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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.

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