 * 9 ... ... ... ... ... ... ... ... ... ...

245 98 * * 87 11 ... * 19 * * * *8 ...

Rate per 10,000 population2 All injuries . . . . . . . . . . Fracture . . . . . . . . . . . Dislocation . . . . . . . . . Sprains and strains . . . . Internal . . . . . . . . . . . Open wound . . . . . . . . Amputation . . . . . . . . . Blood vessels . . . . . . . Contusions and superficial Crush . . . . . . . . . . . . Burns . . . . . . . . . . . . Nerves and spinal cord . . Unspecified . . . . . . . . . System-wide . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . injuries . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

. . . . . . . . . . . . . .

66.5 35.3 0.6 1.7 8.1 3.2 0.3 0.3 2.2 *0.1 * * 1.2 10.6

6.8 1.8 ... ... 5.1 ... ... ... ... ... ... * ... ...

4.3 1.3 * ... 1.3 ... *0.0 0.5 * * * 0.6 ...

0.4 *0.3 ... ... *0.1 ... ... ... ... ... ... ... ... ...

3.6 3.2 * 0.3 ... ... ... ... ... ... ... ... ... ...

8.3 3.3 *0.0 * 2.9 0.4 ... * 0.6 * * * *0.3 ...



– Quantity zero.

0.0 Quantity more than zero but less than 0.05.

1 The annual average number of discharges was computed by adding the number of discharges with a first-listed injury diagnosis during the 3-year period and dividing by three.

2 Rates were calculated by dividing the annual average number of discharges by the 2005 population. The population is the U.S. Census Bureau 2000-based postcensal estimate of the civilian

population.

Series 13, No. 168 [ Page 37 Table 25. Number and rate of deaths for discharges from short-stay hospitals, by age and selected first-listed diagnosis: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Diagnostic groups and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)] All ages

First-listed diagnosis and ICD–9–CM code

Under 65 years

65 years and over

All ages

Number of deaths in thousands

Under 65 years

65 years and over

Rate per 100 discharges

All conditions1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

730

206

524

2.1

0.9

4.0

Heart disease . . . . . . . . . . . . . . .391–392.0,393–398,402,404,410–416,420–429 Acute myocardial infarction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .410 Cardiac dysrhythmias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427 Congestive heart failure . . . . . . . . . . . . . . . . . . . . . . . . .428.0,428.2–428.4 Septicemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .038 Malignant neoplasms . . . . . . . . . . . . . . . . . . . . . . . . . . . .140–208,230–234 Malignant neoplasm on trachea, bronchus, and lung . . . . .162,176.4,197.0,197.3 Respiratory failure . . . . . . . . . . . . . . . . . . . . . . . . . . . .518.81,518.83,518.84 Cerebrovascular disease . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .430–438 Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .480–486 Fractures, all sites2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .800–829 Fracture of neck of femur2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .820 Nephritis, nephrotic syndrome and nephrosis . . . . . . . . . . . . . . . . . . .580–589 Pneumonitis due to solids and liquids . . . . . . . . . . . . . . . . . . . . . . . . . . .507

110 44 15 31 87 79 19 61 47 42 23 11 22 21

19 5 * * 21 27 5 19 11 8 *6 * *5 *

91 39 10 27 66 52 13 41 37 34 17 11 18 18

2.6 6.8 2.0 2.8 16.4 6.5 11.3 19.2 5.3 3.4 2.2 3.4 5.9 11.8

1.2 2.1 * * 11.1 4.7 9.7 14.9 3.8 1.5 *1.3 * *3.4 *

3.5 9.8 1.9 3.4 19.2 8.2 12.2 22.1 6.0 4.8 3.0 3.8 7.4 13.7


1 Includes data for deaths not shown in table.


Table 26. Number of discharges from short-stay hospitals with and without procedures and percentage with procedures, by selected characteristics: United States, 2006 Discharges with procedures

All discharges

Characteristic

Discharges without procedures

Total

With surgical procedures

Total

Number in thousands All patients . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

With surgical procedures Percent

34,854

13,178

21,675

16,064

62.2

46.1

. . . . . . .

2,298 10,800 8,686 13,070 4,793 5,252 3,025

1,197 3,081 3,198 5,703 1,761 2,305 1,637

1,101 7,719 5,488 7,367 3,032 2,947 1,388

642 6,028 4,175 5,219 2,258 2,117 844

47.9 71.5 63.2 56.4 63.3 56.1 45.9

27.9 55.8 48.1 39.9 47.1 40.3 27.9

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

13,990 20,864

5,711 7,468

8,279 13,396

5,944 10,120

59.2 64.2

42.5 48.5

7,277 7,951 13,140 6,486

2,613 3,408 5,119 2,039

4,664 4,544 8,020 4,448

3,062 3,486 6,129 3,387

64.1 57.1 61.0 68.6

42.1 43.8 46.6 52.2

Age Under 15 years . . . 15–44 years . . . . . 45–64 years . . . . . 65 years and over . . 65–74 years . . . . 75–84 years . . . . 85 years and over

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

Sex


. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

NOTE: All procedures except those listed under ‘‘nonsurgical procedures’’ in the appendix are surgical procedures.

Page 38 [ Series 13, No. 168 Table 27. Number and rate of all-listed surgical and nonsurgical procedures for discharges from short-stay hospitals, by selected procedure categories: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]

Procedure category and ICD–9–CM code

Number in thousands


Surgical procedures2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

28,052

940.7

Repair of current obstetric laceration3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Cesarean section3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Artificial rupture of membranes3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Reduction of fracture. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Balloon angioplasty of coronary artery or coronary atherectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Endoscopy of small intestine with biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.14,45.16 Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3–68.7,68.9 Total knee replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Episiotomy with or without forceps or vacuum extraction3 . . . . . . . . . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Coronary artery bypass graft4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Oophorectomy and salpingo-oophorectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65.3–65.6 Insertion, replacement, removal, and revision of pacemaker leads or device . . . . . . . . . . .37.7–37.8,00.50,00.53 Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Bilateral destruction or occlusion of fallopian tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66.2–66.3 Lysis of peritoneal adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.5 Appendectomy, excluding incidental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47.0 Excision or destruction of intervertebral disc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.5 Partial excision of large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Total hip replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Endoscopy of large intestine with biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.25 Bronchoscopy with biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.24,33.27 Partial excision of bone. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.2–76.3,77.6–77.8 Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6 Cystoscopy with biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57.33

1,308 1,295 1,115 960 672 439 661 652 625 569 542 454 444 418 418 414 402 351 344 341 280 252 231 215 197 171 168 13

Nonsurgical procedures5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

17,911

Transfusion of blood and blood components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Arteriography and angiocardiography using contrast material . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.4–88.5 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Diagnostic ultrasound6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7 Computerized axial tomography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Medical induction of labor3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Endoscopy of small intestine without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.11–45.13 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Spinal tap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .03.31 Endoscopy of large intestine without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.24 Injection or infusion of cancer chemotherapeutic substance6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.25 Cystoscopy without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57.31–57.32 Bronchoscopy without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21–33.23

1,968 1,698 1,088 874 740 653 645 476 419 386 315 308 220 133 84

43.9

43.4

37.4

32.2

22.5

14.7

22.2

21.9

21.0

19.1

18.2

15.2

14.9

14.0

14.0

13.9

13.5

11.8

11.5

11.5

9.4

8.4

7.7

7.2

6.6

5.7

5.6

0.4

600.6

66.0

56.9

36.5

29.3

24.8

21.9

21.6

16.0

14.1

12.9

10.6

10.3

7.4

4.5

2.8

1

Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as of July 1, 2006. Includes data for surgical procedures not shown in table. All procedures except those listed under ‘‘nonsurgical procedures’’ in the appendix are surgical procedures. 3 See Table 38 for rate per 100 deliveries. 2

4

See Table 29 for comparison of number of procedures with number of discharges with procedures. Includes data for nonsurgical procedures not shown in table. The ICD–9–CM codes for nonsurgical procedures are listed in the appendix. 6 Estimates and rates of nonsurgical procedures for these categories differ from estimates and rates for the same categories included in tables of all-listed procedures shown elsewhere in this report because these categories include both surgical and nonsurgical procedure codes. 5

Series 13, No. 168 [ Page 39 Table 28. Number and rate of all-listed surgical and nonsurgical procedures for patients age 65 and over discharged from short-stay hospitals, by age and selected procedure categories: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


65 years and over

65–74 years

75–84 years

85 years and over

Number in thousands Surgical procedures1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9,465

4,288

3,839

1,338

Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Insertion, replacement, removal, and revision of pacemaker leads or device . . . . . .37.7–37.8,00.50,00.53 Endoscopy of small intestine with biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.14,45.16 Total knee replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Balloon angioplasty of coronary artery or coronary atherectomy . . . . . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Reduction of fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Coronary artery bypass graft2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Partial excision of large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Total hip replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6

529 361 336 328 327 324 273 183 237 135 129 126 122 103

273 92 129 188 167 168 66 46 133 60 64 68 51 55

210 174 136 122 133 129 113 74 96 54 50 45 47 35

46 95 71 18 27 27 94 62 9 21 15 14 24 13

Nonsurgical procedures3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6,772

2,686

2,680

1,407

Transfusion of blood and blood components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Arteriography and angiocardiography using contrast material . . . . . . . . . . . . . . . . . . . . . . .88.4–88.5 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Diagnostic ultrasound4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7 Computerized axial tomography . . . . . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Endoscopy of small intestine without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.11–45.13 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Endoscopy of large intestine without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.24

1,191 790 476 425 312 295 249 234 221 189

406 382 200 167 119 159 75 80 97 65

486 329 184 165 117 110 104 93 83 81

299 79 92 93 76 26 71 61 41 44

Rate per 10,000 population5 1

Surgical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2,540.3

2,266.8

2,942.5

2,526.8

Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Insertion, replacement, removal, and revision of pacemaker leads or device . . . . . .37.7–37.8,00.50,00.53 Endoscopy of small intestine with biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.14,45.16 Total knee replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Balloon angioplasty of coronary artery or coronary atherectomy . . . . . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Reduction of fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Coronary artery bypass graft2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Partial excision of large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Total hip replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6

142.0 96.9 90.2 88.0 87.7 87.0 73.3 49.0 63.7 36.2 34.5 33.8 32.8 27.5

144.4 48.9 68.0 99.3 88.3 89.0 35.0 24.4 70.3 31.9 33.6 35.8 27.1 29.0

161.0 133.1 104.5 93.4 102.0 99.0 86.7 56.8 73.2 41.1 38.4 34.2 36.0 26.6

86.8 179.2 134.4 34.6 50.5 50.5 177.1 117.5 16.9 39.5 28.4 25.8 45.4 24.6

Nonsurgical procedures3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,817.6

1,419.8

2,054.0

2,655.9

Transfusion of blood and blood components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Arteriography and angiocardiography using contrast material . . . . . . . . . . . . . . . . . . . . . . .88.4–88.5 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Diagnostic ultrasound4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7 Computerized axial tomography . . . . . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Endoscopy of small intestine without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.11–45.13 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Endoscopy of large intestine without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.24

319.7 212.1 127.7 114.0 83.8 79.3 67.0 62.7 59.3 50.8

214.7 201.9 105.9 88.0 63.1 84.1 39.5 42.3 51.3 34.1

372.5 252.4 140.9 126.8 89.7 84.2 79.8 70.9 63.4 62.0

564.2 149.2 173.4 174.9 142.9 49.8 133.4 115.8 77.6 82.8

1

Includes data for surgical procedures not shown in table. All procedures except those listed under ‘‘nonsurgical procedures’’ in the appendix are surgical procedures. See Table 29 for comparison of number of procedures with number of discharges with procedures. 3 Includes data for nonsurgical procedures not shown in table. The ICD–9–CM codes for nonsurgical procedures are listed in the appendix. 4 Estimates and rates of nonsurgical procedures for these categories differ from estimates and rates for the same categories included in tables of all-listed procedures shown elsewhere in this report because these categories include both surgical and nonsurgical procedure codes. 2

5


Page 40 [ Series 13, No. 168 Table 29. Number and rate of discharges from short-stay hospitals with a coronary artery bypass graft and number and rate of procedures,

by sex, age, and geographic region: United States, 2006

[Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification] Discharges with procedures

Number in thousands

Sex, age, and region Total

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


Procedures

Number in thousands


253

8.5

444

14.9

180

73

12.3 4.8

320

123

21.9 8.1

* 0.7 14.1 37.3 40.1 44.2 10.5

*

15

191

237

133

96

9

* 1.2 25.5 63.7 70.3 73.2 16.9

6.8 10.4 9.5 6.4

64 122 181 76

Sex

Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age

Under 15 years . . . 15–44 years . . . . . 45–64 years . . . . . 65 years and over . 65–74 years . . . 75–84 years . . . 85 years and over

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .


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. . . . . . .

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. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

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. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

*

8

105

139

76

58

6

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

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. . . .

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. . . .

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. . . .

. . . .

. . . .

37 69 103 44

Region

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

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. . . .

11.6 18.5 16.7 11.1



NOTES: The number of procedures exceeds the number of discharges because these procedures are often assigned more than one code for a single operation. See ‘‘Methods’’ section. CABG is

coronary artery bypass graft.

Series 13, No. 168 [ Page 41 Table 30. Number of all-listed procedures for discharges from short-stay hospitals, by age and procedure category: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


All ages

Under 15 years

15–44 years

45–64 years

65 years and over

All procedures1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45,963

2,159

15,012

12,555

16,238

Operations on the nervous system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01–05 Spinal tap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .03.31 Operations on the endocrine system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .06–07 Operations on the eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .08–16 Operations on the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18–20 Operations on the nose, mouth, and pharynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21–29 Operations on the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30–34 Bronchoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21–33.24,33.27 Operations on the cardiovascular system . . . . . . . . . . .35–39,00.50–00.51,00.53–00.55,00.61–00.66 Balloon angioplasty of coronary artery or coronary atherectomy . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Coronary artery bypass graft2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Insertion, replacement, removal, and revision of pacemaker leads or device . .37.7–37.8,00.50,00.53 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Operations on the hemic and lymphatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40–41 Operations on the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42–54 Endoscopy of small intestine with or without biopsy . . . . . . . . . . . . . . . . . . . .45.11–45.14,45.16 Endoscopy of large intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.25 Partial excision of large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Appendectomy, excluding incidental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47.0 Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Lysis of peritoneal adhesions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.5 Operations on the urinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55–59 Cystoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57.31–57.33 Operations on the male genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60–64 Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6 Operations on the female genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65–71 Oophorectomy and salpingo-oophorectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65.3–65.6 Bilateral destruction or occlusion of fallopian tubes . . . . . . . . . . . . . . . . . . . . . . . . . .66.2–66.3 Hysterectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3–68.7,68.9 Obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75 Episiotomy with or without forceps or vacuum extraction . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Artificial rupture of membranes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Medical induction of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4 Cesarean section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Repair of current obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Operations on the musculoskeletal system . . . . . . . . . . . . . . . . . .76–84,00.70–00.73,00.80–00.84 Partial excision of bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.2–76.3,77.6–77.8 Reduction of fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Excision or destruction of intervertebral disc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.5 Total hip replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Total knee replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Operations on the integumentary system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85–86 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Miscellaneous diagnostic and therapeutic procedures and new technologies3 . . . . . . . . . . .87–99,00 Computerized axial tomography. . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Arteriography and angiocardiography using contrast material . . . . . . . . . . . . . . . . . . .88.4–88.5 Diagnostic ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7,00.21–00.25,00.28–00.29 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Respiratory therapy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Transfusion of blood and blood components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Injection or infusion of cancer chemotherapeutic substance . . . . . . . . . . . . . . . . . . .99.25,00.10

1,155 315 101 76 53 298 1,167 282 7,235 661 652 444 1,115 418 645 371 5,571 1,045 522 252 341 414 344 1,025 146 250 168 1,957 418 351 569 7,076 454 960 653 1,295 1,308 4,254 171 672 439 280 231 542 1,598 402 13,775 740 1,698 888 386 1,088 476 1,968 221

184 124 * * * 67 73 * 210 * * * 12 * * 21 243 * 7 * 74 * 7 26 * 28 * 9 * * * *9 * * * * * 166 9 43 14 * * * * * 885 35 18 34 * 165 49 66 42

343 77 33 19 11 89 188 44 734 33 33 15 87 *9 102 57 1,267 151 68 30 178 155 120 203 29 16 * 1,073 147 349 260 7,049 453 956 650 1,290 1,304 909 42 196 130 85 13 11 510 124 2,511 174 188 149 33 159 74 224 36

304 64 37 19 *8 74 362 88 2,633 301 294 191 487 46 244 147 1,743 307 150 83 66 128 117 355 42 82 65 638 207 * 250 17 * * * *3 * 1,513 68 159 113 137 92 204 473 121 4,150 219 701 273 95 288 132 487 88

324 50 29 26 * 67 544 132 3,658 327 324 237 529 361 295 146 2,319 570 297 135 24 129 101 442 72 123 103 237 61 * 59 ... ... ... ... ... ... 1,666 52 273 183 55 126 328 417 122 6,230 312 790 432 249 476 221 1,191 55

Number in thousands



1 In 2002, the Chapter 00 codes were established. For reporting purposes, between 2003 and 2005, all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures

and new technologies category. Beginning in 2006, the 00 codes are included in the categories and chapters of their previous codes, where applicable. See ‘‘Use of Tables.’’

2

See Table 29 for comparison of number of procedures with number of discharges with procedures.

Chapter 00 codes included in this category: 00.01–00.03, 00.09, 00.10–00.18, 00.21–00.25, 00.28–00.29, 00.31–00.35, 00.39, 00.40–00.43, 00.45–00.48, 00.52, 00.74–00.76, 00.91–00.93.

3

Page 42 [ Series 13, No. 168 Table 31. Rate of all-listed procedures for discharges from short-stay hospitals, by age and procedure category: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


All ages

Under 15 years

15–44 years

45–64 years

65 years and over

Rate per 10,000 population1 All procedures2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,541.3

355.3

1,197.1

1,678.4

Operations on the nervous system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01–05 Spinal tap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .03.31 Operations on the endocrine system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .06–07 Operations on the eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .08–16 Operations on the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18–20 Operations on the nose, mouth, and pharynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21–29 Operations on the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30–34 Bronchoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21–33.24,33.27 Operations on the cardiovascular system . . . . . . . . . . . . .35–39,00.50–00.51,00.53–00.55,00.61–00.66 Balloon angioplasty of coronary artery or coronary atherectomy . . . . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Coronary artery bypass graft3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Insertion, replacement, removal, and revision of pacemaker leads or device. . . . .37.7–37.8,00.50,00.53 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Operations on the hemic and lymphatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40–41 Operations on the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42–54 Endoscopy of small intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . .45.11–45.14,45.16 Endoscopy of large intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.25 Partial excision of large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Appendectomy, excluding incidental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47.0 Cholecystectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Lysis of peritoneal adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.5 Operations on the urinary system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55–59 Cystoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57.31–57.33 Operations on the male genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60–64 Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6 Operations on the female genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65–71 Oophorectomy and salpingo-oophorectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65.3–65.6 Bilateral destruction or occlusion of fallopian tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . .66.2–66.3 Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3–68.7,68.9 Obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75 Episiotomy with or without forceps or vacuum extraction . . . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Artificial rupture of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Medical induction of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4 Cesarean section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Repair of current obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Operations on the musculoskeletal system . . . . . . . . . . . . . . . . . . . .76–84,00.70–00.73,00.80–00.84 Partial excision of bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.2–76.3,77.6–77.8 Reduction of fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Excision or destruction of intervertebral disc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.5 Total hip replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Total knee replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Operations on the integumentary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85–86 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Miscellaneous diagnostic and therapeutic procedures and new technologies4 . . . . . . . . . . . . .87–99,00 Computerized axial tomography . . . . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Arteriography and angiocardiography using contrast material . . . . . . . . . . . . . . . . . . . . . .88.4–88.5 Diagnostic ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7,00.21–00.25,00.28–00.29 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Transfusion of blood and blood components. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Injection or infusion of cancer chemotherapeutic substance. . . . . . . . . . . . . . . . . . . . . .99.25,00.10

38.7 10.6 3.4 2.6 1.8 10.0 39.1 9.4 242.6 22.2 21.9 14.9 37.4 14.0 21.6 12.4 186.8 35.0 17.5 8.4 11.5 13.9 11.5 34.4 4.9 8.4 5.6 65.6 14.0 11.8 19.1 237.3 15.2 32.2 21.9 43.4 43.9 142.6 5.7 22.5 14.7 9.4 7.7 18.2 53.6 13.5 461.9 24.8 56.9 29.8 12.9 36.5 16.0 66.0 7.4

30.3 20.3 * * * 11.1 12.0 * 34.5 * * * 2.0 * * 3.4 40.1 * 1.2 * 12.1 * 1.2 4.2 *0.4 4.6 * 1.4 * * * * * * * * * 27.2 1.6 7.1 2.2 * * * * * 145.6 5.8 3.0 5.7 * 27.2 8.0 10.9 6.9

27.3 6.2 2.6 1.5 * 7.1 15.0 3.5 58.6 2.6 2.6 1.2 7.0 *0.7 8.2 4.6 101.0 12.0 5.4 2.4 14.2 12.3 9.6 16.2 2.3 1.3 * 85.5 11.7 27.8 20.7 562.2 36.1 76.3 51.8 102.9 104.0 72.5 3.4 15.6 10.4 6.8 1.0 0.8 40.6 9.9 200.2 13.9 15.0 11.8 2.6 12.7 5.9 17.9 2.9

40.7 8.5 4.9 2.5 *1.0 10.0 48.4 11.7 352.0 40.2 39.4 25.5 65.1 6.2 32.6 19.6 233.0 41.0 20.1 11.1 8.9 17.1 15.6 47.4 5.6 11.0 8.7 85.3 27.7 * 33.4 2.3 * * * *0.4 * 202.3 9.0 21.3 15.1 18.4 12.3 27.3 63.3 16.1 554.7 29.2 93.7 36.5 12.7 38.5 17.7 65.1 11.7

4,357.9 87.0 13.4

7.8

7.1

*

18.0

146.1

35.4

981.8

87.7

87.0

63.7

142.0

96.9

79.3

39.2

622.3

153.0

79.6

36.2

6.4

34.5

27.0

118.5

19.3

33.1

27.5

63.6

16.5

*

15.9

. . .

...

...

...

. . .

. . .

447.2

13.9

73.3

49.0

14.9

33.8

88.0

112.0

32.8

1,672.0

83.8

212.1

116.0

67.0

127.7

59.3

319.7

14.7






3

See Table 29 for comparison of rate of procedures with rate of discharges with procedures.


4

Series 13, No. 168 [ Page 43 Table 32. Number of all-listed procedures for discharges from short-stay hospitals, by sex and procedure category: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


Both sexes

All procedures1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45,963

18,482

27,482

Operations on the nervous system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01–05 Spinal tap . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .03.31 Operations on the endocrine system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .06–07 Operations on the eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .08–16 Operations on the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18–20 Operations on the nose, mouth, and pharynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21–29 Operations on the respiratory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30–34 Bronchoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21–33.24,33.27 Operations on the cardiovascular system . . . . . . . . . . . . . . . . . .35–39,00.50–00.51,00.53–00.55,00.61–00.66 Balloon angioplasty of coronary artery or coronary atherectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Coronary artery bypass graft2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Cardiac catheterization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Insertion, replacement, removal, and revision of pacemaker leads or device . . . . . . . . .37.7–37.8,00.50,00.53 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Operations on the hemic and lymphatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40–41 Operations on the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42–54 Endoscopy of small intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . .45.11–45.14,45.16 Endoscopy of large intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.25 Partial excision of large intestine. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Appendectomy, excluding incidental. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47.0 Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Lysis of peritoneal adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.5 Operations on the urinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55–59 Cystoscopy with or without biopsy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57.31–57.33 Operations on the male genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60–64 Prostatectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6 Operations on the female genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65–71 Oophorectomy and salpingo-oophorectomy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65.3–65.6 Bilateral destruction or occlusion of fallopian tubes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66.2–66.3 Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3–68.7,68.9 Obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75 Episiotomy with or without forceps or vacuum extraction . . . . . . . . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Artificial rupture of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Medical induction of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4 Cesarean section. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Repair of current obstetric laceration. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Operations on the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . . . . .76–84,00.70–00.73,00.80–00.84 Partial excision of bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.2–76.3,77.6–77.8 Reduction of fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Excision or destruction of intervertebral disc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.5 Total hip replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Total knee replacement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Operations on the integumentary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85–86 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Miscellaneous diagnostic and therapeutic procedures and new technologies3 . . . . . . . . . . . . . . . . . .87–99,00 Computerized axial tomography . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Arteriography and angiocardiography using contrast material. . . . . . . . . . . . . . . . . . . . . . . . . . .88.4–88.5 Diagnostic ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7,00.21–00.25,00.28–00.29 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Transfusion of blood and blood components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Injection or infusion of cancer chemotherapeutic substance . . . . . . . . . . . . . . . . . . . . . . . . . .99.25,00.10

1,155 315 101 76 53 298 1,167 282 7,235 661 652 444 1,115 418 645 371 5,571 1,045 522 252 341 414 344 1,025 146 250 168 1,957 418 351 569 7,076 454 960 653 1,295 1,308 4,254 171 672 439 280 231 542 1,598 402 13,775 740 1,698 888 386 1,088 476 1,968 221

534 158 29 45 36 183 641 152 4,116 429 425 320 666 198 325 186 2,431 457 212 115 192 134 80 491 69 250 168 ... ... ... ... ... ... ... ... ... ... 2,005 95 326 203 135 102 199 806 236 6,729 366 938 411 154 561 247 851 130

621 156 72 31 17 115 526 129 3,119 232 227 123 450 219 320 185 3,140 588 311 137 150 280 264 534 77 ... ... 1,957 418 351 569 7,076 454 960 653 1,295 1,308 2,249 76 346 237 145 129 344 792 166 7,046 374 760 477 232 527 229 1,117 90

Male

Female

Number in thousands




2 See Table 29 for comparison of number of procedures with number of discharges with procedures.

3 Chapter 00 codes included in this category: 00.01–00.03, 00.09, 00.10–00.18, 00.21–00.25, 00.28–00.29, 00.31–00.35, 00.39, 00.40–00.43, 00.45–00.48, 00.52, 00.74–00.76, 00.91–00.93.

Page 44 [ Series 13, No. 168 Table 33. Rate of all-listed procedures for discharges from short-stay hospitals, by sex and procedure category: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


Both sexes

Male

Female

Rate per 10,000 population1 All procedures2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,541.3

1,261.5


38.7 10.6 3.4 2.6 1.8 10.0 39.1 9.4 242.6 22.2 21.9 14.9 37.4 14.0 21.6 12.4 186.8 35.0 17.5 8.4 11.5 13.9 11.5 34.4 4.9 8.4 5.6 65.6 14.0 11.8 19.1 237.3 15.2 32.2 21.9 43.4 43.9 142.6 5.7 22.5 14.7 9.4 7.7 18.2 53.6 13.5 461.9 24.8 56.9 29.8 12.9 36.5 16.0 66.0 7.4

36.4 10.8 2.0 3.1 2.5 12.5 43.7 10.4 280.9 29.3 29.0 21.9 45.4 13.5 22.2 12.7 166.0 31.2 14.4 7.8 13.1 9.2 5.5 33.5 4.7 17.1 11.5 ... ... ... ... ... ... ... ... ... ... 136.8 6.5 22.3 13.8 9.2 7.0 13.6 55.0 16.1 459.3 25.0 64.0 28.1 10.5 38.3 16.9 58.1 8.9

1,811.5 41.0 10.3

4.8

2.1

1.1

7.6

34.7

8.5

205.6

15.3

15.0

8.1

29.6

14.5

21.1

12.2

207.0

38.7

20.5

9.0

9.9

18.5

17.4

35.2

5.1

. . .

. . .

129.0

27.6

23.1

37.5

466.4

29.9

63.2

43.0

85.3

86.2

148.3

5.0

22.8

15.6

9.5

8.5

22.7

52.2

10.9

464.5

24.7

50.1

31.4

15.3

34.7

15.1

73.6

6.0

. . . Category not applicable. 1 Rates were calculated using U.S. Census Bureau 2000-based postcensal estimates of the civilian population as of July 1, 2006. 2 In 2002, the Chapter 00 codes were established. For reporting purposes, between 2003 and 2005, all Chapter 00 codes were grouped with the miscellaneous diagnostic and therapeutic procedures and new technologies category. Beginning in 2006, the 00 codes are included in the categories and chapters of their previous codes, where applicable. See ‘‘Use of Tables.’’ 3 See Table 29 for comparison of rate of procedures with rate of discharges with procedures. 4 Chapter 00 codes included in this category: 00.01–00.03, 00.09, 00.10–00.18, 00.21–00.25, 00.28–00.29, 00.31–00.35, 00.39, 00.40–00.43, 00.45–00.48, 00.52, 00.74–00.76, 00.91–00.93.

Series 13, No. 168 [ Page 45 Table 34. Number of all-listed procedures for discharges from short-stay hospitals, by geographic region and procedure category: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


United States

Northeast

All procedures1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

45,963

10,025

9,584

16,909

9,445

Operations on the nervous system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .01–05 Spinal tap. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .03.31 Operations on the endocrine system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .06–07 Operations on the eye . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .08–16 Operations on the ear . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .18–20 Operations on the nose, mouth, and pharynx . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21–29 Operations on the respiratory system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30–34 Bronchoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.21–33.24,33.27 Operations on the cardiovascular system . . . . . . . . . . . . . . . .35–39,00.50–00.51,00.53–00.55,00.61–00.66 Balloon angioplasty of coronary artery or coronary atherectomy . . . . . . . . . . . . . . . . . . . . . . . . .00.66 Insertion of coronary artery stent(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.06–36.07 Coronary artery bypass graft2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.1 Cardiac catheterization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .37.21–37.23 Insertion, replacement, removal, and revision of pacemaker leads or device . . . . . . .37.7–37.8,00.50,00.53 Hemodialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .39.95 Operations on the hemic and lymphatic system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .40–41 Operations on the digestive system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42–54 Endoscopy of small intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . .45.11–45.14,45.16 Endoscopy of large intestine with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.21–45.25 Partial excision of large intestine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .45.7 Appendectomy, excluding incidental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .47.0 Cholecystectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .51.2 Lysis of peritoneal adhesions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54.5 Operations on the urinary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55–59 Cystoscopy with or without biopsy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57.31–57.33 Operations on the male genital organs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60–64 Prostatectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60.2–60.6 Operations on the female genital organs. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65–71 Oophorectomy and salpingo-oophorectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .65.3–65.6 Bilateral destruction or occlusion of fallopian tubes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66.2–66.3 Hysterectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68.3–68.7,68.9 Obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75 Episiotomy with or without forceps or vacuum extraction . . . . . . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Artificial rupture of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Medical induction of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4 Cesarean section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Repair of current obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Operations on the musculoskeletal system . . . . . . . . . . . . . . . . . . . . . . .76–84,00.70–00.73,00.80–00.84 Partial excision of bone . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.2–76.3,77.6–77.8 Reduction of fracture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .76.7,79.0–79.3 Open reduction of fracture with internal fixation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .79.3 Excision or destruction of intervertebral disc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .80.5 Total hip replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.51 Total knee replacement . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .81.54 Operations on the integumentary system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .85–86 Debridement of wound, infection, or burn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .86.22,86.28 Miscellaneous diagnostic and therapeutic procedures and new technologies3 . . . . . . . . . . . . . . . .87–99,00 Computerized axial tomography . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87.03,87.41,87.71,88.01,88.38 Arteriography and angiocardiography using contrast material . . . . . . . . . . . . . . . . . . . . . . . .88.4–88.5 Diagnostic ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .88.7,00.21–00.25,00.28–00.29 Physical therapy procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.1–93.3 Respiratory therapy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .93.9,96.7,00.12 Insertion of endotracheal tube . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .96.04 Transfusion of blood and blood components . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .99.0 Injection or infusion of cancer chemotherapeutic substance . . . . . . . . . . . . . . . . . . . . . . . .99.25,00.10

1,155 315 101 76 53 298 1,167 282 7,235 661 652 444 1,115 418 645 371 5,571 1,045 522 252 341 414 344 1,025 146 250 168 1,957 418 351 569 7,076 454 960 653 1,295 1,308 4,254 171 672 439 280 231 542 1,598 402 13,775 740 1,698 888 386 1,088 476 1,968 221

253 64 24 16 * 65 263 62 1,367 123 109 64 201 103 127 76 1,168 217 115 49 62 76 66 243 39 49 34 295 58 43 84 1,080 75 120 98 206 204 828 42 129 85 48 57 103 289 69 3,998 377 328 318 113 310 102 357 57

239 46 14 * * 55 247 62 1,620 168 203 122 258 94 113 73 1,207 249 116 61 80 79 76 202 32 53 38 441 111 63 143 1,590 93 267 160 236 302 1,003 39 162 107 59 57 163 271 74 2,545 * 405 132 * 184 90 399 21

381 118 42 31 * 100 431 99 2,816 239 221 181 458 147 262 130 2,058 381 182 93 110 181 133 385 54 86 54 826 175 171 228 2,558 178 322 217 536 451 1,529 62 241 159 105 69 178 794 209 4,717 144 675 279 * 373 180 800 93

282 * 21 *11 * 78 226 58 1,432 130 119 76 199 73 143 91 1,139 197 110 49 89 78 70 195 21 63 43 395 75 74 114 1,848 107 251 178 318 351 894 29 139 89 69 48 98 244 49 2,516 103 290 159 * 221 104 412 51

Midwest

South

West

Number in thousands




2

See Table 29 for comparison of number of procedures with number of discharges with procedures.


3

Page 46 [ Series 13, No. 168 Table 35. Rate of all-listed procedures for discharges from short-stay hospitals, by geographic region and procedure category: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Excludes newborn infants. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]


United States

All procedures2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1,541.3

1,833.3

1,449.1

1,559.7


38.7 10.6 3.4 2.6 1.8 10.0 39.1 9.4 242.6 22.2 21.9 14.9 37.4 14.0 21.6 12.4 186.8 35.0 17.5 8.4 11.5 13.9 11.5 34.4 4.9 8.4 5.6 65.6 14.0 11.8 19.1 237.3 15.2 32.2 21.9 43.4 43.9 142.6 5.7 22.5 14.7 9.4 7.7 18.2 53.6 13.5 461.9 24.8 56.9 29.8 12.9 36.5 16.0 66.0 7.4

46.2 11.7 4.4 2.9 * 11.8 48.2 11.3 250.0 22.6 19.8 11.6 36.7 18.9 23.1 13.9 213.6 39.7 21.0 9.1 11.3 13.8 12.1 44.5 7.1 8.9 6.2 54.0 10.5 7.8 15.3 197.5 13.8 21.9 18.0 37.6 37.3 151.4 7.6 23.7 15.5 8.7 10.3 18.9 52.8 12.7 731.1 68.9 60.0 58.1 20.7 56.7 18.6 65.2 10.4

36.2 7.0 2.2 * * 8.4 37.3 9.4 245.0 25.4 30.7 18.5 39.0 14.2 17.0 11.0 182.5 37.7 17.6 9.2 12.2 12.0 11.4 30.6 4.9 8.0 5.7 66.6 16.8 9.6 21.7 240.4 14.1 40.4 24.2 35.6 45.7 151.7 5.9 24.5 16.2 8.9 8.6 24.7 40.9 11.2 384.8 * 61.2 19.9 * 27.8 13.7 60.4 3.1

35.1 10.9 3.9 2.9 * 9.3 39.7 9.1 259.8 22.1 20.4 16.7 42.3 13.5 24.2 12.0 189.8 35.1 16.7 8.5 10.1 16.7 12.3 35.5 5.0 7.9 4.9 76.2 16.2 15.8 21.0 236.0 16.4 29.7 20.0 49.4 41.6 141.0 5.7 22.3 14.7 9.7 6.4 16.4 73.3 19.3 435.1 13.3 62.2 25.8 * 34.4 16.6 73.8 8.5

Northeast

Midwest

South

West

Rate per 10,000 population1 1,369.1 40.9 *

3.0

*1.6

*

11.3

32.7

8.5

207.5

18.8

17.3

11.1

28.8

10.6

20.7

13.2

165.0

28.6

15.9

7.1

12.9

11.4

10.1

28.2

3.0

9.1

6.3

57.2

10.9

10.7

16.6

267.9

15.5

36.4

25.7

46.1

50.8

129.6

4.2

20.2

12.8

9.9

7.0

14.2

35.4

7.1

364.6

14.9

42.1

23.1

*

32.0

15.1

59.7

7.3





3

See Table 29 for comparison of rate of procedures with rate of discharges with procedures.


4

Series 13, No. 168 [ Page 47 Table 36. Number, percent distribution, and rate of discharges and days of care, with average length of stay for females with deliveries discharged from short-stay hospitals, by type of delivery, age, and geographic region: United States, 2006 [Discharges of inpatients from nonfederal hospitals. Data are for discharges 10–54 years of age with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) code V27, ‘‘females with deliveries’’] Discharges

Age and region

Days of care

Number in thousands



Number in thousands




All deliveries 10–54 years . 10–19 years 20–24 years 25–29 years 30–34 years 35–39 years 40–54 years

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

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. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

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. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

4,127 428 1,047 1,135 928 478 112

100.0 10.4 25.4 27.5 22.5 11.6 2.7

43.8 20.9 103.3 112.5 95.6 45.4 3.4

10,868 1,087 2,681 2,926 2,469 1,375 330

100.0 10.0 24.7 26.9 22.7 12.7 3.0

115.5 53.2 264.3 290.1 254.5 130.8 9.9

2.6 2.5 2.6 2.6 2.7 2.9 2.9

All regions Northeast Midwest . South . . West . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

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. . . . .

4,127 618 849 1,613 1,047

100.0 15.0 20.6 39.1 25.4

43.8 35.7 40.9 47.2 47.8

10,868 1,792 2,108 4,321 2,647

100.0 16.5 19.4 39.8 24.4

115.5 103.6 101.5 126.4 121.0

2.6 2.9 2.5 2.7 2.5

. . . . .

. . . . .

Vaginal deliveries2 10–54 years . 10–19 years 20–24 years 25–29 years 30–34 years 35–39 years 40–54 years

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

2,833 335 755 801 599 278 64

100.0 11.8 26.7 28.3 21.1 9.8 2.3

30.1 16.4 74.5 79.4 61.7 26.5 1.9

6,164 765 1,645 1,716 1,279 607 151

100.0 12.4 26.7 27.8 20.7 9.9 2.5

65.5 37.4 162.2 170.2 131.8 57.7 4.5

2.2 2.3 2.2 2.1 2.1 2.2 2.3


. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

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. . . . .

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. . . . .

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. . . . .

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. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

2,833 413 614 1,078 729

100.0 14.6 21.7 38.0 25.7

30.1 23.9 29.5 31.5 33.3

6,164 985 1,309 2,382 1,488

100.0 16.0 21.2 38.6 24.1

65.5 57.0 63.0 69.7 68.0

2.2 2.4 2.1 2.2 2.0

. . . . .

. . . . .

Cesarean deliveries3 10–54 years . 10–19 years 20–24 years 25–29 years 30–34 years 35–39 years 40–54 years

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

1,295 93 292 334 329 199 48

100.0 7.2 22.6 25.8 25.4 15.4 3.7

13.8 4.5 28.8 33.1 33.9 19.0 1.4

4,704 321 1,036 1,210 1,190 768 179

100.0 6.8 22.0 25.7 25.3 16.3 3.8

50.0 15.7 102.1 119.9 122.7 73.0 5.4

3.6 3.5 3.5 3.6 3.6 3.8 3.7


. . . . .

. . . . .

. . . . .

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. . . . .

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. . . . .

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. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

. . . . .

1,295 206 236 536 318

100.0 15.9 18.2 41.4 24.5

13.8 11.9 11.3 15.7 14.5

4,704 806 799 1,939 1,159

100.0 17.1 17.0 41.2 24.6

50.0 46.6 38.5 56.7 53.0

3.6 3.9 3.4 3.6 3.6

. . . . .

. . . . .

1


Discharges of females with deliveries except those with cesarean deliveries.

2 3

Discharges of females with deliveries with ICD–9–CM procedure codes 74.0–74.2, 74.4, or 74.99.

Page 48 [ Series 13, No. 168 Table 37. Number and percent distribution of females with deliveries discharged from short-stay hospitals, by length of stay and type of delivery: United States, selected years 1980–2006 [Discharges of inpatients from nonfederal hospitals. Data are for discharges 10–54 years of age with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) code V27, ‘‘females with deliveries’’] Length of stay

1980

1985

1990

1995

2000

2005

2006

Number in thousands

All deliveries. . . . Less than 1 day 1 day. . . . . . . 2 days . . . . . . 3 days . . . . . . 4 days . . . . . . 5–7 days . . . . 8 days or more.

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

3,762 23 216 747 1,205 691 726 154

3,854 34 373 1,037 1,140 586 598 86

4,025 37 623 1,649 900 468 282 67

3,766 36 1,368 1,418 606 193 100 46

3,738 16 551 1,863 863 292 112 41

4,038 11 481 1,880 1,111 368 145 43

4,127

11

472

1,927

1,143

371

156

48

Vaginal deliveries1 Less than 1 day 1 day. . . . . . . 2 days . . . . . . 3 days . . . . . . 4 days . . . . . . 5–7 days . . . . 8 days or more.

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

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. . . . . . . .

. . . . . . . .

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. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

3,143 23 215 743 1,185 618 317 42

2,977 33 371 1,030 1,054 338 125 26

3,080 35 620 1,624 618 106 55 23

2,981 34 1,362 1,271 228 39 27 21

2,882 14 546 1,726 500 53 25 17

2,776 *8 467 1,653 558 51 23 15

2,833

9

462

1,669

594

57

31

12

Cesarean deliveries2 . . . . . . . . . . . . . . Less than 1 day . . . . . . . . . . . . . . . 1 day. . . . . . . . . . . . . . . . . . . . . . 2 days . . . . . . . . . . . . . . . . . . . . . 3 days . . . . . . . . . . . . . . . . . . . . . 4 days . . . . . . . . . . . . . . . . . . . . . 5–7 days . . . . . . . . . . . . . . . . . . . 8 days or more. . . . . . . . . . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

619 * * * 20 73 409 112

877 * * * 86 249 473 60

945 * * 25 283 361 227 44

855 * * 137 363 239 87 24

1,262 * * 227 553 317 122 28

1,295

*

*10

258

549

315

125

36

All deliveries. . . . Less than 1 day 1 day. . . . . . . 2 days . . . . . . 3 days . . . . . . 4 days . . . . . . 5–7 days . . . . 8 days or more.

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

785 * *6 147 379 154 73 25 Percent distribution

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

100.0 0.6 5.7 19.9 32.0 18.4 19.3 4.1

100.0 0.9 9.7 26.9 29.6 15.2 15.5 2.2

100.0 0.9 15.5 41.0 22.4 11.6 7.0 1.7

100.0 1.0 36.3 37.7 16.1 5.1 2.7 1.2

100.0 0.4 14.7 49.9 23.1 7.8 3.0 1.1

100.0 0.3 11.9 46.6 27.5 9.1 3.6 1.1

100.0

0.3

11.4

46.7

27.7

9.0

3.8

1.2

Vaginal deliveries1. . . . . . . . . . . . . .. Less than 1 day . . . . . . . . . . . . . . 1 day. . . . . . . . . . . . . . . . . . . . . 2 days . . . . . . . . . . . . . . . . . . . . 3 days . . . . . . . . . . . . . . . . . . . . 4 days . . . . . . . . . . . . . . . . . . . . 5–7 days . . . . . . . . . . . . . . . . . . 8 days or more. . . . . . . . . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

100.0 0.7 6.8 23.6 37.7 19.7 10.1 1.3

100.0 1.1 12.5 34.6 35.4 11.4 4.2 0.9

100.0 1.1 20.1 52.7 20.1 3.4 1.8 0.7

100.0 1.1 45.7 42.6 7.6 1.3 0.9 0.7

100.0 0.5 19.0 59.9 17.3 1.8 0.9 0.6

100.0 *0.3 16.8 59.5 20.1 1.9 0.8 0.5

100.0

0.3

16.3

58.9

21.0

2.0

1.1

0.4

Cesarean deliveries2 . . . . . . . . . . . . . . Less than 1 day . . . . . . . . . . . . . . . 1 day. . . . . . . . . . . . . . . . . . . . . . 2 days . . . . . . . . . . . . . . . . . . . . . 3 days . . . . . . . . . . . . . . . . . . . . . 4 days . . . . . . . . . . . . . . . . . . . . . 5–7 days . . . . . . . . . . . . . . . . . . . 8 days or more. . . . . . . . . . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

. . . . . . . .

100.0 * * * 3.2 11.8 66.1 18.1

100.0 * * * 9.8 28.4 53.9 6.8

100.0 * * 2.6 29.9 38.2 24.0 4.7

100.0 * *0.8 18.7 48.3 19.6 9.3 3.2

100.0 * * 16.0 42.4 27.9 10.2 2.8

100.0 * * 18.0 43.8 25.1 9.7 2.2

100.0

*

*0.8

19.9

42.4

24.3

9.6

2.8

Type of delivery All deliveries. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3.8

3.3

Average length of stay in days 2.8 2.1 2.5

2.6

2.6

Vaginal deliveries1. . . . . . . . . . . . . .. . . . . . . . . . . . . . Cesarean deliveries2 . . . . . . . . . . . . . . . . . . . . . . . . . .

3.2 6.5

2.7 5.2

2.3 4.5

2.2 3.5

2.2

3.6

* Figure does not meet standards of reliability or precision. 1 Discharges of females with deliveries except those with cesarean deliveries. 2 Discharges of females with deliveries with ICD–9–CM procedure codes 74.0–74.2, 74.4, or 74.99.

1.7 3.6

2.1 3.7

Series 13, No. 168 [ Page 49 Table 38. Number and rate of selected obstetrical procedures for females with deliveries discharged from short-stay hospitals: United States, selected years 1980–2006 [Discharges of inpatients from nonfederal hospitals. Procedure groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM). Data are for selected procedures performed on discharges with code V27, ‘‘females with deliveries’’] Procedure category and ICD–9–CM code

1980

1985

1990

1995

All obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75

3,526

4,239

6,660

6,282

Repair of current obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Cesarean section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Manually assisted delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.5 Artificial rupture of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Medical induction of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4 Episiotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Vacuum extraction1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72.7 Forceps delivery1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72.0–72.4,72.51,72.53,72.6,73.3

350 619 70 120 42 2,012 22 555

543 877 193 315 66 1,820 66 376

789 945 750 691 225 1,714 190 269

961 785 866 752 366 1,410 279 176

2000

2005

2006

6,145

6,781

7,007

1,134 855 898 833 435 944 245 117

1,255 1,262 1,022 928 608 537 237 66

1,306 1,295 1,207 960 647 454 229 52

Number of procedures in thousands

Rate per 100 deliveries2 All obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75

93.7

110.0

165.5

166.8

164.4

167.9

169.8

Cesarean section . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .74.0–74.2,74.4,74.99 Artificial rupture of membranes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.0 Medical induction of labor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.4

16.5 3.2 1.1

22.7 8.2 1.7

23.5 17.2 5.6

20.8 20.0 9.7

22.9 22.3 11.7

31.3 23.0 15.0

31.4 23.2 15.7

45.0 36.8 19.3 8.2 2.3

46.1 42.6 16.0 8.1 1.8

Rate per 100 vaginal deliveries3 Repair of current obstetric laceration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .75.5–75.6 Manually assisted delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .73.5 Episiotomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72.1,72.21,72.31,72.71,73.6 Vacuum extraction1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72.7 Forceps delivery1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .72.0–72.4,72.51,72.53,72.6,73.3

11.1 2.2 64.0 0.7 17.6

18.1 6.5 61.1 2.2 12.5

25.5 24.3 55.6 6.1 8.6

32.0 29.0 47.2 9.2 5.8

39.2 31.1 32.7 8.4 4.0

1

Forceps delivery and vacuum extraction with episiotomy are also included in the episiotomy category.

Procedures per 100 discharges of females with deliveries.

3 Procedures for females with vaginal deliveries per 100 discharges with vaginal deliveries. Vaginal deliveries are all deliveries except those with a cesarean section.

2

Table 39. Number and rate of females with deliveries discharged from short-stay hospitals, by type of delivery: United States, selected years 1980–2006 [Discharges of inpatients from nonfederal hospitals. Data are for discharges with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) code V27, ‘‘females with deliveries’’] Type of delivery

1980

1985

1990

1995

. . . . . . . . .

3,762 192 3,571 3,143 *6 3,137 619 434 185

3,854 324 3,530 2,977 21 2,956 877 574 303

4,025 426 3,600 3,080 87 2,993 945 606 339

Cesarean deliveries per 100 deliveries . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Primary cesarean deliveries per 100 deliveries without previous cesarean delivery . . . . . . . Vaginal birth after cesarean deliveries (VBACs) per 100 deliveries with previous cesarean delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

16.5 12.1

22.7 16.3

23.5 16.8

20.8 15.5

*3.4

6.6

20.4

35.5

2000

2005

2006

4,038 571 3,468 2,776 62 2,715 1,262 753 509

4,127 614 3,513 2,833 52 2,781 1,295 732 563

22.9 16.1

31.3 21.7

31.4 20.8

27.6

10.8

8.4

Number in thousands Females with deliveries . . . . . . . . . . . . . . Previous cesarean delivery . . . . . . . . . . . No previous cesarean delivery . . . . . . . . . Vaginal deliveries . . . . . . . . . . . . . . . . . . Vaginal birth after cesarean delivery (VBAC) Other vaginal deliveries . . . . . . . . . . . . . Cesarean deliveries . . . . . . . . . . . . . . . . . No previous cesarean delivery (primary). . . Previous cesarean delivery (repeat) . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

3,766 413 3,353 2,981 147 2,835 785 519 266

3,738 447 3,290 2,882 123 2,759 855 531 324

Rate per 100 deliveries

* Figure does not meet standards of reliability or precision. NOTES: Previous cesarean deliveries are discharges with ICD–9–CM diagnostic code 654.2. Cesarean deliveries are discharges with ICD–9–CM procedure codes 74.0–74.2, 74.4 or 74.99. Because estimates of newborn infants are based on a sample and because they do not include out-of-hospital births, these estimates may not agree with data on births published in the National Vital Statistics Reports (see text reference 22), which are based on birth certificate data.

Page 50 [ Series 13, No. 168 Table 40. Number and rate of females with deliveries discharged from short-stay hospitals, by type of delivery, age, and geographic region:

United States, 2006

[Discharges of inpatients from nonfederal hospitals. Data are for discharges with International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) code V27, ‘‘females with deliveries’’] Cesarean deliveries Total1

Age and region

Primary2

VBAC3,4

Number in thousands

10–54 years . 10–19 years 20–24 years 25–29 years 30–34 years 35–39 years 40–54 years All regions . . Northeast . Midwest . . South . . . . West . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

1,295 93 292 334 329 199 48 1,295 206 236 536 318

10–54 years . 10–19 years 20–24 years 25–29 years 30–34 years 35–39 years 40–54 years All regions . . Northeast . Midwest . . South . . . . West . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

31.4 21.7 27.9 29.4 35.4 41.7 42.7 31.4 33.3 27.7 33.2 30.4

732 78 178 174 170 104 27 732 123 126 297 185

52

*

7

15

17

11

*

52

7

*

17

14

Rate per 100 deliveries

20.8 18.9 19.2 18.2 22.6 28.0 30.2 20.8 23.3 17.3 21.9 20.6

8.4

*

5.7

8.7

9.4

10.5

*

8.4

7.7

*

6.8

9.8

* Figure does not meet standards of reliability or precision. 1 Discharges with ICD–9–CM procedure codes 74.0–74.2, 74.4, or 74.99. Rate per 100 total deliveries. 2 Cesarean deliveries without ICD–9–CM diagnostic code 654.2. Rate per 100 deliveries without previous cesarean delivery. 3 VBAC is vaginal birth after cesarean delivery. 4 Vaginal deliveries with ICD–9–CM diagnostic code 654.2. Rate per 100 deliveries with previous cesarean delivery. NOTE: Because estimates of newborn infants are based on a sample and because they do not include out-of-hospital births, these estimates may not agree with data on births published in the National Vital Statistics Reports (see text reference 22), which are based on birth certificate data.

Series 13, No. 168 [ Page 51 Table 41. Number, percent distribution, and average length of stay for newborn infants discharged from short-stay hospitals, by sex, geographic region, and health status: United States, 2006 [Infants born in nonfederal hospitals] Discharges

Sex, region, and health status

Number in thousands



All newborn infants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4,020

100.0

3.4

2,041 1,979

50.8 49.2

3.6 3.2

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Region Northeast Midwest . South . . West . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

Well1 . . . Male . Female Sick2 . . . Male . Female

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

722 833 1,464 1,000

18.0 20.7 36.4 24.9

3.6 2.8 3.8 3.2

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

2,171 1,071 1,099 1,849 970 880

54.0 26.6 27.4 46.0 24.1 21.9

2.1 2.1 2.1 4.9 5.3 4.5

Health status . . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

. . . . . .

1

Without any illness or risk-related diagnoses.

With at least one illness or risk-related diagnosis, International Classification of Diseases, Ninth Revision, Clinical Modification codes 001–999.

2

Table 42. Number and percent distribution of newborn infants discharged from short-stay hospitals, by length of stay, and average length of stay, by health status: United States, selected years 1980–2006 [Infants born in nonfederal hospitals] Length of stay and health status

1980

1985

1990

Length of stay

1995

2000

2005

2006

Number in thousands

All newborn infants. . . . . . . . . . . . . . . . . . . . . . . . . . .

3,824

3,794

3,869

3,631

3,643

3,999

4,020

Less than 1 day 1 day . . . . . . . 2 days . . . . . . 3 days . . . . . . 4 days . . . . . . 5–7 days . . . . . 8 days or more .

. . . . . . .

69 270 842 1,175 618 633 218

84 428 1,057 1,034 528 497 167

79 693 1,624 636 447 232 157

87 1,523 1,145 486 134 106 149

45 722 1,877 546 205 94 153

44 674 1,967 720 286 122 185

46 614 2,064 705 279 120 193

All newborn infants. . . . . . . . . . . . . . . . . . . . . . . . . . .

100.0

100.0

100.0

100.0

100.0

100.0

100.0

. . . . . . .

1.8 7.1 22.0 30.7 16.2 16.5 5.7

2.2 11.3 27.9 27.3 13.9 13.1 4.4

2.0 17.9 42.0 16.4 11.6 6.0 4.1

2.4 41.9 31.5 13.4 3.7 2.9 4.1

1.2 19.8 51.5 15.0 5.6 2.6 4.2

1.1 16.9 49.2 18.0 7.2 3.1 4.6

1.1 15.3 51.3 17.5 6.9 3.0 4.8

All newborn infants. . . . . . . . . . . . . . . . . . . . . . . . . . . Well1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Sick2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4.3 3.2 7.1

3.8 2.8 5.7

3.3 2.3 4.8

3.4 2.1 5.0

3.4 2.1 4.9

. . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

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Less than 1 day 1 day . . . . . . . 2 days . . . . . . 3 days . . . . . . 4 days . . . . . . 5–7 days . . . . . 8 days or more .

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Health status

1

Average length of stay in days 2.8 1.7 4.4

Without any illness or risk-related diagnoses.

With at least one illness or risk-related diagnosis, International Classification of Diseases, Ninth Revision, Clinical Modification codes 001–999.

2

3.2 2.1 5.1

Page 52 [ Series 13, No. 168 Table 43. Number of all-listed diagnoses for sick newborn infants discharged from short-stay hospitals, by sex and selected diagnostic categories: United States, 2006 [Infants born in nonfederal hospitals. Diagnostic groupings and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)]

Diagnostic category and ICD–9–CM code

Both sexes

Sick newborn diagnoses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .001–999

3,947

2,132

1,815

Hemolytic disease of fetus or newborn, due to isoimmunization, and other perinatal jaundice . . . . . . . . . . . . . .773–774 Hemolytic disease due to ABO isoimmunization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .773.1 Neonatal jaundice associated with preterm delivery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .774.2 Unspecified fetal and neonatal jaundice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .774.6 Respiratory conditions of fetus and newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .768–770 Respiratory distress syndrome . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .769 Transitory tachypnea of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .770.6 Congential anomalies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .740–759 Congential anomalies of circulatory system . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .745–747 Congential anomalies of musculoskeletal system. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .754–756 Congential anomalies of the integument (skin) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .757 Disorders relating to short gestation and low birthweight (prematurity) . . . . . . . . . . . . . . . . . . . . . . . . . .765.0–765.1 Disorders relating to long gestation and high birthweight. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .766 Maternal causes of perinatal morbidity and mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .760–763 Endocrine and metabolic disturbances specific to the fetus and newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . .775 Neonatal hypoglycemia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .775.6 Birth trauma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .767 Injuries to scalp . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .767.1 Conditions involving the integument (skin) and temperature regulation of fetus and newborn . . . . . . . . . . . . . . . . .778 Feeding problems in newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .779.3 Infections specific to the perinatal period . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .771 Septicemia (sepsis) of newborn . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .771.81 Slow fetal growth and fetal malnutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .764 Fetal and neonatal hemorrhage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .772

831 59 152 603 403 84 115 347 94 53 77 304 286 145 135 55 113 91 111 111 94 82 65 58

437 28 86 315 232 50 68 204 49 29 35 164 164 69 72 29 56 44 68 63 50 43 29 33

394 31 67 288 171 34 47 143 45 24 41 139 122 76 62 26 57 46 43 48 44 38 36 25

Male

Female

Number in thousands

Table 44. Number and percentage of male newborn infants circumcised during hospitalization, by geographic region: United States, selected years 1980–2006 [Infants born in nonfederal hospitals with International Classification of Diseases, Ninth Revision, Clinical Modification procedure code 64.0] Region

1980

1985

1990

2000

2005

2006

Number circumcised in thousands 1,169 1,200 1,166 238 249 256 341 317 330 396 454 438 195 180 143

1,172 254 330 422 166

1,145 224 330 421 170

57.3 66.9 78.7 58.7 31.5

56.1 63.6 77.9 55.3 33.8

United States Northeast . . Midwest . . . South . . . . . West . . . . .

. . . . .

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1,261 253 403 379 226

1,162 221 331 393 218

United States Northeast . . Midwest . . . South . . . . . West . . . . .

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64.7 67.4 75.9 56.0 61.8

59.5 65.2 70.5 56.0 49.0

1995

Percent circumcised 59.0 62.6 76.0 57.1 42.4

64.1 68.3 79.8 66.1 42.6

62.4 64.6 81.4 63.9 37.3


Appendix. Technical Notes Abstract Form The figure shows the medical abstract form used for the 2006 National Hospital Discharge Survey (NHDS). The hospital number, date of birth, and patient ZIP Code are confidential information and are not released to the public, although they can be used with privacy safeguards through the Centers for Disease Control and Prevention’s National Center for Health Statistics (NCHS) Research Data Center.

Population Estimates Population estimates used to compute rates are shown in Table I. These estimates are for the civilian population of the United States, including institutionalized persons, as of July 1, 2006. The data are postcensal estimates based on the 2000 census and are from unpublished tabulations provided by the U.S. Census Bureau.

Reliability of Estimates The statistics presented in this report are based on a sample survey, and therefore may differ from the figures that would be obtained if a complete census had been taken. The standard error is primarily a measure of sampling variability that occurs by chance because only a sample rather than an entire universe is surveyed. Standard errors for the estimates from NHDS were calculated with SUDAAN software, which takes into account the complex sample design. A description of the software and the approach it uses has been published (24). The chances are about 32 out of 100 that an estimate from the sample would differ from a complete census by more than the standard error. The chances are 5 out of 100 that the difference would be more than twice the standard error and about 1 out of 100 that the difference would be more than 2.5 times as large as the standard error. The relative standard error (RSE) expresses the standard error as a percent

Table I. Civilian population by age, geographic region, and sex: United States, 2006 Age and geographic region

Both sexes

Male

Female

All ages Total . . . . . . . . . . . . . . . . . . . . . . . . . .

298,219

Number in thousands 146,511

151,708

Region: Northeast Midwest . South . . . West . . .

. . . .

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. . . .

. . . .

54,683 66,133 108,410 68,992

26,557 32,539 53,013 34,402

28,126 33,594 55,398 34,590

Under 15 years Total . . . . . . . Under 1 year 1–4 years . . 5–14 years. .

. . . .

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. . . .

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60,755 4,130 16,287 40,337

31,082 2,113 8,329 20,640

29,673 2,017 7,959 19,697


. . . .

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. . . .

10,304 13,310 22,352 14,789

5,270 6,810 11,429 7,574

5,035 6,500 10,923 7,215

Total . . . . . . . 15–24 years . 25–34 years . 35–44 years .

. . . .

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125,399 41,989 40,003 43,407

63,310 21,471 20,215 21,624

62,089 20,519 19,787 21,783


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22,594 27,466 45,456 29,883

11,308 13,906 22,795 15,301

11,286 13,560 22,660 14,582

45–64 years Total . . . . . . . . . . . . . . . . . . . . . . . . . . 45–54 years . . . . . . . . . . . . . . . . . . . . 55–64 years . . . . . . . . . . . . . . . . . . . .

74,805 43,223 31,581

36,462 21,243 15,219

38,342 21,980 16,362


. . . .

15–44 years

. . . .

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. . . .

14,337 16,884 27,013 16,572

6,932 8,294 13,076 8,161

7,405 8,590 13,937 8,411

65 years and Total . . . . . . . . . . . . . . 65–74 years . . . . . . . . 75–84 years . . . . . . . . 85 years and over . . . .

over . . . . . . . . . . . . . . . .

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37,261 18,917 13,047 5,297

15,657 8,670 5,298 1,688

21,603 10,247 7,748 3,609


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7,448 8,474 13,590 7,748

3,048 3,529 5,712 3,367

4,400 4,945 7,878 4,381

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NOTE: Unpublished 2000-based postcensal estimates from the U.S. Census Bureau.

of the estimate and can be multiplied by the estimate to obtain the standard error. To derive approximate standard errors for the estimates in this report, first calculate the approximate RSE of the estimate using the parameters shown in Table II. Then multiply the

approximate RSE by the estimate. The approximate RSE of an estimate X, may be estimated from the formula RSE(X) = √ a + b/X , where a and b are defined in Table II.

Page 54 [ Series 13, No. 168 OMB No. 0920-0212: Approval Expires 08/31/2008 Notice – All information which would permit identification of an individual or an establishment will be held confidential, will be used only by persons engaged in and for the purposes of the survey, and will not be disclosed or released to other persons or used for any other purpose. Public reporting burden of this collection of information is estimated to average 4 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0920-0212) FORM HDS-1 9-9-2005)

U.S. DEPARTMENT OF COMMERCE Economics and Statistics Administration

U.S. CENSUS BUREAU ACTING AS COLLECTING AGENT FOR

DEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR DISEASE CONTROL AND PREVENTION NATIONAL CENTER FOR HEALTH STATISTICS

MEDICAL ABSTRACT – NATIONAL HOSPITAL DISCHARGE SURVEY A. PATIENT IDENTIFICATION Month

1. Hospital number

4. Date of admission

2. HDS number

5. Date of discharge

3. (Item deleted)

6. Residence ZIP Code

Day

Year

–

–

–

–

6

Other – Specify

7

Not stated

B. PATIENT CHARACTERISTICS 7. Date of birth

Month

Day

– 8. Age – Complete only if date of birth not given

11. Race – Mark all that apply

Year

1

– Units

2

{

1 2 3

3

Years Months Days

4 5

9. Sex – Mark (X) one 1

Male

Female

2

3

Not stated

12. Marital status – Mark (X) one

10. Ethnicity – Mark (X) one 1

Hispanic or Latino

Not Hispanic or Latino

2

White Black or African American American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander

3

1

Not stated

2

Married Single

3 4

Widowed Divorced

5 6

Separated Not stated

C. ADMINISTRATIVE INFORMATION 13. Type of Admission – Mark (X) one 1 2

Emergency Urgent

3 4

Elective Newborn

16. Expected source(s) of payment 5

Items not available/ unknown

Mark one only

14. Source of Admission – Mark (X) one 1 2 3 4 5 6

Physician referral Clinical referral HMO referral Transfer from a hospital Transfer from SNF Transfer from other health facility

7 8 9

10

Emergency room Court/Law enforcement Other – Specify

Item not available

15. Status/Disposition of patient – Mark (X) appropriate box(es) Status 1

Alive

Disposition a. b. c. d.

2 3

e. Died Status not stated

Routine discharge/discharged home Left against medical advice Discharged, transferred to another short-term hospital Discharged, transferred to long-term care institution Other disposition/not stated

Principal

1. Worker’s compensation 2. Medicare 3. Medicaid 4. Other government payments 5. Blue Cross/Blue Shield 6. HMO/PPO 7. Other private or commercial insurance 8. Self pay 9. No charge 10. Other –Specify

No source of payment indicated (Over)

Figure. Medical abstract form for the National Hospital Discharge Survey, 2006

Other additional sources Mark all that apply


D. MEDICAL INFORMATION 17. Final Diagnoses (including E-code diagnoses) (Enter ICD-9-CM codes as well as narrative if available) Principal: Other/additional:

18. Surgical and Diagnostic Procedures (Enter ICD-9-CM codes as well as narrative if available)

Date of procedure(s) Month

Day

Year

Principal: Other/additional:

NONE Completed by

Page 2 Figure. Medical abstract form for the National Hospital Discharge Survey, 2006—Con.

Date

FORM HDS-1 (9-9-2005)

Page 56 [ Series 13, No. 168 Table II. Estimated parameters for approximate relative standard error equations for National Hospital Discharge Survey statistics, by selected characteristics: United States, 2006 Discharges or firstlisted diagnoses

Days of care

All-listed diagnoses

All-listed procedures

Characteristic

a

b

a

b

a

b

a

b

Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

0.00203

346.658

0.00265

1048.885

0.00210

340.544

0.00411

285.906

0.00233 0.00204

321.677 335.486

0.00326 0.00284

1048.558 1229.584

0.00223 0.00486

385.004 331.276

0.00354 0.00382

414.588 336.057

Sex Male . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Female . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Age Under 15 years . . 15–44 years . . . . 45–64 years . . . . 65 years and over

. . . .

. . . .

. . . .

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. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

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. . . .

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. . . .

. . . .

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. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

0.02734 0.00233 0.00193 0.00216

220.637 294.541 309.675 337.597

0.04430 0.00353 0.00349 0.00298

299.840 1060.103 961.964 1570.563

0.03159 0.00228 0.00217 0.00234

175.490 306.103 302.140 307.562

0.04016 0.00280 0.00420 0.00270

212.752 331.208 303.910 350.029


. . . .

. . . .

. . . .

. . . .

. . . .

Region . . . . . . . . . . . . . . . . . . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

0.00680 0.01430 0.00330 0.00631

188.911 212.247 336.326 357.712

0.00945 0.01655 0.00461 0.01283

568.080 431.979 1362.983 788.148

0.01020 0.01490 0.00371 0.00713

173.480 309.321 282.142 384.090

0.01935 0.01752 0.00419 0.00826

222.379 196.701 332.265 404.867

Principal expected source of payment Medicare . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Medicaid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Worker’s compensation and other government payment . HMO and PPO1 . . . . . . . . . . . . . . . . . . . . . . . . . Blue Cross Blue Shield and other private insurance . . . Self-pay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . No charge and other. . . . . . . . . . . . . . . . . . . . . . .

. . . . . . .

. . . . . . .

. . . . . . .

0.00256 0.00718 0.00641 0.00651 0.00255 0.00438 0.02094

308.113 271.894 326.968 249.205 356.134 235.273 245.828

0.00350 0.01017 0.01263 0.00870 0.00419 0.00837 0.03074

1187.919 845.987 1536.898 687.995 993.237 506.645 658.388

0.00261 0.00667 0.00904 0.00713 0.00296 0.00610 0.01895

296.990 274.905 347.481 298.372 348.198 240.669 248.794

0.00575 0.00807 0.00594 0.00888 0.00402 0.00441 0.02223

402.437 281.606 381.945 296.655 310.888 305.267 243.282

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

. . . .

1

HMO is health maintenance organization and PPO is preferred provider organization.

NOTE: The relative standard error (RSE) can be determined from the equation RSE(x) = SQRT(a + b/X).

When multiplied by 100, RSE(X) is expressed as a percentage of X. The approximate RSE for a percentage, 100p, in which the numerator is a subclass of the denominator, may be calculated directly using the formula RSE(p) = √ b (1−p) / (pX) , where 100p is the percentage of interest, X is the denominator of the percentage, and b is the parameter b in the formula for approximating the RSE(X). The values for b are given in Table II. When multiplied by 100, RSE(p) is expressed as a percentage of p. This approximation is valid if the RSE of the denominator is less than 5 percent or the RSEs of the numerator and denominator are both less than 10 percent (25,26). The approximate RSE of a population-based rate is equivalent to the approximate RSE of the numerator (obtained by the method described above using figures from Table II), if the denominator is an estimate produced by the U.S. Census Bureau for the total

population or one or more of the age-sex groups of the total population. The approximate RSE of a ratio (X/Y) in which the numerator (X) and the denominator (Y) are both estimated from the same survey, but the numerator is not a subclass of the denominator, and is calculated using the formula

reimbursement of hospital inpatient care. The categories for admission source shown in this report include:

RSE(X/Y) = √[RSE(X)]2 + [RSE(Y)]2 .

Physician referral—The patient was admitted to the hospital upon the recommendation of his or her personal physician, a hospital’s clinic physician, or a health maintenance organization (HMO) physician.

When multiplied by 100, the RSE(X/Y) is expressed as a percentage of the ratio X/Y. This approximation is valid if the RSE of the denominator is less than 5 percent or the RSEs of the numerator and denominator are both less than 10 percent (25,26).

Emergency department—The patient was admitted to the hospital upon the recommendation of a hospital’s emergency department physician. The terms ‘‘emergency department’’ and ‘‘emergency room’’ are used interchangeably in this report.

Definitions of Selected Terms Admission source—The source of admission variable was added to NHDS beginning in 2001 and was modeled after the variable in the National Uniform Bill (UB–92), the standard billing form used by Medicare for

Transfer from a hospital—The patient was admitted to the hospital as a transfer from an acute care hospital where he or she was an inpatient. Transfer from other health facility—The patient was admitted to the hospital as a transfer from a skilled nursing facility or other


health facility where he or she was an inpatient. Other sources—The patient was admitted to the hospital upon the direction of a court of law, on the request of a law enforcement agency representative, or for other reasons not categorized above. Item not available—Information about the source of admission to the hospital was not available for the patient. Admission type—Like admission source, the admission type variable was added to NHDS in 2001 and is modeled after the variable in the UB–92. Four admission types are shown in this report: Emergency—The patient required immediate medical intervention as a result of severe life threatening or potentially disabling conditions. Patients in this group are generally admitted through the emergency room. Urgent—The patient required immediate care and treatment of a physical or mental disorder. Patients in this group are usually admitted to the first available and suitable accommodation. Elective—The patient’s condition permitted adequate time to schedule the availability of suitable accommodation. Newborn—The patient is a baby born within the hospital. Item not available—Information about the admission type for the patient was not available. Age—The patient’s age at the birthday prior to admission to the hospital. Average length of stay—The mean length of stay for discharges, which is calculated by dividing the number of days of care by the number of discharges. Barell injury diagnosis matrix—A two-dimensional array that includes all the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM) codes

describing injury (20). The code numbers from the matrix are shown in Table III. This matrix was developed to provide a standard format for describing the site and type of injuries for use in epidemiological and clinical analyses of injury data. Bed size of hospital—The number of beds, cribs, and pediatric bassinets regularly maintained (set up and staffed for use) for patients, not including bassinets for newborn infants. In this report, the classification of hospitals by bed size is based on the number of beds listed in the Verispan files (17). Days of care—The total number of days a patient spent in the hospital. A stay of less than 1 day (patient admitted as an inpatient and discharged on the same day) is counted as 1 day. For patients admitted and discharged on different days, the number of days of care is computed by counting all the days from (and including) the day of admission to (but not including) the day of discharge. Death rate—Calculated by dividing the number of deaths for a category by the total number of discharges in that category and multiplying by 100. Discharges whose status is unknown (1.5 percent) were assumed to be discharged alive. Diagnosis—A disease or injury (or other factor that influences a patient’s health status or causes contact with health services) that is listed on the medical record of the patient at discharge. The principal diagnosis is the diagnosis established after the study to be chiefly responsible for the admission of the patient to the hospital. In this report, the first-listed diagnosis is defined as that specified as the principal diagnosis on the face sheet or discharge summary of the medical record, or, if the principal diagnosis is not specified, it is the first diagnosis listed on the face sheet or discharge summary of the medical record. The first-listed diagnosis is usually the main cause of the hospitalization. The number of first-listed diagnoses is the same as the number of discharges. All-listed diagnoses include first-listed diagnoses and secondary diagnoses and are included for users who want to know

the total number of times conditions have been reported for hospitalized patients. A minimum of one and a maximum of seven diagnoses are coded per discharge in NHDS. Human immunodeficiency virus (HIV) data (Table 23) are for discharges with an HIV diagnosis listed in any position among the coded diagnoses. Discharge—A completed inpatient hospitalization. A hospitalization may be completed by death or by releasing the patient to the customary place of residence, a nursing home, another hospital, or another location. Disposition—The placement or status of the patient when discharged from the hospital. Six disposition categories are shown in this report: Routine or discharged home— Patients who were discharged to return to their homes, including those referred to home care services, discharged to a relative or foster home, or transferred to a corrections institution. Transferred to other short-term hospital—Patients discharged and transferred to another short-term hospital for additional care. Transferred to long-term care institution—Patients discharged and transferred or returned to a nursing home, skilled nursing facility, extended care facility, intermediate care facility, or custodial care facility. Other discharged alive—Includes patients discharged alive whose disposition is unknown; patients who left the hospital against medical advice; patients transferred to another facility who could not be classified as short-term or long-term; and patients transferred to a state facility, psychiatric facility, terminal care or hospice facility, rehabilitation facility, or specialty hospital. Died—Patients who died while hospitalized as inpatients. Status not stated—No information was available on whether the patient was discharged alive or died in the hospital.

[Code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification]

Type of injury

All body sites

Traumatic brain injury

Other head, face, and neck

Spinal cord

Vertebral column

All types of injury . . . .

800–908, 909.0–909.2, 909.4, 909.9, 910–994, 995.50–995.59, 995.80–995.85

800–801, 803, 804, 850–854, 950.1–950.3, 995.55

802, 807.5–807.6, 830, 848.0–848.2, 870–874, 900, 910, 918, 920–921, 925, 940–941, 947.0, 950.0, 950.9, 951, 953.0, 954.0, 957.0, 959.0

806, 952

805, 839.0– 839.5, 847.0–847.4

Fracture . . . . . . . . .

800–829

802, 807.5–807.6

806

805

Dislocation . . . . . . . Sprains and strains . .

830–839 840–848

800–801, 803, 804 None None

830 848.0–848.2

None None

839.0–839.5 847.0–847.4

Internal . . . . . . . . .

850–854, 995.55 None

None

952

None

Open wound. . . . . . .

850–854, 860–869, 952, 995.55 870–884, 890–894

870–874

None

None

Amputation . . . . . . . Blood vessels . . . . .

885–887, 895–897 900–904

None None

None 900

None None

None None

Contusions and superficial injuries . . Crush . . . . . . . . . . Burns . . . . . . . . . .

910–924 925–929 940–949

None None None

910, 918, 920–921 925 940–941, 947.0

None None None

None None None

950.1–950.3 None

950.0, 950.9, 951, 953.0, 954.0, 957.0 959.0

None None

None None

Nerves and spinal cord . . . . . . . . . . . Unspecified . . . . . . . System–wide . . . . . .

950–951, 953–957 959 905–908, 909.0–909.2, 909.4, 909.9, 930–939, 958, 960–994, 995.50– 995.54, 995.59, 995.80–995.85

Upper extremities

Lower extremities

Other and unspecified

807.0–807.4, 808–809, 839.6–839.7, 846, 847.9, 848.3–848.5, 860–868, 875–878, 879.0–879.7, 901, 902.0–902.5, 902.81–902.82, 911, 922, 926, 942, 947.3–947.4, 953.1–953.3, 953.5, 954.1–954.9, 959.1

810–818, 831–834, 840–842, 880–887, 903, 912–915, 923, 927, 943–944, 953.4, 955, 959.2–959.5

820–827, 835–838, 843–845, 890–897, 904.0–904.8, 916, 917, 924.0–924.5, 928, 945, 959.6–959.7

807.0–807.4, 808, 809 839.6–839.7 846, 847.9, 848.3–848.5 860–868

810–818

820–827

819, 828–829, 839.8– 839.9, 848.8–848.9, 869, 879.8–879.9, 902.87, 902.89, 902.9, 904.9, 919, 924.8–924.9, 929, 946, 947.1–947.2, 947.8–947.9, 948, 949, 953.8–953.9, 956, 957.1–957.9, 959.8–959.9 819, 828–829

831–834 840–842

835–838 843–845

839.8–839.9 848.8–848.9

None

None

869

880–884

890–894

879.8–879.9

885–887 903

895–897 904.0–904.8

912–915, 923 927 943–944

916–917, 924.0–924.5 928 945

None 902.87, 902.89, 902.9, 904.9 919, 924.8–924.9 929 946, 947.1–947.2, 947.8–947.9, 948–949

953.4, 955 959.2–959.5

None 959.6–959.7

Torso

875–878, 879.0–879.7 None 901, 902.0–902.5, 902.81–902.82 911, 922 926 942, 947.3–947.4

953.1–953.3, 953.5, 954.1–954.9 959.1

SOURCE: CDC/NCHS, the Barrell injury diagnosis matrix, classification by body region and nature of the injury. Available from http://www.cdc.gov/nchs/about/otheract/ice/barellmatrix.htm.

953.8–953.9, 956, 957.1–957.9 959.8–959.9


Table III. Code numbers for Barell injury diagnosis matrix categories in Table 24


Hospital—Those with an average length of stay for all inpatients fewer than 30 days (short stay) or those whose specialty is general (medical or surgical) or children’s general. Federal hospitals, hospital units of institutions, and hospitals with fewer than six beds staffed for patient use are excluded. Newborn infant—Inpatients admitted to a hospital by birth. Sick newborn infants are those that had at least one of the ICD–9–CM (1) diagnostic codes 001–999. Ownership of hospital—Ownership type is determined by the organization that controls and operates the hospital. Hospitals are grouped as follows:

included in this category only if Medicare is reported as the principal expected source of payment. Medicaid—A jointly funded federal-state health insurance program providing medical care to those unable to afford it. If Medicaid and an HMO or preferred provider organization (PPO) are reported, the discharge is included in the category listed first. Worker’s compensation—A state or municipal disability insurance or industrial accident insurance. Other government—Includes payments under the Title V Program, the state-funded Maternal and Child Health Program that provides coverage for children up to age 21 with specific chronic medical conditions, CHAMPUS (Civilian Health and Medical Program of the Uniformed Services) or TRICARE (the Defense Department’s health care program for service families), casualty insurance paid by the state, vocational rehabilitation, federal or state research grant (medical research), or legal hold (prisoner in medical detention).

Proprietary—Hospitals operated by individuals, partnerships, or corporations for profit. Government—Hospitals operated by state or local governments. Nonprofit—Hospitals operated by a nonprofit organization or church. Principal expected source of payment—The primary expected method of payment for the hospitalization as reported on the patient’s medical record. Types of payment include: Medicare—The health insurance program for the aged and disabled administered by the Centers for Medicare & Medicaid Services (CMS). A person age 65 and over is

HMO or PPO—Any HMO or PPO sponsored by consumers, insurers, organizations, physicians, or hospitals. Medicare and Medicaid

discharges are included in this category when HMO or PPO is reported as the principal expected source of payment. Blue Cross Blue Shield and other private—A private insurance plan not specified as an HMO or PPO. This includes Blue Cross Blue Shield plans, medical coverage provided by life insurance companies, private casualty insurance companies, health insurance companies, and independent plans such as employer- and union-sponsored plans and self-funded plans (partial or total). Self-pay—The majority of the costs for the hospitalization were expected to be paid by the patient, spouse, family, or next of kin. No charge—Patients admitted with the understanding that the medical services would be free. This includes hospital-sponsored special research or teaching patients. Other—Includes any nonprofit source of payment, such as church welfare, United Way (United Appeal), or Shriner’s Hospitals for Children. Procedure—Surgical procedures (such as appendectomy), diagnostic procedures (such as spinal tap), and

Table IV. Code numbers for procedures considered nonsurgical in the National Hospital Discharge Survey, by ICD–9–CM category, 2006 Procedure categories and code numbers are based on the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD–9–CM)] Procedure category and ICD–9–CM code Operations Operations Operations Operations Operations Operations Operations Operations Operations

on on on on on on on on on

the the the the the the the the the

nervous system . . . . . . . . endocrine system . . . . . . . eye . . . . . . . . . . . . . . . ear . . . . . . . . . . . . . . . . nose, mouth, and pharynx . . respiratory system. . . . . . . cardiovascular system . . . . hemic and lymphatic system digestive system . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

Nonsurgical codes . . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

. . . . . . . . .

.01–05 .06–07 .08–16 .18–20 .21–29 .30–34 .35–39 .40–41 .42–54

Operations on the urinary system . . . . . . . . . . . . . . . . . . . . .55–59 Operations on the male genital organs . . . . . . . . . . . . . . . . .60–64 Operations on the female genital organs . . . . . . . . . . . . . . . .65–71 Obstetrical procedures . . . . . . . . . . . . . . . . . . . . . . . . . . .72–75 Operations on the musculoskeletal system . . . . . . . . . . . . . . .76–84 Operations on the integumentary system . . . . . . . . . . . . . . . .85–86 Miscellaneous diagnostic and therapeutic procedures and new technologies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .87–99,00

01.18–01.19,03.31,03.39,04.19,05.19

06.19,07.19

08.19,09.19,09.41–09.44,09.49,10.29,11.29,12.29,14.19,15.09,16.21,16.29

18.01,18.11,18.19,20.31,20.39

21.00–21.02,21.21,21.29,22.19,24.19,25.09,26.19,27.29,28.19,29.11,29.19

31.41–31.42,31.48–31.49,33.21–33.23,33.29,34.21–34.22,34.28–34.29

37.26–37.28,37.29,38.29,39.95

40.19,41.38–41.39

42.22–42.23,42.29,44.11–44.13,44.19,44.32,45.11–45.13,45.19,45.21–45.24,

45.28–45.29, 48.21–48.23,48.29,49.21,49.29,50.19,51.10–51.11,51.19,52.19, 54.21, 54.29 55.21–55.22,55.29,56.31,56.35,56.39,57.31–57.32,57.39,57.94–57.95, 58.21–58.22,58.29,59.29 60.18–60.19,61.19,62.19,63.09,64.19,64.94 65.19,66.19,67.19,68.11,68.19,69.92,70.21–70.22,70.29,71.19 73.4–73.59,73.91–73.92,75.31–75.32,75.34–75.35,75.38,75.94 76.19,78.80–78.89,80.20–80.29,81.98,83.29,84.41–84.43,84.45–84.47 85.19,86.19,86.92 87.01–99.99,00.01–00.03, 00.09, 00.11–00.15, 00.17–00.18


therapeutic treatments (such as injection or infusion of cancer chemotherapeutic substance) reported on a patient’s medical record. Data are for all-listed procedures, which include all occurrences of the procedure coded, regardless of the order in the medical record. Up to four procedures are coded per discharge in NHDS. Procedures classified as nonsurgical in this report are listed in Table IV by ICD–9–CM code numbers (1). This table was updated for use with the 2006 data. All other procedures were considered surgical. This classification began in 1979 for the presentation of NHDS data and still remains an important distinction. However, the development of minimally invasive and noninvasive procedures has resulted in less difference between surgical and nonsurgical procedures with regard to operative or anesthetic risk and requirements for highly trained personnel or special equipment. Region—Hospitals are classified by location in one of the four geographic regions of the United States that correspond to those used by the U.S. Census Bureau. Region

States included

Northeast Maine, Vermont, New Hampshire, Massachusetts, Connecticut, Rhode Island, New York, New Jersey, and Pennsylvania Midwest Ohio, Illinois, Indiana, Michigan, Wisconsin, Minnesota, Iowa, Missouri, North Dakota, South Dakota, Kansas, and Nebraska South

Delaware, Maryland, District of Columbia, West Virginia, Virginia, Kentucky, Tennessee, North Carolina, South Carolina, Georgia, Florida, Alabama, Mississippi, Louisiana, Oklahoma, Arkansas, and Texas

West

Washington, Oregon, California, Nevada, New Mexico, Arizona, Idaho, Utah, Colorado, Montana, Wyoming, Alaska, and Hawaii

Changes in ICD–9–CM Codes Although the ICD–9–CM classification system has been used for coding NHDS data since 1979, the classification system undergoes annual updating. Assignment of new diagnostic and procedure codes and fourth- and fifth-digit expansion of codes, as well as code deletions, are contained in addenda developed by the ICD–9–CM Coordination and Maintenance Committee and approved by the Director of NCHS and the Administrator of CMS (formerly Health Care Financing Administration). Addenda to the ICD–9–CM have become effective October 1 of each year since 1986, except in 1999. No addendum was released in 1999 because of concerns about instituting coding changes before the millennium crossover. The data in this report were coded using the addenda for October 1, 1986–2005. When hospitals reported data using code changes introduced in the October 1, 2006 addendum, the new codes were converted to their previous code assignments so that the annual estimates would be based on consistent coding. The new ICD–9–CM codes from the 1986–2005 addenda, the date each code was introduced, and the code to which the diagnosis or procedure was assigned before development of the new code are shown in Table V (diagnoses codes) and Table VI (procedure codes). Specific titles and more detailed information about the coding system can be found in appropriate volumes of the ICD–9–CM (1).

Series 13, No. 168 [ Page 61 Table V. Changes in ICD–9–CM diagnosis codes, 1986–2005 Current code(s) assignment

Effective October 1

Previous code(s) assignment 005.8 007.8 007.8 008.0 008.49 008.6 031.8 038.1 040.89 041.0 041.04 041.1 041.8 041.84 042.0–042.2, 042.9, 043.0–043.3, 043.9, 044.0, 044.9 (Codes deleted) 279.19 066.3 066.4 070.2 070.20 070.21 070.3 070.30 070.31 070.4 070.41 070.4 070.5 070.51 070.5 070.51 070.41 077.9 078.1 078.89 079.8 079.8 079.89 079.89 079.89 079.8 079.9 082.8 088.8 088.89 099.4 078.89 112.89 114.3 173.0–173.9 203.0 V10.79 203.1 V10.79 203.8 V10.79 204.0 V10.61 204.1 V10.61 204.2 V10.61 204.8 V10.61 204.9

005.81, 005.89 . . . . . . . . . 007.4 . . . . . . . . . . . . . . 007.5. . . . . . . . . . . . . . . 008.00–008.09 . . . . . . . . . 008.43–008.47 . . . . . . . . . 008.6–008.69. . . . . . . . . . 031.2. . . . . . . . . . . . . . . 038.10–038.11, 038.19 . . . . 040.82 . . . . . . . . . . . . . . 041.00–041.05, 041.09 . . . . 041.04 (Code title restated) . 041.10–041.19 . . . . . . . . . 041.81–041.85, 041.89 . . . . 041.86 . . . . . . . . . . . . . . 042 . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

1995 1997 2000 1992 1992 1992 1997 1997 2002 1992 1997 1992 1992 1995 1994

042.0–044.9 . . . . . . . 066.4. . . . . . . . . . . . 066.40–066.42, 066.49 . 070.20–070.21 . . . . . . 070.22 . . . . . . . . . . . 070.23 . . . . . . . . . . . 070.30–070.31 . . . . . . 070.32 . . . . . . . . . . . 070.33 . . . . . . . . . . . 070.41–070.43 . . . . . . 070.44 . . . . . . . . . . . 070.49 . . . . . . . . . . . 070.51–070.53 . . . . . . 070.54 . . . . . . . . . . . 070.59 . . . . . . . . . . . 070.70 . . . . . . . . . . . 070.71 . . . . . . . . . . . 077.98–077.99 . . . . . . 078.10–078.11, 078.19 . 078.88 . . . . . . . . . . . 079.4. . . . . . . . . . . . 079.50–079.53, 079.59 . 079.6. . . . . . . . . . . . 079.81 . . . . . . . . . . . 079.82 . . . . . . . . . . . 079.88–079.89 . . . . . . 079.98–079.99 . . . . . . 082.40–082.41, 082.49 . 088.81, 088.89 . . . . . . 088.82 . . . . . . . . . . . 099.40–099.49 . . . . . . 099.50–099.59 . . . . . . 112.84–112.85 . . . . . . 114.4–114.5. . . . . . . . 176.0–176.9 . . . . . . . 203.00 . . . . . . . . . . . 203.01 . . . . . . . . . . . 203.10 . . . . . . . . . . . 203.11 . . . . . . . . . . . 203.80 . . . . . . . . . . . 203.81 . . . . . . . . . . . 204.00 . . . . . . . . . . . 204.01 . . . . . . . . . . . 204.10 . . . . . . . . . . . 204.11 . . . . . . . . . . . 204.20 . . . . . . . . . . . 204.21 . . . . . . . . . . . 204.80 . . . . . . . . . . . 204.81 . . . . . . . . . . . 204.90 . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1986 2002 2004 1991 1994 1994 1991 1994 1994 1991 1994 1991 1991 1994 1991 2004 2004 1993 1993 1993 1993 1993 1996 1995 2003 1993 1993 2000 1989 1993 1992 1992 1992 1993 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Effective October 1

Current code(s) assignment 204.91 . . . . . . . . . . . 205.00 . . . . . . . . . . . 205.01 . . . . . . . . . . . 205.10 . . . . . . . . . . . 205.11 . . . . . . . . . . . 205.20 . . . . . . . . . . . 205.21 . . . . . . . . . . . 205.30 . . . . . . . . . . . 205.31 . . . . . . . . . . . 205.80 . . . . . . . . . . . 205.81 . . . . . . . . . . . 205.90 . . . . . . . . . . . 205.91 . . . . . . . . . . . 206.00 . . . . . . . . . . . 206.01 . . . . . . . . . . . 206.10 . . . . . . . . . . . 206.11 . . . . . . . . . . . 206.20 . . . . . . . . . . . 206.21 . . . . . . . . . . . 206.80 . . . . . . . . . . . 206.81 . . . . . . . . . . . 206.90 . . . . . . . . . . . 206.91 . . . . . . . . . . . 207.00 . . . . . . . . . . . 207.01 . . . . . . . . . . . 207.10 . . . . . . . . . . . 207.11 . . . . . . . . . . . 207.20 . . . . . . . . . . . 207.21 . . . . . . . . . . . 207.80 . . . . . . . . . . . 207.81 . . . . . . . . . . . 208.00 . . . . . . . . . . . 208.01 . . . . . . . . . . . 208.10 . . . . . . . . . . . 208.11 . . . . . . . . . . . 208.20 . . . . . . . . . . . 208.21 . . . . . . . . . . . 208.80 . . . . . . . . . . . 208.81 . . . . . . . . . . . 208.90 . . . . . . . . . . . 208.91 . . . . . . . . . . . 237.70–237.72 . . . . . . 250.02 . . . . . . . . . . . 250.03 . . . . . . . . . . . 250.12 . . . . . . . . . . . 250.13 . . . . . . . . . . . 250.22 . . . . . . . . . . . 250.23 . . . . . . . . . . . 250.32 . . . . . . . . . . . 250.33 . . . . . . . . . . . 250.42 . . . . . . . . . . . 250.43 . . . . . . . . . . . 250.52 . . . . . . . . . . . 250.53 . . . . . . . . . . . 250.62 . . . . . . . . . . . 250.63 . . . . . . . . . . . 250.72 . . . . . . . . . . . 250.73 . . . . . . . . . . . 250.82 . . . . . . . . . . . 250.83 . . . . . . . . . . . 250.92 . . . . . . . . . . . 250.93 . . . . . . . . . . . 252.00–252.02, 252.08 . 255.10–255.14 . . . . . . 256.31–256.39 . . . . . . 259.5. . . . . . . . . . . . 273.4. . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1990 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 1993 2004 2003 2001 2005 2004

Previous code(s) assignment V10.61 205.0 V10.62 205.1 V10.62 205.2 V10.62 205.3 V10.62 205.8 V10.62 205.9 V10.62 206.0 V10.63 206.1 V10.63 206.2 V10.63 206.8 V10.63 206.9 V10.63 207.0 V10.69 207.1 V10.69 207.2 V10.69 207.8 V10.69 208.0 V10.60 208.1 V10.60 208.2 V10.60 208.8 V10.60 208.9 V10.60 237.7 250.90 250.91 250.10 250.11 250.20 250.21 250.30 250.31 250.40 250.41 250.50 250.51 250.60 250.61 250.70 250.71 250.80 250.81 250.90 250.91 252.0 255.1 256.3 257.8 277.6

Page 62 [ Series 13, No. 168 Table V. Changes in ICD–9–CM diagnosis codes, 1986–2005—Con. Effective October 1

Current code(s) assignment 275.40–275.42, 275.49 . 276.50–276.52 . . . . . . 277.02–277.03, 277.09 . 277.7. . . . . . . . . . . . 277.81–277.84, 277.89 . 277.85–277.86 . . . . . . 277.87 . . . . . . . . . . . 278.00–278.01 . . . . . . 278.02 . . . . . . . . . . . 282.41–282.42, 282.49 . 282.64 . . . . . . . . . . . 282.68 . . . . . . . . . . . 283.10–283.11, 283.19 . 285.21–285.22, 285.29 . 287.30–287.33, 287.39 . 289.52 . . . . . . . . . . . 289.81–289.82, 289.89 . 291.81 . . . . . . . . . . . 291.82 . . . . . . . . . . . 291.89 . . . . . . . . . . . 292.85 . . . . . . . . . . . 293.84 . . . . . . . . . . . 294.10–294.11 . . . . . . 300.82 . . . . . . . . . . . 305.1. . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . .

1997 2005 2002 2001 2003 2004 2004 1995 2005 2003 2003 2003 1993 2000 2005 2003 2003 1996 2005 1996 2005 1996 2000 1996 1994

312.81–312.82, 312.89 . 315.32 . . . . . . . . . . . 320.81–320.89 . . . . . . 327.00 . . . . . . . . . . . 327.01 . . . . . . . . . . . 327.02 . . . . . . . . . . . 327.09 . . . . . . . . . . . 327.10–327.14 . . . . . . 327.15 . . . . . . . . . . . 327.19 . . . . . . . . . . . 327.20–327.27 . . . . . . 327.29 . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

. . . . . . . . . . . .

1994 1996 1992 2005 2005 2005 2005 2005 2005 2005 2005 2005

327.30–327.37; 327.39 . 327.40–327.44; 327.49 . 327.51 . . . . . . . . . . . 327.52 . . . . . . . . . . . 327.53 . . . . . . . . . . . 327.59 . . . . . . . . . . . 327.8. . . . . . . . . . . . 331.11, 331.19 . . . . . . 331.82 . . . . . . . . . . . 333.92–333.93 . . . . . . 337.20–337.22, 337.29 . 337.3. . . . . . . . . . . . 342.00–342.02 . . . . . . 342.10–342.12 . . . . . . 342.80–342.82 . . . . . . 342.90–342.92 . . . . . . 344.00–344.04, 344.09 . 344.30–344.32 . . . . . . 344.40–344.42 . . . . . . 344.81, 344.89 . . . . . . 345.00–345.01 . . . . . . 345.10–345.11 . . . . . . 345.40–345.41 . . . . . . 345.50–345.51 . . . . . . 345.60–345.61 . . . . . . 345.70–345.71 . . . . . . 345.80–345.81 . . . . . . 345.90–345.91 . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . .

2005 2005 2005 2005 2005 2005 2005 2003 2003 1994 1993 1998 1994 1994 1994 1994 1994 1994 1994 1993 1989 1989 1989 1989 1989 1989 1989 1989

Previous code(s) assignment 275.4 276.5 277.00 277.8 277.8 277.89 277.89, 758.89 278.0 278.00 282.4 282.63 282.69 283.1 285.8 287.3 289.59 289.8 291.8 291.89 291.8 292.89 293.89 294.1 300.81 305.10, 305.11, 305.12, 305.13 (Codes deleted) 312.8 315.39 320.8 780.51; 780.52 780.51; 780.52 307.41 780.51; 780.52 780.53; 780.54 307.43 780.53; 780.54 780.57 780.51; 780.53; 780.57 307.45 780.59 780.58 729.82 306.8 780.58 780.50 331.1 331.89 333.99 337.9 337.9 342.0 342.1 342.9 342.9 344.0 344.3 344.4 344.8 345.0 345.1 345.4 345.5 345.6 345.7 345.8 345.9

Effective October 1

Current code(s) assignment 346.00–346.01 . . . . . . 346.10–346.11 . . . . . . 346.20–346.21 . . . . . . 346.80–346.81 . . . . . . 346.90–346.91 . . . . . . 347.00–347.01 . . . . . 347.10–347.11 . . . . . . 348.30–348.31, 348.39 . 355.71 . . . . . . . . . . . 355.79 . . . . . . . . . . . 357.81–357.82, 357.89 . 358.00–358.01 . . . . . . 359.81, 359.89 . . . . . . 362.03–362.07 . . . . . . 365.83 . . . . . . . . . . . 371.82 . . . . . . . . . . . 372.81, 372.89 . . . . . . 374.87 . . . . . . . . . . . 380.03 . . . . . . . . . . . 403.00–403.01 . . . . . . 403.10–403.11 . . . . . . 403.90–403.91 . . . . . . 404.00–404.03 . . . . . . 404.10–404.13 . . . . . . 404.90–404.93 . . . . . . 410.00–410.02 . . . . . . 410.10–410.12 . . . . . . 410.20–410.22 . . . . . . 410.30–410.32 . . . . . . 410.40–410.42 . . . . . . 410.50–410.52 . . . . . . 410.60–410.62 . . . . . . 410.70–410.72 . . . . . . 410.80–410.82 . . . . . . 410.90–410.92 . . . . . . 411.81 . . . . . . . . . . . 411.89 . . . . . . . . . . . 414.00–414.01 . . . . . . 414.02–414.03 . . . . . . 414.04–414.05 . . . . . . 414.06 . . . . . . . . . . . 414.07 . . . . . . . . . . . 414.12 . . . . . . . . . . . 415.11 . . . . . . . . . . . 415.19 . . . . . . . . . . . 426.82 . . . . . . . . . . . 428.20–428.23 . . . . . . 428.30–428.33 . . . . . . 428.40–428.43 . . . . . . 429.71, 429.79 . . . . . . 433.00–433.01 . . . . . . 433.10–433.11 . . . . . . 433.20–433.21 . . . . . . 433.30–433.31 . . . . . . 433.80–433.81 . . . . . . 433.90–433.91 . . . . . . 434.00–434.01 . . . . . . 434.10–434.11 . . . . . . 434.90–434.91 . . . . . . 435.3. . . . . . . . . . . . 437.7. . . . . . . . . . . . 438.0. . . . . . . . . . . . 438.10 . . . . . . . . . . . 438.11 . . . . . . . . . . . 438.12 . . . . . . . . . . . 438.19 . . . . . . . . . . . 438.20 . . . . . . . . . . . 438.21 . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1992 1992 1992 1992 1992 2004 2004 2003 1993 1993 2002 2003 2002 2005 2002 1992 2000 1990 2004 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1989 1994 1994 1996 2002 2003 2002 1995 1995 2005 2002 2002 2002 1989 1993 1993 1993 1993 1993 1993 1993 1993 1993 1995 1992 1997 1997 1997 1997 1997 1997 1997

Previous code(s) assignment 346.0 346.1 346.2 346.8 346.9 347 347 348.3 354.4 355.7 357.8 358.0 359.8 362.02 365.89 371.89 372.8 374.89 733.99 403.0 403.1 403.9 404.0 404.1 404.9 410.0 410.1 410.2 410.3 410.4 410.5 410.6 410.7 410.8 410.9 410.9 411.8 414.0 996.03 414.00 414.00 414.06 414.11 997.3 + 415.1 415.1 794.31 428.0 428.0 428.0 410.0–410.9 433.0 433.1 433.2 433.3 433.8 433.9 434.0 434.1 434.9 435.0 + 435.1 780.9 294.9 + 438 784.5 + 438 784.3 + 438 784.4 + 438 784.5 + 438 342.90 + 438 342.91 + 438

Series 13, No. 168 [ Page 63 Table V. Changes in ICD–9–CM diagnosis codes, 1986–2005—Con. Effective October 1

Current code(s) assignment . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

1997

1997

1997

1997

1997

1997

1997

1997

1998

2002

1997

1997

2002

1997

1997

1992

1993

440.24 . . . . . . . . . . . . . 440.29 . . . . . . . . . . . . . 440.30–440.32 . . . . . . . . 441.00–441.03 . . . . . . . . 441.6. . . . . . . . . . . . . . 441.7. . . . . . . . . . . . . . 443.21 . . . . . . . . . . . . . 443.22 . . . . . . . . . . . . . 443.23 . . . . . . . . . . . . . 443.24, 443.29 . . . . . . . . 443.82 . . . . . . . . . . . . . 445.01–445.02 . . . . . . . . 445.81 . . . . . . . . . . . . . 445.89 . . . . . . . . . . . . . 446.20–446.21, 446.29 . . . 451.82–451.84 . . . . . . . . 453.40–453.42 . . . . . . . . 454.8. . . . . . . . . . . . . . 458.2. . . . . . . . . . . . . . 458.21, 458.29 . . . . . . . . 458.8. . . . . . . . . . . . . . 464.00–464.01 . . . . . . . . 464.50–464.51 . . . . . . . . 466.11, 466.19 . . . . . . . . 474.0 (Code title restated) . 474.00–474.02 . . . . . . . . 477.1. . . . . . . . . . . . . . 477.2. . . . . . . . . . . . . . 480.3. . . . . . . . . . . . . . 482.30–482.39 . . . . . . . . 482.40–482.41, 482.49 . . . 482.81–482.83, 482.89 . . . 482.84 . . . . . . . . . . . . . 483.0. . . . . . . . . . . . . . 483.1. . . . . . . . . . . . . . 483.8. . . . . . . . . . . . . . 491.20–491.21 . . . . . . . . 491.22 . . . . . . . . . . . . . 493.02 . . . . . . . . . . . . . 493.12 . . . . . . . . . . . . . 493.20 . . . . . . . . . . . . . 493.21 . . . . . . . . . . . . . 493.22 . . . . . . . . . . . . . 493.81 . . . . . . . . . . . . . 493.82 . . . . . . . . . . . . . 493.92 . . . . . . . . . . . . . 494.0–494.1 . . . . . . . . . 512.1. . . . . . . . . . . . . . 517.3. . . . . . . . . . . . . . 518.6. . . . . . . . . . . . . . 518.81 . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1993

1993

1994

1994

1993

1993

2002

2002

2002

2002

2005

2002

2002

2002

1990

1993

2004

2002

1995

2003

1997

2001

2001

1996

1997

1997

2000

2004

2003

1992

1998

1992

1997

1992

1996

1992

1991

2004

2000

2000

1989

1989

2000

2003

2003

2000

2000

1994

2003

1997

1987

438.22 . . . . . . 438.30 . . . . . . 438.31 . . . . . . 438.32 . . . . . . 438.40 . . . . . . 438.41 . . . . . . 438.42 . . . . . . 438.50–438.52 . 438.53 . . . . . . 438.6–438.7 . . 438.81 . . . . . . 438.82 . . . . . . 438.83–438.85 . 438.89 . . . . . . 438.9. . . . . . . 440.20–440.22 . 440.23 . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . .

Previous code(s) assignment 342.92 + 438

344.40 + 438

344.41 + 438

344.42 + 438

344.30 + 438

344.31 + 438

344.32 + 438

344.89 + 438

438.50 438.89 784.69 + 438

787.2 + 438

438.89

438

438

440.2 440.20 + (707.1 or 707.8 or 707.9) 440.20 + 785.4 440.2 996.1 441.0 441.1 + 441.3 441.2 + 441.4 442.81 442.2 442.1 442.89 443.89 440.29 440.1 440.8 446.2 451.89 453.8 454.9 997.9 + 458.9 458.2 458.9 464.0 464.0 466.1 474.0 474.0 477.8 477.8 480.8 482.3 482.4 482.8 482.83

483

078.88 + 484.8

483

491.2 491.21 493.00 493.10 493.90 493.91 493.20 519.1 493.90–493.91 493.90

494

997.3 282.62 518.89 799.1

Effective October 1

Current code(s) assignment 518.82–518.89 . . . . . . . . 518.83–518.84 . . . . . . . . 519.00–519.02, 519.09 . . . 521.00–521.05, 521.09 . . . 521.06–521.08 . . . . . . . . 521.10–521.15 . . . . . . . . 521.20–521.25 . . . . . . . . 521.30–521.35 . . . . . . . . 521.40–521.45 . . . . . . . . 523.20–523.25 . . . . . . . . 524.00–524.06, 524.09 . . . 524.07 . . . . . . . . . . . . . 524.10–524.12, 524.19 . . . 524.20–524.29 . . . . . . . . 524.30–524.37, 524.39 . . . 524.50–524.57, 524.59 . . . 524.60–524.63, 524.69 . . . 524.64 . . . . . . . . . . . . . 524.70–524.77, 524.79 . . . 524.75–524.76 . . . . . . . . 524.81–524.82, 524.89 . . . 525.10–525.19 . . . . . . . . 525.20–525.26 . . . . . . . . 525.40–525.44 . . . . . . . . 525.50–525.54 . . . . . . . . 528.71–528.72, 528.79 . . . 530.10–530.11, 530.19 . . . 530.12 . . . . . . . . . . . . . 530.20–530.21 . . . . . . . . 530.81 . . . . . . . . . . . . . 530.82–530.84, 530.89 . . . 530.85 . . . . . . . . . . . . . 530.86–530.87 . . . . . . . . 535.00–535.01 . . . . . . . . 535.10–535.11 . . . . . . . . 535.20–535.21 . . . . . . . . 535.30–535.31 . . . . . . . . 535.40–535.41 . . . . . . . . 535.50–535.51 . . . . . . . . 535.60–535.61 . . . . . . . . 536.3. . . . . . . . . . . . . . 536.40–536.42, 536.49 . . . 537.82 . . . . . . . . . . . . . 537.83 . . . . . . . . . . . . . 537.84 . . . . . . . . . . . . . 556.0–556.6, 556.8–556.9 . 558.3. . . . . . . . . . . . . . 562.02 . . . . . . . . . . . . . 562.03 . . . . . . . . . . . . . 562.12 . . . . . . . . . . . . . 562.13 . . . . . . . . . . . . . 564.00–564.09 . . . . . . . . 564.81, 564.89 . . . . . . . . 567.21–567.23, 567.29 . . . 567.31 . . . . . . . . . . . . . 567.38 . . . . . . . . . . . . . 567.39 . . . . . . . . . . . . . 567.81–567.82, 567.89 . . . 569.60–569.61, 569.69 . . . 569.62 . . . . . . . . . . . . . 569.84 . . . . . . . . . . . . . 569.85 . . . . . . . . . . . . . 569.86 . . . . . . . . . . . . . 574.60 . . . . . . . . . . . . . 574.61 . . . . . . . . . . . . . 574.70 . . . . . . . . . . . . . 574.71 . . . . . . . . . . . . . 574.80 . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1987 1998 1998 2001 2004 2004 2004 2004 2004 2004 1992 2004 1992 2004 2004 2004 1991 2004 1992 2004 2004 2001 2004 2005 2005 2004 1993 2001 2003 1993 1993 2003 2004 1991 1991 1991 1991 1991 1991 1991 1994 1998 1990 1991 2002 1994 2000 1991 1991 1991 1991 2001 1998 2005 2005 2005 2005 2005 1995 1998 1990 1991 2002 1996 1996 1996 1996 1996

Previous code(s) assignment 518.8 518.81 519.0 521.0 521.09 521.1 521.2 521.3 521.4 523.2 524.0 524.09 524.1 524.2 524.3 524.5 524.6 524.69 524.8 524.79 524.8 525.1 525.2 525.10 525.10 528.7 530.1 530.10 530.2 530.1 530.8 530.2 997.4 535.0 535.1 535.2 535.3 535.4 535.5 535.6 536.8 997.4 537.89 537.82 531.00 556

558.9 562.00 562.01 562.10 562.11 564.0 564.8 567.2 728.89 567.2 567.9 567.8 569.6 569.69 557.1 569.84 569.82 574.00 + 574.30 574.01 + 574.31 574.10 + 574.40 574.11 + 574.41 574.00 + 574.10 + 574.30 + 574.40


Current code(s) assignment 574.81 . . . . . . . . . . . . . . . . . . . .

1996

574.90 . . . . . . . . . . . 574.91 . . . . . . . . . . . 575.10–575.11 . . . . . . 575.12 . . . . . . . . . . . 585.1–585.6, 585.9 . . . 588.81, 588.89 . . . . . . 593.70–593.73 . . . . . . 596.51–596.53 . . . . . . 596.54 . . . . . . . . . . . 596.55–596.59 . . . . . . 599.60 . . . . . . . . . . . 599.69 . . . . . . . . . . . 599.81–599.89 . . . . . . 600.0–600.3, 600.9 . . . 600.00–600.01 . . . . . . 600.10–600.11 . . . . . . 600.20–600.21 . . . . . . 600.90–600.91 . . . . . . 602.3. . . . . . . . . . . . 607.85 . . . . . . . . . . . 608.82 . . . . . . . . . . . 608.87 . . . . . . . . . . . 618.00–618.05, 618.09 . 618.81–618.83, 618.89 . 621.30–621.33 . . . . . . 622.10–622.12 . . . . . . 629.20–629.23 . . . . . . 633.00–633.01 . . . . . . 633.10–633.11 . . . . . . 633.20–633.21 . . . . . . 633.80–633.81 . . . . . . 633.90–633.91 . . . . . . 645.00–645.01, 645.03 . 645.10–645.11, 645.13 .

1996

1996

1996

1996

2005

2004

1994

1992

1992

1992

2005

2005

1992

2000

2003

2003

2003

2003

2001

2003

2001

2001

2004

2004

2004

2004

2004

2002

2002

2002

2002

2002

1991

2000

645.20–645.21, 645.23 . . . . . . . . . .

2000

651.30–651.31, 651.33 . . . . . . . . . .

1989

651.40–651.41, 651.43 . . . . . . . . . .

1989

651.50–651.51, 651.53 . . . . . . . . . .

1989

651.60–651.61, 651.63 . . . . . . . . . .

1989

651.70–651.71, 651.73 . 654.20–654.21, 654.23 . 654.90–654.94 . . . . . . 655.70–655.71, 655.73 . 657.00–657.01, 657.03 . 659.60–659.61, 659.63 .

2005

1990

1990

1997

1991

1992

659.70–659.71, 659.73 . . . . . . . . . .

1998

665.10–665.11 . . . . . . . . . . . . . . .

1992

670.00, 670.02, 670.04. . . . . . . . . .

672.00, 672.02, 672.04. . . . . . . . . .

674.50–674.54 . . . . . . . . . . . . . . .

1991

1991

2003

677 . . . . . . . . . . . . . 686.00–686.01, 686.09 . 690.10, 690.18 . . . . . . 690.11 . . . . . . . . . . . 690.12 . . . . . . . . . . . 690.8. . . . . . . . . . . .

1994

1997

1995

1995

1995

1995

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .


. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . .

. . . . . .

Previous code(s) assignment 574.01 + 574.11 + 574.31 + 574.41 574.20 + 574.50 574.21 + 574.51 575.1 575.0 + 575.1

585

588.8 593.7 596.5 344.61 596.5 599.6 599.6 599.8

600

600.0 600.1 600.2 600.9 602.8 607.89 608.83 608.89 618.0 618.8 621.3 622.1 629.8 633.0 633.1 633.2 633.8 633.9 645.0–645.1, 645.3 645.00–645.01, 645.03 645.00–645.01, 645.03 651.00–651.01, 651.03 651.10–651.11, 651.13 651.20–651.21, 651.23 651.80–651.81, 651.83 651.8 654.2, 654.9 654.2, 654.9 655.8 657.0–657.1, 657.3 659.80–659.81, 659.83 656.30–656.31, 656.33 665.10–665.12, 665.1411 670.0–670.1, 670.3 672.0–672.1, 672.3 674.80, 674.82, 674.84 None 686.0

690

691.8 + 704.8 691.8

690

Effective October 1

Current code(s) assignment 692.72–692.74 . . . . . . 692.75 . . . . . . . . . . . 692.76–692.77 . . . . . . 692.82–692.83 . . . . . . 692.84 . . . . . . . . . . . 702.0–702.8 . . . . . . . 702.11, 702.19 . . . . . . 704.02 . . . . . . . . . . . 705.21–705.22 . . . . . . 707.00–707.07, 707.09 . 707.10–707.15, 707.19 . 709.00–709.01, 709.09 . 710.5. . . . . . . . . . . . 718.70–718.79 . . . . . . 719.7. . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

1992 2000 2001 1992 2004 1991 1994 1993 2004 2004 2000 1994 1992 2001 2003

727.83 . . . . . . . . . . . 728.86 . . . . . . . . . . . 728.87 . . . . . . . . . . . 728.88 . . . . . . . . . . . 733.10–733.16, 733.19 . 733.93 . . . . . . . . . . . 733.94–733.95 . . . . . . 738.10–738.19 . . . . . . 747.60–747.64, 747.69 . 747.82 . . . . . . . . . . . 747.83 . . . . . . . . . . . 752.51–752.52 . . . . . . 752.61–752.63 . . . . . . 752.64–752.65, 752.69 . 752.81, 752.89 . . . . . . 753.10–753.17, 753.19 . 753.20–753.23, 753.29 . 756.70–756.71, 756.79 . 758.31–758.33, 758.39 . 758.81 . . . . . . . . . . . 758.89 . . . . . . . . . . . 759.81–759.82 . . . . . . 759.83 . . . . . . . . . . . 759.89 . . . . . . . . . . . 760.75 . . . . . . . . . . . 760.76 . . . . . . . . . . . 760.77–760.78 . . . . . . 763.81–763.83, 763.89 . 763.84 . . . . . . . . . . . 764.00–764.09 . . . . . . 764.10–764.19 . . . . . . 764.20–764.29 . . . . . . 764.90–764.99 . . . . . . 765.00–765.09 . . . . . . 765.10–765.19 . . . . . . 765.20–765.24 . . . . . . 765.25–765.29 . . . . . . 766.21–766.22 . . . . . . 767.11–767.19 . . . . . . 770.10–770.18 . . . . . . 770.81–770.84, 770.89 . 770.85–770.86 . . . . . . 771.81–771.83, 771.89 . 772.10–772.14 . . . . . . 779.7. . . . . . . . . . . . 779.81–779.82 . . . . . . 779.83 . . . . . . . . . . . 779.84 . . . . . . . . . . . 779.89 . . . . . . . . . . . 780.01–780.02, 780.09 .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2000 1995 2003 2003 1993 2001 2001 1992 1993 1993 2002 1996 1996 1996 2003 1990 1996 1997 2004 1996 1996 1989 1994 1989 1991 1994 2005 1998 2005 1988 1988 1988 1988 1988 1988 2002 2002 2003 2003 2005 2002 2005 2002 2001 2001 2002 2003 2005 2002 1992

Previous code(s) assignment 692.79 692.79 692.71 692.89 692.89 702 702.1 704.09 780.8 707.0 707.1 709.0 288.3, 729.1 718.80–718.89 719.70, 719.75– 719.79 (Codes deleted) 727.89 729.4 728.9 728.89 733.1 733.16 733.19 738.1 747.6 747.89 747.89, 747.9 752.5 752.6 752.8 752.8 753.1 753.2 756.7 758.3 758.8 758.9 759.8 759.89 759.8 760.79 760.79 760.79 763.8 770.1 764.0 764.1 764.2 764.9 765.0 765.1 765.00–765.09 765.10–765.19 766.2 767.1 770.1 770.8 770.1 771.8 772.1 772.1 779.8 779.89 None (omit code) 779.8 780.0

Series 13, No. 168 [ Page 65 Table V. Changes ICD–9–CM in diagnosis codes, 1986–2005—Con. Effective October 1

Current code(s) assignment 780.03 . . . . . . . . . . . . 780.31, 780.39 . . . . . . . 780.57 . . . . . . . . . . . . 780.58 . . . . . . . . . . . . 780.71, 780.79 . . . . . . . 780.91–780.92 . . . . . . . 780.93–780.94 . . . . . . . 780.95 . . . . . . . . . . . . 780.99 . . . . . . . . . . . . 781.8. . . . . . . . . . . . . 781.91–781.92, 781.99 . . 781.93 . . . . . . . . . . . . 781.94 . . . . . . . . . . . . 783.21 . . . . . . . . . . . . 783.22 . . . . . . . . . . . . 783.40–783.43 . . . . . . . 783.7. . . . . . . . . . . . . 785.52 . . . . . . . . . . . . 786.03–786.07 . . . . . . . 787.01–787.03 . . . . . . . 787.91 . . . . . . . . . . . . 787.99 . . . . . . . . . . . . 788.20–788.21, 788.29 . . 788.30–788.39 . . . . . . . 788.38 . . . . . . . . . . . . 788.41–788.43 . . . . . . . 788.61–788.62, 788.69 . . 788.63 . . . . . . . . . . . . 789.00–789.07, 789.09 . . 789.30–789.37, 789.39 . . 789.40–789.47, 789.49 . . 789.60–789.67, 789.69 . . 790.01, 790.09 . . . . . . . 790.21–790.22, 790.29 . . 790.91,790.93, 790.99 . . 790.92 . . . . . . . . . . . . 790.94 . . . . . . . . . . . . 790.95 . . . . . . . . . . . . 792.5. . . . . . . . . . . . . 793.80–793.81, 793.89 . . 795.00–795.02, 795.09 . . 795.03, 795.04 . . . . . . . 795.05, 795.08 . . . . . . . 795.31–795.39 . . . . . . . 795.71 . . . . . . . . . . . . 795.79 . . . . . . . . . . . . 795.8. . . . . . . . . . . . . 796.5. . . . . . . . . . . . . 796.6. . . . . . . . . . . . . 799.01–799.02 . . . . . . . 799.81, 799.89 . . . . . . . 813.45 . . . . . . . . . . . . 823.40–823.42 . . . . . . . 840.7. . . . . . . . . . . . . 850.11–850.12 . . . . . . . 864.05 . . . . . . . . . . . . 864.15 . . . . . . . . . . . . 909.5. . . . . . . . . . . . . 922.31–922.33 . . . . . . . 925.1–925.2 . . . . . . . . 959.0 (code title restated) 959.01 . . . . . . . . . . . . 959.09 . . . . . . . . . . . . 959.11–959.14, 959.19 . . 965.61, 965.69 . . . . . . . 989.81–989.84, 989.89 . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1993

1997

1992

2004

1998

2002

2003

2005

2002

1994

2000

2002

2003

2000

2000

2000

2000

2003

1998

1994

1995

1995

1993

1992

2004

1993

1993

2003

1994

1994

1994

1994

2000

2003

1993

1993

1997

2004

2000

2001

2002

2004

2004

2002

1994

1994

1986

1997

2004

2005

2003

2002

2002

2001

2003

1992

1992

1994

1996

1993

1997

1997

1997

2003

1998

1995

Previous code(s) assignment 780.01 780.3 780.51, 780.53 780.59 780.7 780.9 780.99 780.99 780.9 781.9 781.9 723.5 781.99 783.2 783.4 783.4 783.4 785.59 786.09 787.0 558.9 787.9 788.2 788.3 788.39 788.4 788.6 788.69 789.0 789.3 789.4 789.6 790.0 790.2 790.9 286.9 790.99 790.99 792.9 793.8 795.0 622.1 795.09 795.3 795.8 (Code deleted) 795.7 795.7 796.9 796.9 799.0 799.8 813.42 823.80–823.82 840.8 850.1 864.09 864.19 909.9 922.3

925

959.0 854.00 959.0 959.1 965.6 989.8

Current code(s) assignment

Effective October 1

Previous code(s) assignment 995.5 995.5 995.0 None 995.81 995.81 995.89 038.0–038.9 996.09 996.4 996.5 996.52 996.59 996.59 996.6 996.69 996.7 996.8 996.89 996.89 997.0 997.9 + 430 434, 436

997.4 997.5 997.2 997.9 998.1 998.89 998.3 998.5 998.8 998.89 V01.7 V01.8 V01.89 V01.89 V02.5 V02.6 V03.8 V04.8 V05.8 V06.8 V07.3 V07.8 044.9, 795.8 (Codes deleted) None V10.49 V10.59 V12.0 V12.4 V12.49 V12.5 V12.6V V12.7 V13.0 V13.09 V13.2 V13.6 V15.0 V15.4 305.13 (Code deleted) V15.89 V15.89 V15.49 V16.4

995.50–995.55, 995.59 . . . . . . 995.59 . . . . . . . . . . . . . . . . 995.60–995.69 . . . . . . . . . . . 995.7. . . . . . . . . . . . . . . . . 995.80, 995.82–995.85 . . . . . . 995.81 (code title restated) . . . 995.86 . . . . . . . . . . . . . . . . 995.90–995.94 . . . . . . . . . . . 996.04 . . . . . . . . . . . . . . . . 996.40–996.47, 996.49 . . . . . . 996.51–996.59 . . . . . . . . . . . 996.55 . . . . . . . . . . . . . . . . 996.56 . . . . . . . . . . . . . . . . 996.57 . . . . . . . . . . . . . . . . 996.60–996.69 . . . . . . . . . . . 996.68 . . . . . . . . . . . . . . . . 996.70–996.79 . . . . . . . . . . . 996.80–996.84, 996.86, 996.89. 996.85 . . . . . . . . . . . . . . . . 996.87 . . . . . . . . . . . . . . . . 997.00–997.01, 997.09 . . . . . . 997.02 . . . . . . . . . . . . . . . . 997.71 . . . . . . . . . . . . . . . . 997.72 . . . . . . . . . . . . . . . . 997.79 . . . . . . . . . . . . . . . . 997.91, 997.99 . . . . . . . . . . . 998.11–998.12 . . . . . . . . . . . 998.13 . . . . . . . . . . . . . . . . 998.31–998.32 . . . . . . . . . . . 998.51, 998.59 . . . . . . . . . . . 998.81–998.82, 998.89 . . . . . . 998.83 . . . . . . . . . . . . . . . . V01.71, V01.79 . . . . . . . . . . V01.81, V01.89 . . . . . . . . . . V01.82 . . . . . . . . . . . . . . . . V01.83–V01.84 . . . . . . . . . . V02.51–V02.52, V02.59 . . . . . V02.60–V02.62, V02.69 . . . . . V03.81–V03.82, V03.89 . . . . . V04.81–V04.82, V04.89 . . . . . V05.3–V05.4 . . . . . . . . . . . . V06.5–V06.6 . . . . . . . . . . . . V07.31, V07.39 . . . . . . . . . . V07.4 . . . . . . . . . . . . . . . . V08. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1996 1996 1993 2000 1996 1996 1998 2002 1994 2005 1987 1998 1998 2003 1989 1998 1989 1987 1990 2000 1995 1995 2001 2001 2001 1995 1996 1996 2002 1996 1994 1996 2004 2002 2003 2004 1998 1997 1994 2003 1993 1994 1994 1992 1994

V09.0–V09.91 . . . . . . V10.48 . . . . . . . . . . . V10.53 . . . . . . . . . . . V12.00–V12.03, V12.09 V12.40–V12.41, V12.49 V12.42 . . . . . . . . . . . V12.50–V12.52, V12.59 V12.60–V12.61; V12.69 12.70–V12.72, V12.79 . V13.00–V13.01, V13.09 V13.02–V13.03 . . . . . V13.21, V13.29 . . . . . V13.61, V13.69 . . . . . V15.01–V15.09 . . . . . V15.41–V15.42, V15.49 V15.82 . . . . . . . . . . . V15.84–V15.86 . . . . . V15.87 . . . . . . . . . . . V15.88 . . . . . . . . . . . V16.40–V16.43, V16.49

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .

1993 1998 2001 1994 1997 2005 1995 2005 1994 1994 2005 2002 1998 2000 1996 1994 1995 2003 2005 1997

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . .


Previous code(s) assignment

1998

2005

1998

2005

2000

2002

1989

1998

2003

1992

1992

2000

2005

1998

1997

1992

1994

1998

1992

1989

1989

1989

1989

1989

1989

1989

1989

1989

1997

2000

2003

1994

1995

1998

1998

1994

1994

1994

1994

1997

1997

1997

1997

2000

2000

2000

2000

V45.78 . . . . . . . . . . . . . . . . . . . .

V45.79 . . . . . . . . . . . . . . . . . . . .

2000

2000

V45.82 . . . . . . V45.83 . . . . . . V45.84 . . . . . . V45.85 . . . . . . V46.11–V46.12. V46.13–V46.14 V46.2 . . . . . . V49.60–V49.67 V49.70–V49.77 V49.81 . . . . . . V49.82 . . . . . . V49.83 . . . . . . V49.84 . . . . . . V49.89 . . . . . . V50.41–V50.42,

1994

1995

2001

2003

2004

2005

2002

1994

1994

2000

2001

2004

2005

2000

1994

V16.5 V17.8 V18.6 V19.8 None V23.4 V23.8 V23.8 V25.01 V25.49 V25.8 V26.2 V26.3 None V28.8 V71.8 V29.8 V29.8 V71.9 V30.0 V31.0 V32.0 V33.0 V34.0 V35.0 V36.0 V37.0 V39.0 V42.8 V42.89 V43.2 V43.6 V43.8 V43.89 V44.5 V45.89 V45.0 V45.5 V45.89 V45.6 611.8 569.89 593.89 593.89, 596.8 V45.89 518.89 602.8, 607.89, 608.89, 620.8,

621.8, 622.8

360.89 255.8, 289.59, 388.8, 569.49, 577.8 V45.89 V45.89 V45.89 None V45.89 V46.1 V46.11 V46.8 V49.5 V49.5 None None None V49.89 V49.8 V50.8

Current code(s) assignment V16.51, V16.59 . . . . . V17.81; V17.89 . . . . . V18.61, V18.69 . . . . . V18.9 . . . . . . . . . . . V21.30–V21.35 . . . . . V23.41, V23.49 . . . . . V23.7 . . . . . . . . . . . V23.81–V23.84, V23.89 V25.03 . . . . . . . . . . . V25.43 . . . . . . . . . . . V25.5 . . . . . . . . . . . V26.21–V26.22, V26.29 V26.31–V26.33 . . . . . V26.51, V26.52 . . . . . V28.6 . . . . . . . . . . . V29.0–V29.1, V29.8. . . V29.2 . . . . . . . . . . . V29.3 . . . . . . . . . . . V29.9 . . . . . . . . . . . V30.00–V30.01 . . . . . V31.00–V31.01 . . . . . V32.00–V32.01 . . . . . V33.00–V33.01 . . . . . V34.00–V34.01 . . . . . V35.00–V35.01 . . . . . V36.00–V36.01 . . . . . V37.00–V37.01 . . . . . V39.00 –V39.01 . . . . . V42.81–V42.83, V42.89 V42.84 . . . . . . . . . . . V43.21–V43.22 . . . . . V43.60–43.66, V43.69 . V43.81–V43.82, V43.89 V43.83 . . . . . . . . . . . V44.50–V44.52, V44.59 V45.00, V45.02, V45.09 V45.01 . . . . . . . . . . . V45.51 . . . . . . . . . . . V45.52, V45.59 . . . . . V45.61, V45.69 . . . . . V45.71 . . . . . . . . . . . V45.72 . . . . . . . . . . . V45.73 . . . . . . . . . . . V45.74 . . . . . . . . . . . V45.75 . . . . . . . . . . . V45.76 . . . . . . . . . . . V45.77 . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . V50.49

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . .

Effective October 1

Current code(s) assignment V53.01–V53.02, V53.09 . . V53.31 . . . . . . . . . . . . . V53.32, V53.39 . . . . . . . V53.90–V53.91, V53.99 . . V54.01–V54.02, V54.09 . . V54.10–V54.17, V54.19 . . V54.20–V54.27, V54.29 . . V54.81, V54.89 . . . . . . . V56.1 . . . . . . . . . . . . . V56.1 (Code title restated). V56.2 . . . . . . . . . . . . . V56.31–V56.32 . . . . . . . V57.21–V57.22 . . . . . . . V58.11 . . . . . . . . . . . . . V58.12 . . . . . . . . . . . . . V58.41, V58.49 . . . . . . . V58.42–V58.43 . . . . . . . V58.44 . . . . . . . . . . . . . V58.61, V58.69 . . . . . . . V58.62 . . . . . . . . . . . . . V58.63–V58.65 . . . . . . . V58.66–V58.67 . . . . . . . V58.71–V58.78 . . . . . . . V58.81, V58.89 . . . . . . . V58.82 . . . . . . . . . . . . . V58.83 . . . . . . . . . . . . . V59.01–V59.02, V59.09 . . V59.6 . . . . . . . . . . . . . V59.70–V59.74 . . . . . . . V61.10–V61.12 . . . . . . . V61.22 . . . . . . . . . . . . . V62.83 . . . . . . . . . . . . . V62.84 . . . . . . . . . . . . . V64.00–V64.05 . . . . . . . V64.06 . . . . . . . . . . . . . V64.07–V64.09 . . . . . . . V64.4 . . . . . . . . . . . . . V64.41–V64.43 . . . . . . . V65.11, V65.19 . . . . . . . V65.40–V65.45, V65.49 . . V65.46 . . . . . . . . . . . . . V66.7 . . . . . . . . . . . . . V67.00–V67.01, V67.09 . . V69.0–V69.3 . . . . . . . . . V69.4 . . . . . . . . . . . . . V69.5 . . . . . . . . . . . . . V69.8–V69.9 . . . . . . . . . V71.81, V71.89 . . . . . . . V71.82–V71.83 . . . . . . . V72.31–V72.32 . . . . . . . V72.40–V72.41 . . . . . . . V72.42 . . . . . . . . . . . . . V72.81 V72.85 . . . . . . . . V72.86 . . . . . . . . . . . . . V73.88–V73.89 . . . . . . . V73.98–V73.99 . . . . . . . V76.10–V76.12, V76.19 . . V76.44–V76.45 . . . . . . . V76.46–V76.47 . . . . . . . V76.50–V76.52 . . . . . . . V76.81, V76.89 . . . . . . . V77.91, V77.99 . . . . . . . V82.81, V82.89 . . . . . . . V83.01–V83.02 . . . . . . . V83.81 . . . . . . . . . . . . . V83.89 . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1997 1994 1994 2003 2003 2002 2002 2002 1995 1998 1998 2000 1994 2005 2005 1994 2002 2004 1995 1998 2003 2004 2002 1994 1995 2000 1995 1995 2005 1996 1996 1996 2005 2005 2005 2005 1997 2003 2003 1994 2003 1996 2000 1994 2004 2005 1994 2000 2002 2004 2004 2005 1993 2005 1993 1993 1997 1998 2000 2000 2000 2000 2000 2001 2002 2002

Previous code(s) assignment V53.0 V53.3 V53.9 V53.9 V54.0 V54.8 V54.8 V54.8 V58.89 V56.1 V56.1 V56.8 V57.2 V58.1 140–208; 230–239 V58.4 V58.49 V58.71–V58.78 V67.51 V58.69 V58.69 V58.69 V58.49 V58.8 V58.89 V58.89 V59.0 V59.8 V59.8 V61.1 V61.21 V65.49 V62.89 V64.0 V64.2 V64.0 None V64.4 V65.1 V65.4 V65.1 None V67.0 None V69.8 V69.8 None V71.8 V71.89 V72.3 V72.4 V22.0–V22.1 V72.8 V72.83 V73.8 V73.9 V76.1 V76.49 V76.49 V76.49 V76.8 V77.9 V82.8 None None V19.8

Series 13, No. 168 [ Page 67 Table V. Changes in ICD–9–CM diagnosis codes, 1986–2005—Con. Effective October 1

Current code(s) assignment V84.01–V84.04, V84.09 . . . . . V84.8 . . . . . . . . . . . . . . . . V85.0 . . . . . . . . . . . . . . . . V85.1 . . . . . . . . . . . . . . . . V85.21–V85.25 . . . . . . . . . . V85.30–V85.39 . . . . . . . . . . V85.4 . . . . . . . . . . . . . . . . E854.8 . . . . . . . . . . . . . . . . E869.4 . . . . . . . . . . . . . . . . E880.1 . . . . . . . . . . . . . . . . E884.3-E884.4 . . . . . . . . . . . E884.5-E884.6 . . . . . . . . . . . E885.0 . . . . . . . . . . . . . . . . E885.1-E885.4, E885.9 . . . . . E888.0 . . . . . . . . . . . . . . . . E888.1, E888.8-E888.9 . . . . . E906.5 . . . . . . . . . . . . . . . . E908.0-E908.4, E908.8-E908.9. E909.0-E909.4, E909.8-E909.9. E917.3-E917.4 . . . . . . . . . . . E917.5 . . . . . . . . . . . . . . . . E917.6 . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

2004 2004 2005 2005 2005 2005 2005 1995 1994 1995 1995 1995 2002 2000 2001 2001 1995 1995 1995 2001 2001 2001

Previous code(s) assignment None None None None None None None E858.8 E869.8 E884.9 E884.2 E884.9 E885.9 E885 E920 E888 E906.3 E908 E909 E917.9 E886.0 E917.1

1

E917.7-E917.8 . E920.5 . . . . . . E922.4 . . . . . . E922.5 . . . . . . E924.2 . . . . . . E928.3 . . . . . . E928.4-E928.5 . E955.6 . . . . . . E955.7 . . . . . . E967.2 . . . . . . E967.3 . . . . . . E967.4-E967.8 . E968.5 . . . . . . E968.6 . . . . . . E968.7 . . . . . . E985.6 . . . . . . E985.7 . . . . . . E979.0-E979.9 .

. . . . . . . . . . . . . . . . . .

2001 1995 1997 2002 1995 2000 2003 1997 2002 1996 1996 1996 1995 1997 2000 1997 2002 2002

E999.0 . . . . . . . . . . . . . . . . . . . . E999.1 . . . . . . . . . . . . . . . . . . . .

2002 2002

The title for the subcategory 665.1 has been changed, making the fifth-digit subclassifications 665.12 and 665.14 invalid.

NOTE: ICD–9–CM is the International Classification of Diseases, Ninth Revision, Clinical Modification.

Effective October 1

Current code(s) assignment . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . .

Previous code(s) assignment E888 E920.4 E917.9 E922.8 E924.0 E928.8 E928.8 E955.9 E955.4 E967.0 None E967.1 E968.8 E968.8 E968.8 E985.4 E985.4 E960.0-E966, E968.0-E968.9 E999 E969

Page 68 [ Series 13, No. 168 Table VI. Changes in ICD–9–CM procedure codes, 1986–2005 Current code(s) assignment

Effective October 1

Previous code(s) assignment 99.99 99.25 99.19 93.98 99.29 99.21 99.28 None 99.29 99.29 88.71 88.73 88.77 88.72 88.75 88.79 None None 37.70–37.74, 37.76, 37.80–37.87 37.94 None 37.80–37.87 37.96 39.90 39.50 00.55, 39.90 36.01 (deleted), 36.02 (deleted), 36.05 (deleted) 81.53 None 81.55 None None 89.19 03.99 (Insertion of catheter) 39.7 11.79 11.62 20.95 22.11 26.11 27.69 83.02 29.3 31.43–31.44 31.75 32.0 32.29, 32.9 32.29 33.22 + 33.27 33.27 33.28 33.29 33.5 33.5 + 37.5 34.99 35.82 35.03 36.0 39.97 36.011, 36.02 36.01 36.01, 36.02, 36.03, 36.05 36.06 36.0 36.00 (Code deleted) 36.19 36.3

00.01–00.03, 00.10. . . . . 00.11 . . . . . 00.12. . . . . 00.13. . . . . 00.14. . . . . 00.15. . . . . 00.16. . . . . 00.17. . . . . 00.18. . . . . 00.21. . . . . 00.22. . . . . 00.23. . . . . 00.24. . . . . 00.25. . . . . 00.28–00.29 00.31–00.35, 00.40–00.43, 00.50. . . . . 00.51. . . . . 00.52. . . . . 00.53. . . . . 00.54. . . . . 00.55. . . . . 00.61–00.62 00.63–00.65 00.66. . . . .

00.09 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 00.39 . . . . . 00.45–00.48 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .

2002

2002

2002

2002

2002

2002

2003

2004

2004

2005

2004

2004

2004

2004

2004

2004

2004

2005

2002

2002

2002

2002

2002

2002

2004

2004

2005

00.70–00.73 00.74–00.76 00.80–00.84 00.91–00.93 01.26–01.27 02.96. . . . . 03.90. . . . . 05.25. . . . . 11.75 . . . . . 11.76 . . . . . 20.96–20.98 22.12. . . . . 26.12. . . . . 27.64. . . . . 29.31. . . . . 29.32–29.33, 31.45. . . . . 31.95. . . . . 32.01, 32.09 32.22. . . . . 32.28. . . . . 33.27. . . . . 33.28. . . . . 33.29. . . . . 33.50–33.52 33.6 . . . . . 34.05. . . . . 35.84. . . . . 35.96. . . . . 36.00–36.03 36.04. . . . . 36.05. . . . . 36.05. . . . . 36.06. . . . . 36.07. . . . . 36.09. . . . . 36.09. . . . . 36.17. . . . . 36.31–36.32,

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29.39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36.39

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2005

2005

2005

2004

2005

1992

1987

1995

1989

1989

1986

1988

1988

2004

1991

1991

1988

1989

1989

1995

1989

1987

1987

1987

1995

1990

1994

1988

1986

1986

1986

1986

1987

1995

2002

1986

1991

1996

1998

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Effective October 1

Current code(s) assignment 37.26–37.27 . . . . . . . . . 37.28. . . . . . . . . . . . . . 37.34. . . . . . . . . . . . . . 37.35. . . . . . . . . . . . . . 37.41, 37.49 . . . . . . . . . 37.51. . . . . . . . . . . . . . 37.52. . . . . . . . . . . . . . 37.53–37.54 . . . . . . . . . 37.65–37.66 . . . . . . . . . 37.67. . . . . . . . . . . . . . 37.68. . . . . . . . . . . . . . 37.70 (Leads only) . . . . . 37.71–37.72 (Leads only) . 37.73 (Leads only) . . . . . 37.74 (Leads only) . . . . . 37.75 (Leads only) . . . . . 37.76 (Leads only) . . . . . 37.77 (Leads only) . . . . . 37.78. . . . . . . . . . . . . . 37.79. . . . . . . . . . . . . . 37.80–37.83 (Device only). 37.85–37.87 . . . . . . . . . 37.80–37.87 . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . .

1988 2001 1988 1997 2005 2003 2003 2003 1995 1998 2004 1987 1987 1987 1987 1987 1987 1987 1987 1987 1987 1987 1992

37.89. . . . . . . . . . . . . . . . . . . 37.90. . . . . . . . . . . . . . . . . . . 37.94–37.98 . . . . . . . . . . . . . . 38.22. . . . . . . . . . . . . . . . . . . 38.44 (Abdominal aorta only) . . . . 38.45 (Thoracic aorta added) . . . . 38.95. . . . . . . . . . . . . . . . . . . 39.28. . . . . . . . . . . . . . . . . . . 39.50. . . . . . . . . . . . . . . . . . . 39.65. . . . . . . . . . . . . . . . . . . 39.66. . . . . . . . . . . . . . . . . . . 39.71, 39.79 . . . . . . . . . . . . . . 39.73. . . . . . . . . . . . . . . . . . . 39.90. . . . . . . . . . . . . . . . . . . 41.00–41.03 . . . . . . . . . . . . . . 41.04. . . . . . . . . . . . . . . . . . . 41.05–41.06 . . . . . . . . . . . . . . 41.07. . . . . . . . . . . . . . . . . . . 41.08. . . . . . . . . . . . . . . . . . . 41.09. . . . . . . . . . . . . . . . . . . 42.25. . . . . . . . . . . . . . . . . . . 42.33. . . . . . . . . . . . . . . . . . . 42.33. . . . . . . . . . . . . . . . . . . 43.11 . . . . . . . . . . . . . . . . . . . 43.19. . . . . . . . . . . . . . . . . . . 43.41. . . . . . . . . . . . . . . . . . . 44.21, 44.29 . . . . . . . . . . . . . . 44.22. . . . . . . . . . . . . . . . . . . 44.32. . . . . . . . . . . . . . . . . . . 44.38. . . . . . . . . . . . . . . . . . . 44.43. . . . . . . . . . . . . . . . . . . 44.44. . . . . . . . . . . . . . . . . . . 44.49. . . . . . . . . . . . . . . . . . . 44.67. . . . . . . . . . . . . . . . . . . 44.68. . . . . . . . . . . . . . . . . . . 44.93–44.94 . . . . . . . . . . . . . . 44.95–44.96 . . . . . . . . . . . . . . 44.97–44.98 . . . . . . . . . . . . . . 45.16. . . . . . . . . . . . . . . . . . . 45.30. . . . . . . . . . . . . . . . . . . 45.42. . . . . . . . . . . . . . . . . . . 45.43. . . . . . . . . . . . . . . . . . . 45.75 (Hartmann resection added).

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1987 2004 1986 1986 1986 1989 1989 1991 1995 1988 1990 2000 2005 1996 1988 1994 1997 2000 2000 2000 1988 1989 1990 1989 1989 1989 1986 1986 2001 2004 1989 1989 1989 2004 2004 1986 2004 2004 1988 1989 1988 1989 1988

Previous code(s) assignment 37.29 88.72 37.33 37.33 37.99 37.5 37.62 37.63 37.62 37.4 37.62 37.70 (Leads/device) 37.74 (Leads/device) 37.73 (Leads/device) 37.76 (Leads/device) 37.89 (Leads/device) 37.81 (Leads/device) 37.83–37.84 (Leads/device) 37.71–37.72 86.09 37.73–37.77 (Leads/device) 37.85 89.49 (Code deleted; this procedure is included in the code for pacemaker insertion/ replacement) 37.86 + 37.89 37.99 37.99 38.29 38.44 (Entire aorta) 38.44–38.45 38.93 39.29 39.59 39.61 39.65 39.52 39.79 39.50 41.0 99.79 None 41.04 41.05 41.01 42.24 42.32, 42.39 42.91 43.1 43.1, 43.2 43.41, 43.49 44.2 44.99 44.39 44.39 43.49, 45.32 38.86 43.0 44.66 44.69 44.99 44.69 44.99 45.14 (45.15 before 1987) 45.31, 45.32 45.41 45.49 48.66 (Code deleted)

Series 13, No. 168 [ Page 69 Table VI. Changes in ICD–9–CM procedure codes, 1986–2005—Con. Effective October 1

Current code(s) assignment 45.95. . . . . 46.13. . . . . 46.32. . . . . 46.85. . . . . 46.97. . . . . 47.01, 47.09 47.11, 47.19 48.36. . . . . 49.31, 49.39 49.75–49.76 51.10. . . . . 51.11 . . . . . 51.14. . . . . 51.15. . . . . 51.21. . . . . 51.22. . . . . 51.23. . . . . 51.24. . . . . 51.64. . . . . 51.84–51.88 51.97. . . . . 51.98. . . . . 52.13. . . . . 52.14. . . . . 52.21–52.22 52.84–52.86 52.93. . . . . 52.94. . . . . 52.97–52.98 52.99. . . . . 54.24. . . . . 54.25. . . . . 54.51, 54.59 55.03–55.04 56.33–56.34 56.35. . . . . 57.17–57.18 57.22. . . . . 58.31, 58.39 58.93. . . . . 59.03. . . . . 59.12. . . . . 59.72. . . . . 59.96. . . . . 60.21, 60.29 60.95. . . . . 60.96–60.97 64.97. . . . . 65.01, 65.09 65.13. . . . . 65.14. . . . . 65.23. . . . . 65.24. . . . . 65.25. . . . . 65.31, 65.39 65.41, 65.49 65.53. . . . . 65.54. . . . . 65.63. . . . . 65.64. . . . . 65.74. . . . . 65.75. . . . . 65.76. . . . . 65.81, 65.89 66.01. . . . . 66.02. . . . . 67.51, 67.59 68.15. . . . . 68.16. . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1987

1992

1989

1989

2000

1996

1996

1995

1989

2002

1989

1989

1989

1989

1996

1991

1991

1996

1989

1989

1986

1986

1989

1989

1989

1996

1989

1989

1989

1989

1987

1993

1996

1986

1987

1987

1989

1989

1990

1986

1996

1996

1995

1986

1995

1991

2000

1986

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1996

1992

1992

2001

1987

1987

Previous code(s) assignment 45.93 46.12 (Code deleted) 46.39 46.99 46.99 47.0 47.1 45.42 49.3 49.79 51.97 51.11, 51.97 51.12 51.97 51.22, 51.23 51.21 (Code deleted), 51.22 51.22 51.22, 51.23 51.69 51.97 52.91, 51.99, 51.82 51.99 51.97, 52.91 52.11 52.2 99.29 52.93 + 52.91 52.09 52.91 52.93, 52.94, 52.99 54.23 54.98 54.5 55.02 56.33 45.12 57.21 57.22, 57.82 58.3 57.99 59.02 59.11 59.79 59.95 60.2 60.99 60.29 64.95 65.0 65.12 65.19 65.21 65.22 65.29 65.3 65.4 65.51 65.52 65.61 65.62 65.71 65.72 65.73 65.8 66.0 66.73 67.5 68.14 68.13

Effective October 1

Current code(s) assignment 68.23. . . . . 68.31, 68.39 68.51, 68.59 68.9 . . . . . 74.3 . . . . . 75.37. . . . . 75.38. . . . . 77.56. . . . . 77.57. . . . . 77.58. . . . . 78.10. . . . . 78.11 . . . . . 78.12. . . . . 78.13. . . . . 78.14. . . . . 78.15. . . . . 78.16. . . . . 78.17. . . . . 78.18. . . . . 78.19. . . . . 78.20. . . . . 78.21. . . . . 78.22. . . . . 78.23. . . . . 78.24. . . . . 78.25. . . . . 78.27. . . . . 78.28. . . . . 78.29. . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1996 2003 1996 1992 1992 1998 2001 1989 1989 1989 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991 1991

78.39. . . . . . . . . . . . . . . . 78.902 . . . . . . . . . . . . . . . 78.912 . . . . . . . . . . . . . . . 78.922 . . . . . . . . . . . . . . . 78.932 . . . . . . . . . . . . . . . 78.942 . . . . . . . . . . . . . . . 78.952 . . . . . . . . . . . . . . . 78.962 . . . . . . . . . . . . . . . 78.972 . . . . . . . . . . . . . . . 78.982 . . . . . . . . . . . . . . . 78.992 . . . . . . . . . . . . . . . 80.50–80.59 . . . . . . . . . . . 81.03. . . . . . . . . . . . . . . . 81.04–81.05 . . . . . . . . . . . 81.06–81.07 . . . . . . . . . . . 81.08. . . . . . . . . . . . . . . . 81.09. . . . . . . . . . . . . . . . 81.18. . . . . . . . . . . . . . . . 81.30–81.39 . . . . . . . . . . . 81.40. . . . . . . . . . . . . . . . 81.51. . . . . . . . . . . . . . . . 81.52. . . . . . . . . . . . . . . . 81.53. . . . . . . . . . . . . . . . 81.54–81.55 . . . . . . . . . . . 81.56. . . . . . . . . . . . . . . . 81.57. . . . . . . . . . . . . . . . 81.59. . . . . . . . . . . . . . . . 81.61 (code deleted 10/01/05) 81.62–81.64 . . . . . . . . . . . 81.65–81.66 . . . . . . . . . . . 81.72. . . . . . . . . . . . . . . . 81.73–81.74 . . . . . . . . . . . 81.75. . . . . . . . . . . . . . . . 81.79. . . . . . . . . . . . . . . . 81.80. . . . . . . . . . . . . . . . 81.97. . . . . . . . . . . . . . . . 84.51–84.52 . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

1991 1987 1987 1987 1987 1987 1987 1987 1987 1987 1987 1986 1989 1989 1989 1989 1989 2005 2001 1989 1989 1989 1989 1989 1989 1989 1989 2002 2003 2004 1989 1989 1989 1989 1989 1992 2002


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. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Previous code(s) assignment 68.29 68.3 68.5 68.4 69.11 (Code deleted) 99.29 75.34 77.89, 78.49, 81.18 77.89, 80.48, 81.18, 83.85 77.59, 81.18 78.40 78.41 78.42 78.43 78.44 78.45 78.46 78.47 78.48 78.49 78.10, 78.20, 78.30 78.11, 78.31 78.12, 78.22, 78.32 78.13, 78.23, 78.33 78.14, 78.34 78.15, 78.25, 78.35 78.17, 78.27, 78.37 78.18, 78.38 78.11, 78.16, 78.19, 78.29, 78.39 78.31 78.40 78.41 78.42 78.43 78.44 78.45 78.46 78.47 78.48 78.49 80.5 81.02 81.03, 81.04, 81.05 81.06, 81.07 81.06, 81.07, 81.08 81.08 81.99 81.09 81.69 81.51, 81.59 81.61–81.64 81.51, 81.59, 81.61–81.64 81.41 81.48 81.31, 81.39 81.39 81.00–81.08, 81.30–81.39 None 78.49 81.79 81.86 (Code deleted) 81.87 (Code deleted) 81.79, 81.87 81.81 81.59 None

Page 70 [ Series 13, No. 168 Table VI. Changes in ICD–9–CM procedure codes, 1986–2005—Con. Current code(s) assignment 84.53–84.54 84.55, 84.59 84.56–84.57 84.58. . . . . 84.60–84.69 84.71–84.73 85.95–85.96 86.06. . . . . 86.07. . . . . 86.27. . . . . 86.28. . . . . 86.67. . . . . 86.93. . . . . 86.94–86.96 86.97. . . . . 86.98. . . . . 88.90. . . . . 88.91. . . . . 88.92. . . . . 88.93. . . . . 88.94. . . . . 88.95. . . . . 88.96. . . . . 88.97. . . . . 88.98. . . . . 88.99. . . . . 89.10, 89.19 89.17–89.18

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Effective October 1

Previous code(s) assignment

2004 2004 2005 2005 2004 2005 1987 1987 1990 1986 1988 1998 1987 2004 2005 2005 1986 1986 1986 1986 1986 1986 2002 1989 1989 1986 1989 1988

78.30, 78.32–78.35, 78.37–78.39 None None 84.59 80.51 None 85.99 86.09 86.09 86.22–86.23 86.22 86.65 86.89 02.93, 03.93, 04.92 86.94 86.95 88.39 89.15 89.39 89.15 89.39 89.29 88.91–88.97 88.99 88.90 89.39 89.15 89.15

1

Effective October 1

Current code(s) assignment 89.49. . . . . . . . . 89.50. . . . . . . . . 89.60. . . . . . . . . 92.20. . . . . . . . . 92.3 . . . . . . . . . 92.30–92.33, 92.39 93.90. . . . . . . . . 94.61–94.69 . . . . 96.29. . . . . . . . . 96.6 . . . . . . . . . 96.70–96.72 . . . . 97.05. . . . . . . . . 97.44. . . . . . . . . 98.51–98.52, 98.59 99.00. . . . . . . . . 99.10. . . . . . . . . 99.15. . . . . . . . . 99.20. . . . . . . . . 99.28. . . . . . . . . 99.71–99.793 . . . . 99.75. . . . . . . . . 99.76. . . . . . . . . 99.77. . . . . . . . . 99.78. . . . . . . . . 99.85. . . . . . . . . 99.86. . . . . . . . . 99.88. . . . . . . . .

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2004 1991 2002 2005 1995 1998 1988 1989 1998 1986 1991 1989 2001 1989 1995 1998 1986 1998 1994 1988 2000 2002 2002 2004 1987 1987 1988

Previous code(s) assignment 89.59 89.54 89.65 92.28 01.59, 04.07, 07.63, 07.68 92.3 93.92 94.25 96.39 96.35 93.92 (Code deleted) 51.97 37.64 59.96 (Code deleted) 99.02 99.29 99.29 99.29 99.25 99.07 99.29 99.79 None 99.71 93.35 93.39 99.83

Before October 1986, contents of current code 36.05 would have been assigned to 36.0.

Codes 78.90–78.99 were retitled as ‘‘Insertion of bone growth stimulator’’ in October 1987; the previous contents of codes 78.90–78.99 were reassigned to codes 78.40–78.49.

Codes 99.71–99.79 were deleted in October 1987; their contents were not transferred elsewhere. In the October 1988 revision, codes 99.71–99.79 were reclassified as ‘‘Therapeutic apheresis.’’

2 3

NOTE: ICD–9–CM is the International Classification of Diseases, Ninth Revision, Clinical Modification.

Vital and Health Statistics Series Descriptions

ACTIVE SERIES

DISCONTINUED SERIES

Series 1.

Programs and Collection Procedures—This type of report describes the data collection programs of the National Center for Health Statistics. Series 1 includes descriptions of the methods used to collect and process the data, definitions, and other material necessary for understanding the data.

Series 4.

Series 2.

Data Evaluation and Methods Research—This type of report concerns statistical methods and includes analytical techniques, objective evaluations of reliability of collected data, and contributions to statistical theory. Also included are experimental tests of new survey methods, comparisons of U.S. methodologies with those of other countries, and as of 2009, studies of cognition and survey measurement, and final reports of major committees concerning vital and health statistics measurement and methods.

Documents and Committee Reports—These are final reports of major committees concerned with vital and health statistics and documents. The last Series 4 report was published in 2002. As of 2009, this type of report is included in Series 2 or another appropriate series, depending on the report topic.

Series 5.

International Vital and Health Statistics Reports—This type of report compares U.S. vital and health statistics with those of other countries or presents other international data of relevance to the health statistics system of the United States. The last Series 5 report was published in 2003. As of 2009, this type of report is included in Series 3 or another series, depending on the report topic.

Series 6.

Cognition and Survey Measurement—This type of report uses methods of cognitive science to design, evaluate, and test survey instruments. The last Series 6 report was published in 1999. As of 2009, this type of report is included in Series 2.

Series 12.

Data From the Institutionalized Population Surveys— The last Series 12 report was published in 1974. Reports from these surveys are included in Series 13.

Series 14.

Data on Health Resources: Manpower and Facilities— The last Series 14 report was published in 1989. Reports on health resources are included in Series 13.

Series 15.

Data From Special Surveys—This type of report contains statistics on health and health-related topics collected in special surveys that are not part of the continuing data systems of the National Center for Health Statistics. The last Series 15 report was published in 2002. As of 2009, reports based on these surveys are included in Series 3.

Series 16.

Compilations of Advance Data From Vital and Health Statistics—The last Series 16 report was published in 1996. All reports are available online, and so compilations of Advance Data reports are no longer needed.

Series 22.

Data From the National Mortality and Natality Surveys— The last Series 22 report was published in 1973. Reports from these sample surveys, based on vital records, are published in Series 20 or 21. Compilations of Data on Natality, Mortality, Marriage, and Divorce—The last Series 24 report was published in 1996. All reports are available online, and so compilations of reports are no longer needed.

Series 3.

Series 10.

Series 11.

Analytical and Epidemiological Studies—This type of report presents analytical or interpretive studies based on vital and health statistics. As of 2009, Series 3 also includes studies based on surveys that are not part of continuing data systems of the National Center for Health Statistics and international vital and health statistics reports. Data From the National Health Interview Survey—This type of report contains statistics on illness; unintentional injuries; disability; use of hospital, medical, and other health services; and a wide range of special current health topics covering many aspects of health behaviors, health status, and health care utilization. Series 10 is based on data collected in this continuing national household interview survey. Data From the National Health Examination Survey, the National Health and Nutrition Examination Surveys, and the Hispanic Health and Nutrition Examination Survey— In this type of report, data from direct examination, testing, and measurement on representative samples of the civilian noninstitutionalized population provide the basis for (1) medically defined total prevalence of specific diseases or conditions in the United States and the distributions of the population with respect to physical, physiological, and psychological characteristics, and (2) analyses of trends and relationships among various measurements and between survey periods.

Series 13.

Data From the National Health Care Survey—This type of report contains statistics on health resources and the public’s use of health care resources including ambulatory, hospital, and long-term care services based on data collected directly from health care providers and provider records.

Series 24.

Series 20.

Data on Mortality—This type of report contains statistics on mortality that are not included in regular, annual, or monthly reports. Special analyses by cause of death, age, other demographic variables, and geographic and trend analyses are included.

For answers to questions about this report or for a list of reports published in these series, contact:

Series 21.

Series 23.

Data on Natality, Marriage, and Divorce—This type of report contains statistics on natality, marriage, and divorce that are not included in regular, annual, or monthly reports. Special analyses by health and demographic variables and geographic and trend analyses are included. Data From the National Survey of Family Growth—These reports contain statistics on factors that affect birth rates, including contraception and infertility; factors affecting the formation and dissolution of families, including cohabitation, marriage, divorce, and remarriage; and behavior related to the risk of HIV and other sexually transmitted diseases. These statistics are based on national surveys of women and men of childbearing age.

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