Table 9.

Ten Most Frequent Principal Diagnoses* Among Children and Adolescent Hospital Discharges by Expected Payer, 1996

DiagnosesExpected Payer
Number of Discharges (in Thousands)
(% of Discharges With This Diagnosis Covered by This Payer)
MedicaidPrivateUninsured
Liveborn infant* (218)14092086199
(57.2)(66.2)(60.5)
Perinatal conditions (includes CCS codes 222, 224)25233
(1.0)(.7)(.9)
Infections, excluding perinatal (includes CCS codes 7, 55,
22920828
 122, 125, 159)(9.3)(6.6)(8.5)
128 Asthma78688
(3.2)(2.1)(2.6)
142 Appendicitis435
(1.4)(1.6)
Injury (includes CCS codes 233)3
(.9)
Mental health (includes CCS codes 68 and 74)27
(.9)
Other (include CCS codes 83, 50, 154, 45)2423
(1.0)(.7)
Pregnancy and childbirth (includes CCS codes 193, 196)50
(2.0)
Percent of discharges with diagnoses in the top 1073.778.675.0
  • * Diagnoses are first-listed diagnoses (ICD-9-CM codes) categorized using Clinical Classification Software (CCS): 7 Viral infections, 45 Chemotherapy, 50 Diabetes mellitus with complications, 55 Fluid and electrolyte disorders, 68 Affective disorders (primarily depression), 74 Other mental conditions (adjustment reactions and depressive disorder not elsewhere classified), 83 Epilepsy, convulsions, 100 Acute myocardial infarction, 101 Coronary atherosclerosis, 106 Cardiac dysrhythmias, 108 Congestive heart failure, 109 Acute cerebrovascular disease, 122 Pneumonia, 125 Acute bronchitis, 127 Chronic obstructive pulmonary disease and bronchiectasis, 128 Asthma, 142 Appendicitis, 154 Noninfectious gastroenteritis, 159 Urinary tract infections, 193 Trauma to perineum and vulva (due to childbirth), 196 Normal pregnancy and/or delivery, 218 Liveborn infant, 222 Hemolytic and perinatal jaundice, 224 Other perinatal conditions (primarily perinatal infections and respiratory conditions, other than respiratory distress), 233 Intracranial injury.