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TABLE 6: SELECTED DIAGNOSES AND SERVICES RENDERED
Regional Summary for Region I for 2007
84 Grantees
Diagnostic Category |
Applicable
Primary ICD-9-CM or CPT Code (where
applicable) |
Number
of Encounters (a) |
Number
of Patients (b) |
Encounters
Per Patient |
Selected Infectious
and Parasitic Diseases |
1. Symptomatic HIV |
042.xx; 079.53 |
27,348 |
5,009 |
5.46 |
2. Asymptomatic HIV |
V08 |
6,830 |
1,574 |
4.34 |
3. Tuberculosis |
010.xx - 018.xx |
2,487 |
968 |
2.57 |
4. Syphilis and other sexually transmitted
diseases |
090.xx - 099.xx |
3,929 |
2,557 |
1.54 |
Selected Diseases
of the Respiratory System |
5. Asthma |
493.xx |
70,245 |
39,208 |
1.79 |
6. Chronic bronchitis and emphysema |
490.xx - 492.xx |
31,561 |
19,064 |
1.66 |
Selected Other Medical
Conditions |
7. Abnormal breast findings, female |
174.xx; 198.81; 233.0x;
793.8x |
2,301 |
1,666 |
1.38 |
8. Abnormal cervical findings |
180.xx; 198.82; 233.1x;
795.0x |
14,029 |
9,316 |
1.51 |
9. Diabetes mellitus |
250.xx; 775.1x |
227,375 |
65,418 |
3.48 |
10. Heart disease (selected) |
391.xx - 392.xx;
410.xx - 429.xx |
57,759 |
19,803 |
2.92 |
11. Hypertension |
401.xx - 405.xx |
234,389 |
105,052 |
2.23 |
12. Contact dermatitis and other eczema |
692.xx |
25,399 |
21,049 |
1.21 |
13. Dehydration |
276.5x |
1,667 |
1,235 |
1.35 |
14. Exposure to heat or cold |
991.xx - 992.xx |
490 |
348 |
1.41 |
Selected Childhood
Conditions |
15. Otitis media and eustachian tube
disorders |
381.xx - 382.xx |
46,972 |
32,531 |
1.44 |
16. Selected perinatal medical conditions |
770.xx; 771.xx; 773.xx;
774.xx - 779.xx (excluding 779.3x) |
3,104 |
2,150 |
1.44 |
17. Lack of expected normal physiological
development (such as delayed milestone;
failure to gain weight; failure to thrive)
-- does not include sexual or mental development;
Nutritional deficiencies |
260.xx - 269.xx;
779.3x; 783.3x - 783.4x |
12,906 |
6,598 |
1.96 |
Selected Mental Health
and Substance Abuse Conditions |
18. Alcohol related disorders |
291.xx, 303.xx; 305.0x
357.5x |
33,407 |
7,914 |
4.22 |
19. Other substance related disorders
(excluding tobacco use disorders)
|
292.1x - 292.8x,
304.xx,
305.2x - 305.9x, 357.6x,
648.3x |
107,107 |
12,687 |
8.44 |
20a. Depression and other mood disorders |
296.xx, 300.4
301.13, 311.xx |
204,936 |
50,347 |
4.07 |
20b. Anxiety disorders including PTSD |
300.0x, 300.21, 300.22,
300.23, 300.29, 300.3,
308.3, 309.81 |
84,419 |
27,025 |
3.12 |
20c. Attention deficit and disruptive
behavior disorders |
312.8x, 312.9x, 313.81,
314.xx |
41,173 |
11,114 |
3.70 |
20d. Other mental disorders, excluding
drug or alcohol dependence (includes mental
retardation) |
290.xx
293.xx - 302.xx
(excluding 296.xx, 300.0x, 300.21, 300.22,
300.23, 300.29, 300.3, 300.4, 301.13);
306.xx - 319.xx
(excluding 308.3, 309.81,
311.xx, 312.8x,
312.9x, 313.81, 314.xx) |
100,305 |
30,027 |
3.34 |
Selected Diagnostic
Tests/Screening/Preventive Services |
21. HIV Test |
CPT-4: 86689; 86701-86703;
87390-87391 |
30,334 |
27,427 |
1.11 |
22. Mammogram |
CPT-4: 77055-77057
OR
ICD-9: V76.11, V76.12 |
28,326 |
25,132 |
1.13 |
23. Pap Test |
CPT-4: 88141-88155;
88164-88167 OR
ICD-9: V72.3; V72.31;
V76.2 |
114,795 |
105,034 |
1.09 |
24. Selected Immunizations: Hepatitis
A, Hemophilus Influenza B (HiB), Influenza
virus, Pneumococcal, Diptheria, Tetanus,
Pertussis (DTaP) (DTP) (DT), Mumps, Measles,
Rubella, Poliovirus, Varicella, Hepatitis
B Child) |
CPT-4: 90633-90634,
90645 - 90648; 90657 - 90660; 90669;
90700 - 90702; 90704 - 90716; 90718;
90720-90721, 90723, 90743 - 90744; 90748 |
319,307 |
221,584 |
1.44 |
25. Contraceptive management |
ICD-9: V25.xx |
101,715 |
54,874 |
1.85 |
26. Health supervision of infant or
child (ages 0 through 11) |
CPT-4: 99391-99393;99381-99383;
99431-99433
or
ICD-9: V20.xx; V29.xx |
223,668 |
136,074 |
1.64 |
Selected Dental Services |
27. I. Emergency Services |
ADA: D9110 |
40,407 |
29,955 |
1.35 |
28. II. Oral Exams |
ADA: D0120, D0140,
D0145, D0150, D0160, D0170, D0180 |
191,390 |
151,293 |
1.27 |
29. Prophylaxis - adult or child |
ADA: D1110, D1120 |
174,878 |
136,346 |
1.28 |
30. Sealants |
ADA: D1351 |
25,857 |
17,538 |
1.47 |
31. Fluoride Treatment - adult or child
|
ADA: D1203,
D1204 |
76,024 |
62,231 |
1.22 |
32. III. Restorative Services |
ADA: D21xx, D23xx,
D27xx |
157,116 |
84,503 |
1.86 |
33. IV. Oral Surgery
(extractions and other surgical procedures)
|
ADA: D7111, D7140,
D7210, D7220, D7230, D7240, D7241, D7250,
D7260, D7261, D7270, D7272, D7280 |
60,372 |
38,596 |
1.56 |
34. V. Rehabilitative Services (Endo,
Perio, Prostho, Ortho)
|
ADA: D3xxx, D4xxx,
D5xxx, D6xxx, D8xxx |
59,404 |
27,863 |
2.13 |
* Encounters and patients are reported by Primary
Diagnosis for lines 1-20d.
* Note: x denotes any number including the absence
of a number in that place.
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