Appendix S-Service Category Group Definitions
Service Category Group as listed on the SPARCS inpatient record and used in the
Annual Report Series Tables are based on categories developed by the New York State
Department of Health and are defined in terms of diagnosis codes from the International
Classification of Diseases, 9th Revision, Clinical Modification (ICD-9-CM). They are
tabulated only by principal diagnosis, as reported on the Inpatient record.
| CODE |
|
DEFINITION |
| 1. |
|
Medical |
|
|
Medical patients are age 15 years or older with no reported procedure code or with
reported procedure codes greater than 86.99. This category also includes gynecological
patients (ICD-9-CM codes 614 through 629.9) of all ages with no reported procedure code
or with reported procedure codes greater than 86.99. Excluded are newborn, obstetrical,
psychiatric, and pediatric patients as defined above.
|
| 2. |
|
Surgical |
|
|
Surgical patients are age 15 years or older with at least one procedure code in the range
01 through 86.99. This category also includes gynecological patients (ICD-9-CM codes 614
through 629.9) of all ages with at least one such procedure code and all patients whose
principal diagnoses are codes 635 through 639.9 (abortion). Excluded are newborn,
obstetrical, psychiatric, pediatric, and medical patients as defined above.
|
| 3. |
|
Pediatric |
|
|
Pediatric patients are age 14 years and younger whose primary diagnosis is neither
included in the nursery, obstetrical, or psychiatric categories nor classified by
ICD-9-CM codes 614 through 629.9 (gynecological) or 635 through 639.9 (abortion).
|
| 4. |
|
Obstetrical |
|
|
Obstetrical patients are females of any age with an ICD-9-CM code within the range
of 630 through 634.9 and 640 through 676.9.
|
| 5. |
|
Nursery/Newborn |
|
|
All patients whose age is equal to zero and have an ICD-9-CM code of V30.0, V30.1,
V31.0, V31.1, V32.0, V32.1, V33.0, V33.1, V34.0, V34.1, V35.0, V35.1, V36.0, V36.1,
V37.0, or V37.1 are considered nursery patients. These codes refer only to live-born
infants. The definitions of the nursery service category and the newborn age category
are the same.
|
| 6. |
|
Psychiatric |
|
|
Psychiatric patients are any age with an ICD-9-CM code within the range of 290
through 319.
|