Table 1 Categories of Ambulatory Care Sensitive Conditions (ACSC) used to evaluate the capacity of Primary Care to avoid hospitalizations
Vaccine-preventable diseases and other diseases | ICD-9 Codes |
|---|---|
1. Diphtheria | 32 |
2. Tetanus | 37 |
3. Acute poliomyelitis | 45 |
4. Homophiles meningitis | 320.0 |
5. Rheumatic fever | 390; 391 |
Syphilis | Â |
6. Congenital syphilis | 90 |
Tuberculosis | Â |
7. Other tuberculosis | 012–018 |
Diabetes | Â |
8. Diabetes with general complications | 250.1; 250.2; 250.3 |
9. Hypoglycemic coma | 251.0 |
10. Gangrene+ diabetes with peripheral circulatory disorders | 785.4 + 250.7 |
Disorders of fluid, electrolyte, and acid-base balance | Â |
11. Volume depletion/dehydration | 276.5 |
12. Hypotassemia | 276.8 |
Acute respiratory infections | Â |
13. Peritonsillar abscess | 475 |
Hypertensive cardiovascular disease | Â |
14. Malignant essential hypertension | 401.0 |
15. Malignant hypertensive kidney disease | 403.0 |
16. Malignant hypertensive heart and kidney disease | 404.0 |
17. Malignant secondary hypertension | 405.0 |
18. Ischemic heart disease | 410 – 414 |
19. Cerebrovascular disease | 430; 431; 436; 437.2 |
Congestive heart failure (CHF) | Â |
20. Malignant hypertensive heart disease with CHF | 402.01 |
21. Benign hypertensive heart disease with CHF | 402.11 |
22. Hypertensive heart disease, unspecified, with CHF | 402.91 |
23. Heart failure | 428 |
24. Acute pulmonary edema, unspecified | 415.4 |
Pneumonia | Â |
25. Pneumonia due to Hemophilus influenza | 482.2 |
26. Pneumonia due to Streptococcus | 482.3 |
27. Pneumonia due to other specified organism | 483 |
28. Bronchopneumonia/Pneumonia, organism unspecified | 485; 486 |
Bleeding or perforated ulcer | Â |
29. Acute or chronic gastric ulcer or unspecified. | 531.0; 531.2; 531.4; 531.6 |
30. Acute or chronic duodenal ulcer or unspecified | 532.0; 532.2; 532:4; 532.6 |
31. Peptic ulcer, site unspecified, acute or chronic or unspecified | 533.0; 533.2; 533.4; 533.6 |
Acute appendicitis with complications | Â |
32. Acute appendicitis with generalized peritonitis | 540.0 |
33. Acute appendicitis with peritoneal abscess | 540.1 |
Urinary tract infections | Â |
34. Acute pyelonephritis | 590.1 |
Pelvic inflammatory disease | Â |
35. Inflammatory disease of ovary, fallopian tube, pelvic cellular tissue and peritoneum | 614 |