Vital and
Health Statistics
Detailed Diagnoses and Procedures
National Hospital
Discharge Survey 1992
Series 13:
Data From the National Health Survey N0,118
This report presents statistics on conditions diagnosed and surgical and nonsurgical procedures performed in non-Federal short-stay hospitals, The statistics are based on data collected through the National Hospital Discharge Survey from a national sample of the hospital records of discharged inpatients.
Estimates of first-listed diagnoses, all-listed diagnoses, days of care for first-listed diagnoses, and all-listed procedures are shown by sex and age of patient and geographic region of hospital,
U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Public Hearth Service
Centers for Disease Control and Prevention National Center for Health %fistics
Hyattsville, Maryland August 1994
DHHS Publication No, (PHS) 94-1779
CopyrigM lnfcmnetlon
All material appearing in this repml is in the public domain and maybe reproduced or copied tihout permission; ctition as to source, however, is appreciated.
Suggestedcitation
Gravea, EJ. Detailed dmgnoees and procedures, National Hospital Dscharge Survey, 1982. Net”-i Center for Health statistics. Vil Health Stat 13(118).
1884.
Ubrary of Congress Cetaloglng Card Number SO-13573
For sale by the U.S. Government Printing CMoe Superintendent of Doournanta
Mail StoLX SSOP
Washington, DC 20402-932S
National Center for Health Statistics Manning Feinleib, M.D., Dr.P.H., Director Jack R. Anderson, Deputy Director
Jacob J. Feldman, Ph.D., Associate Director for Analysis, Epidemwlogy, and Health Promotion
Gail F. Fisher, Ph.D., Associate Director for Planning and Extramural Programs
Peter L. Hurley, Associate Director for Vital and Health Statistics Systems
Robert A. Israel, Associate Director for International Statistics
Stephen E. Nieberding, Associate Director for Management
Charles J. Rothwell, Associate Director for Data Processing and Services
Monroe G, Sirken, Ph.D., Associate Director for Research and Methodology
Division of Health Care Statistics W. Edward Bacon, Ph.D., Division Director Thomas McLemore, Deputy Director
Robert Pokrrts, Chiej Hospital Care Statistics Branch Manoochehr K Nozary, Chie$ Technical Services Branch
Cooperation of the U.S. Bureau of the CemILS
Under the legislation catablisbing the National Health Survey, the Public Health Service is authorized to q insofar as Poasiblq UN?acrvices or facilkks of other Federaf, State, or private agencies.
In accordamx witlr specifications eatabliihrd by the National Center for Health Statistics, the U.S. Bureau of the Gnaws, under a cnntractuaf arrangement, participated in planning the survey and collecting the data.
Contents
Introduction . . . , . . . . Use of tables . . . . Presentation ofestimates . . . , . . . . Diagnostic data . . . . Procedure data.. . . . . Computation ofother statistics . . . . References . . . ,. . . , . . . . List of detailed tables . . . .
Appendixes
1, Technical notes on methods . . . . 11. Definitions ofcertain terms used inthis report . . . .
. . . .
. . . . . . . . III. ICD-9-CM codes for the 1992 National Hospital Discharge Suwey . . . . IV Conversion table ofchanges in ICD-9-CM codes.. . . . .
Symbols --- Data notavailable . . .
Category not applicable—
Quantity zero0.0 Quantity more than zero but less than 0.05
z
Quantity more than zero but less than 500 where numbers are rounded to thousands1
2 2 2 2 24
5
138 145 147 278
*
Figure does not meet standard of reliability or precisioniii
Detailed Diagnoses and Procedures, National
Hospital Discharge Survey, 1992
by Edmund J. Graves, Division of Health Care Statistics
Introduction
The purpose of this report is to provide detailed data fi-om the National Hospital Discharge Survey (NHDS). Data for 1992 are shown by age and sex of the patient and geographic region of the hospital for conditions diagnosed and surgical and nonsurgical procedures performed. The report is intended as a source document for researchers and others who need data for detailed diagnostic and procedure categories. Similar re- ports have been published with data for 1977–79 (l–3) and 1983-91 (4-12).
The survey has been conducted continuously by the National Center for Health Statistics (NCHS) since 1965.
Estimates are produced from a sample of inpatient records that are obtained from a national sample of short-stay non-Federal general and specialty hospitals in the United States. The 1992 sample included approximately 274,000 medical records from 494 hospitals that participated in the suwey.
The original universe for the survey consisted of 6,965 short-stay hospitals contained in the 1963 National Master Facility Inventory of Hospitals (NMFI). The universe was updated periodically from the lists of hospitals provided by the American Hospital Association. A description of the develop- ment of the original survey, which was in operation since 1964, has been published (13).
Beginning in 1988, the NHDS was redesigned in order to link it with other surveys conducted by NCHS and to improve efficiency through the use of information and technologies that were not available when the survey was first designed in 1964.
DMerences between NHDS statistics based on the 1965-87 sample and statistics based on the redesign may be due to factors other than real changes in hospital utilization.
The redesigned survey uses a three-stage stratified sample based on hospitals contained in the April 1987 Hospital Market Database from SMG Marketing Group, Inc. (14). In
1991 the sampling frame was updated to include hospitals
NOTE This report was prepared irr the Division of Herdth Statistics. Charles Adams, Dorothy Graham, arrd Malcolm Graham of the Technical Services
from 1991 SlfG Hospital Market Database (15). A brief description of the new design, along with information about data collection procedures, the estimation process, and relative standard errors, cart be found in appendix I.
Familiarity with NHDS definitions is important to inter- pret the data properly and to compare them with statistical data on short-stay hospital utilization that are available from other sources. Definitions of the terms used in this report are presented in appendix II. The medical data for hospital patients are coded according to the International Classification of Diseases, 9th Revisioq Clinical Modi$catiorr (ICD-9-CM) (16). (See appendix HI for ICD-9-CM codes.) This coding system is updated periodically. Additions, deletions, and changes in the ICD-9-CM codes that were adopted during 1986-91 are shown in a conversion table in appendix IV.
Information about newborn infants, although collected through the survey, is excluded fkom this report.
Information on short-stay hospital utilization is also col- lected through the National Health Interview Survey (NHIS) of NCHS. Estimates from that survey generally diEer from NHDS estimates because of differences in collection proce- dures, populations sampled, and definitions. Data ffom NHfS are published in Series 10 of Wal and Health Statistics.
However, data on the detailed diagnoses and procedures published in this report are not available through NHIS.
Brarrch provided the computer prograrnmirrg for the report. This report was edited by Gail V. Johnson and typeset by Annette F. Facemire of the Publications Branch, Division of Data Services.
Use of tables
The detailed tables in this report show the conditions diagnosed and procedures performed according to the detailed code numbers of the International Classification of Diseases, 9th Revisio4 Clinical Modification (16). Measurements of hospital utilization are shown in terms of numbers of first- listed and all-listed diagnoses, of days of care for first-listed diagnoses, and of procedures performed for the individuals discharged.
Presentation of estimates
Tables 1–3 provide information by ICD-9-CM 3-,4-, and 5-digit diagnostic codes. Table 4 shows 2-, 3-, and 4-digit procedure codes. A specific code appears in tables 1, 3, and 4 if the estimate of the total for the code is 5,000 or more. These estimates generally have a relative standard error (a measure of the reliability of the data) no higher than 30 percent and a sample size greater than 30. The codes that appear in table 2 for days of care are identical to those in table 1 for first-listed diagnoses. An asterisk ~) is shown in tables 1,3, and 4 only if the estimate of diagnoses or procedures for a sex or age group or region is less than 5,000. Only an asterisk is shown in table 2 for estimates of days of care derived from fewer than 5,000 estimated discharges.
In addition, all estimates of diagnoses and procedures less than 9,000 are preceded by an asterisk to indicate that they are based on a relatively small sample of discharge records. These estimates are generally based on fewer than 60 records.
Days-of-care estimates derived from fewer than 9,000 esti- mated discharges are also indicated by asterisks. These esti- mates are usually less than 56,000.
The total for all codes presented at the beginning of each table includes estimates for codes not shown in the table.
Likewise, the total for each diagnostic chapter or procedure category includes estimates for all the codes in the chapter or category, whether or not they are shown individually. Esti- mates for 5-digit codes may not add to the 4-digit total, 4-digit codes to the 3-digit total, or, for procedures, 3-digit codes to the 2-digit total because the totals include estimates for codes not shown or because the data were rounded to the nearest thousand for presentation.
Although 4- and 5-digit diagnostic codes are presented together under the 3-digit codes of which they are a part, the estimates for 4- and 5-digit codes cannot be added to obtain the estimate for the 3-digit code. For example, in table 1 the estimate for first-listed diagnosis code 008 is 114,000. If the estimates for the 4- and 5-digit codes included in 008 are
added, the total would be 139,000. This occurs because the estimate of 27,000 for code 008.49 is part of the estimate of 28,000 for code 008.4 and thus cannot be added to it.
Similarly, estimates for 3- and 4-digit codes cannot be added together to obtain the estimate for a 2-digit code.
Diagnostic data
The first-listed diagnosis is the diagnosis identified as the principal diagnosis or listed first on the face sheet of the medical record. The number of all-listed diagnoses includes first-listed diagnoses and other diagnoses appearing on the medical record. At present, a minimum of one and up to a maximum of seven diagnoses are coded before 1979, how- ever, the maximum number was five.
With regard to all-listed diagnoses, it should be pointed out that there is a certain amount of “double coding” inherent in the ICD-9-CM that is, certain diagnoses require the coding of two diagnostic codes. For example, females with deliveries all have one additional diagnostic code that indicates the outcome of their delivery (single livebom; twins, both live- born, and the like).
Procedure data
Procedures include surgical and nonsurgical operations, diagnostic procedures, and special treatments. Since 1979, up to four procedures have been coded for each discharge, an increase from the maximum of three procedures coded in preceding years. Beginning with the 1991 data, all ICD-9-CM procedure codes are used in the NHDS. Previously, selected codes, primarily for miscellaneous diagnostic and therapeutic procedures, were not used.
Computation of other statistics
The data in tables 1-4 can be used to compute other
hospital-use statistics, such as rates of diagnoses and average
lengths of stay for diagnoses. In general, a rate is the ratio
between one statistic (for example, number of discharges) and
another statistic (for example, the population) for a given
period of time (such as 1 year). Usually the resulting :figure is
multiplied by some constant (for example, 100, 1,000, or
10,000) to produce rates greater than one. The rates shown in
most NHDS publications are rates of discharges, diagnoses,
and procedures per 1,000, 10,000, or 100,000 civilian popula-
tion for a given year.
An average length of stay is calculated by dividing the number of days of care by the number of discharged patients. This statistic can be calculated for fkst-listed
diagnoses by dividing the days of care of patients with the
diagnosis from table 2 by the number of patients with the
diagnosis from table 1.
References
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Haupt BJ. Detailed diagnoses and surgical procedures for pa- tients discharged from short-stay hospitals: United States, 1977.
National Center for Health Statistics. 1979.
Haupt BJ. Detailed diagnoses and surgical procedures for pa- tients discharged from short-stay hospitals United States, 1978.
National Center for Health Statistics. 1980.
Haupt BJ, Graves EJ. Detailed diagnoses and surgical proce- dures for patients dkcharged from short-stay hospitals: United States, 1979. National Center for Health Statistics. 1982.
Kozak LJ, Moien M. Detailed diagnoses and surgical procedures for patients discharged from short-stay hospitals: United States, 1983. National Center for Health Statistics. Wrd Health Stat 13(82). 1985.
Lawrence L. Detailed diagnoses and procedures for patients discharged from short-stay hospitals United States, 1984. Na- tional Center for Health Statistics. Vital Health Stat 13(86).
1986.
Pokras R. Detailed diagnoses and procedures for patients dis- charged from short-stay hospitals United States, 1985. National Center for Health Statistics. Vital Herdth Stat 13(90). 1987.
Graham D. Detailed diagnoses and procedures for patients discharged from short-stay hospitals: United States, 1986. Na- tional Center for Health Statistics. Vital Herdth Stat 13(95).
1988.
Graves E.J. Detailed diagnoses and procedures for patients discharged from short-stay hospitals: United States, 1987. Na- tional Center for Health Statistics. Vkal Health Stat 13(100).
1989.
Graves J3J. Detailed diagnoses and procedures, National Hospi- tal Discharge Survey, 1988. National Center for Health Statis- tics. Vital Health Stat 13(107). 1991.
Graves EJ. Detailed diagnoses and procedures, National Hospi- tal Discharge Survey, 1989. National Center for Health Statis- tics. Vital Health Stat 13(108). 1991.
11.
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Graves EJ. Detailed diagnoses and procedures, National Hospi- tal Discharge Survey, 1990. National Center for Health Statis- tics. Vkd Health Stat 13(113). 1992.
Graves EJ. Detailed diagnoses and procedures, Nationrd Hospi- tal Discharge Survey, 1991. National Center for Health Statis- tics. Vital Health Stat 13(115). 1994.
Simmons WR, Schnack GA. Development of the design of the NCHS Hospital Discharge Survey. National Center for Health Statistics. Vital Health Stat 2(39). 1970.
SMG Marketing Group, Inc. Hospital market database. Chicago, Illinois: Healthcare Information Specialists. April 1987.
SMG Marketing Group, Inc. Hospital market database. Chicago, Illinoiw HealthCare Information Specialists. April 1991.
Public Health Service and Health Care Financing Administrat- ion. International Classification of Diseases, 9th Revision, Clinical Modification, 3rd ed. Washington Public Health Ser- vice. 1989.
Massey JT, Moore TF, Parsons VL, Tadros W. Design and estimation for the National Health Interview Survey. National Center for Health Statistics. Vitrd Health Stat 2(110). 1989.
National Archives and Records Administration. Federal Register 50(147). Washingtorr National Archives and Records Adminis- tration. 1985.
SMG Marketing Group, Inc. Hospital market database. Chicago, Illinois: HealthCare Information Specialists. April 1993.
Shah BV. SESUD* Standard errors program for computing of standardized rates from sample survey data. Research Tri- angle Park, North Carolina Research Triangle Park Institute.
1981.
Hansen Mm Hurwitz WN, Madow WG. Sample survey meth- ods and theory, vol. 1. New York John Wiley & Sons. 1953.
Cochran WG. Sampling techniques, 3rd ed. New York John
Wiley & Sons. 1977.
List of detailed tables
1. Number of Iirst-listed diagnoses for inpatients discharged from short-stay non-Federal hospitals, by ICD-9-CM code, sex and age of patient, and geographic region of hospitak United States, 1992 . . . . 2. Number of days of care for inpatients discharged from short-stay non-Federrd hospitals, by ICD-9-CM code of first-listed diagnosis, sex and age of patient, and geographic region of hospital: United States, 1992 . . . . .
3. Number of all-listed diagnoses for inpatients discharged from short-stay non-Federal hospitals, by ICD-9-CM code, sex and age of patient, and geographic region of 6 hospitak United States, 1992 . . . . 60
4. Number of all-listed procedures for inpatients discharged
from short-stay non-Federal hospitals, by ICD-9-CM
code, sex and age of patientj and geographic region of
33 hospital: United States, 1992 . . . . 114
Table 1. Number of first-listed diagnoses for Inpatients discharged from short-stay non-Fsderal hospitals, by ICD-9-CM oode, sex and age of patient, and geographic region of hospital: United States, 1992
@3cludesnewborn infants. Code numbers are from the krtematiorwd C/aaaitk@iorr of Diseases, W’I Revision, C/iriioa/ Modi&tion (lCD-S-OM); see appendix Illfor categoiy titles. Totals include data for categories not listed in table; see “Use of tables” in text]
Sex Age Region
ICD-9+M code Total
Under 1544 45-64
Male Female 65 years
15 yeara years years end over Norttraast Midwast South Waat
Number of first-listed diagnoses in thousands Allcodes . . . .
001-139 . . . . 003 . . . . 003.0 . . . . 008 . . . . 008.4 . . . . 008.49 . . . . 008.6 . . . . 006.8 . . . . Ova . . . . Ooa.o . . . . 011 . . . . 011.9 . . . . 011.90 . . . . 034 . . . ...<....
034.0 . . . . 038 . . . . 038.0 . . . . 038.1 . . . . 033.2 . . . . 038.4 . . . . 038.40 . . . . 038.42 . . . . 038.43 . . . . 038.49 . . . . 02S.8 . . . . 038.9 . . . . 041 . . . . 042 . . . . 042.9 . . . . 044 . . . . 044.9 . . . . 047 . . . . 047.9 . . . . 052 . . . . 053 . . . . 063.9 . . . . 054 . . . . 070 . . . . 075 . . . . 078 . . . . 078.1 . . . . 078.5 . . . . 079 . . . . 079.9 . . . . 112 . . . . 117 . . . . 135 . . . . 136 . . . . 136.3 . . . . 140-239 . . . . 150 . . . . 160.5 . . . . 150.9 . . . .
30,951 808
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NOTE Eatimatesof 5,000-8,000arato beusedwithcatilom see’’Useoftsbles” intext.
Table 1. Number of first-listed diagnoses for inpatients discharged from short-stay non-Federai hospitais, by ICD-%CM code, sex and age of patient, and geographic region of hospitai: United States, 1992-Con.
[13ccludes newborn infants. Code numbers are from the /ntemationa/ C/saair%etion of Diseases, SW Revision, C/irrioa/ Modirkation (ICD-9-OM); see appendii Ill for categoy titles. Totals include data for categories not listed in tablq see “Use of tables” in text]
Sex Age Region
Under 46-64
ICD-9-CM code Total Male Femafe
65 years
15 years ;= yeals and over Northeast Midwest South Weat
Number of first-listed diagnoses in thousanda 151 . . . .
151.0 . . . . 151.9 . . . . 163 . . . . 153.0 . . . . 163.1 . . . . 153.2 . . . . 163.3 . . . . 163.4 . . . . 153.6 . . . . 153.9 . . . . 154 . . . . 154.0 . . . . 154.1 . . . . 155 . . . . 155.0 . . . . 156 . . . . 157 . . . . 157.0 . . . . 157.9 . . . . 15s . . . . 161 . . . . 161.0 . . . . 162 . . . . 162.2 . . . . 162.3 . . . . 162.5 . . . . 162.8 . . . . 162.9 . . . . 170 . . . . 171 . . . . 171.9 . . . . 172 . . . . 173 . . . . 174 . . . . 174.2 . . . . 174.4 . . . . 174.6 . . . . i74.9 . . . . lsO . . . . 180.9 . . . . 162 . . . . 182.0 . . . . 133 . . . . 133.0 . . . . 1s5 . . . . 188 . . . . 188.2 . . . . 188.6 . . . . 138.9 . . . . 189 . . . . 189.0 . . . . 190 . . . . 191 . . . . 191.1 . . . . 191.2 . . . . 191.9 . . . .
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NOTE Estimates of5,000-9,000are to beusedwithcautiow see’’lkaoftables” intexL
Table 1. Number of first-listed diagnoses for inpatients discharged from short-stay non-Federai hospitals, by ICD-9-CM code, sex and age of patient, and geographic region of hospital: United States, 1882-Con.
[Excludes newtmm infants. Code numbers are from the hrtems+iomd Ck+.ssiricationof Diseases, 9th Revision, C/ir?ica/ Modification (ICD-9-CM); see appendix Ill for categoy titles. Totals include data for categories not lieted in tablq see “Use of tables” in text]
Sex Age Region
Under
ICD–9-CM code 15-44 45-64
Total Male
65 years
Female f 5 years years years and over Northeast Midwest South west
193 . . . . 195 . . . . 196 . . . . 196.0 . . . . 197 . . . . 197.0 . . . . 197.2 . . . . 197.5 . . . . 197.6 . . . . 197.7 . . . . 198 . . . . 198.3 . . . . le6.5 . . . . 196.8 . . . . 198.89 . . . . 199 . . . . 199.0 . . . . 199.1 . . . . 200 . . . . 200.0 . . . . 201 . . . . 201.9 . . . . 202 . . . . 202.8 . . . . 202.60 . . . . 202.83 . . . . 202.88 . . . . 203 . . . . 203.0 . . . . 203.00 . . . . 204 . . . . 204.0 . . . . 204.00 . . . . 204.01 . . . . 204.1 . . . . 204.10 . . . . 205 . . . . 205.0 . . . . 205.00 . . . . 210 . . . . 210.2 . . . . 211 . . . . 211.3 . . . . 214 . . . . 217 . . . . 216 . . . . 218.0 . . . . 218.1 . . . . 218.2 . . . . 218.9 . . . . 220 . . . . 225 . . . . 225.2 . . . . 226 . . . . 227 . . . . 227.3 . . . . 228 . . . .
16
% 21 9 111 22 20
*5 16 36 120 32 53 24 20 38 27 11 19
*8
%
*5 44 41 14
*8 11 32 31 31 23 15
*6
%
*7 7 22 18 16 9
~ 39 33 9
*6 199 25 46 20 109 32 19 11 19 12
%
*6
*5
* 13
*6 47 10
●6
*
* 21 61 17 29 10 9 16 10
*6 9
*
*
●
27 26
*8
*6
*8 17 17 17 15 9
*
*6
*5
*5 14 12 10
*
* 21 18
*
—
—
—
—
—
— 10
*
*
*
*
*
11
*
$’8
* 64 12 15
* 14 15 59 15 24 14 11 22 17
*5 10
●5
*
* 17 15
*6
●
* 14 14 14 +7
%
*
*
*
*
%
*6
*6
*
* 18 15
*
*6 lee
25 46 20 109 32 10 7 16 7
*
*
*
*
—
*
*
—
—
—
*
*
*
—
●
☛
●
☛
☛
☛
☛
●
☛
☛
●
☛
☛
☛
*8
●6
*
*
*
*
*
*
*
●
*
*
*
*
*
—
—
*
*
*
*
*
*
Number of first-listed diagnosee in thousands 9
*
*
* v
*
●
*
*
* 7
●
*
●
●
*
*
●
*
*
*5
* 7 7
*
*
*
*8 w w T
●6
*
*
●
*
*7
*6
*5
*
●
*
*
*
* 123 15 26 13 69 16
●5
* 10
*
*
●
*
* w
●
35
*8
*6
*
*5 12 41 12 16
●6 7 15 11
●
*
*
*
* 14 13
*6
*
*
*6
*6
*6
*
*
*
*
*
●
*6
*
●
*
●
12 10
*
* 71 9 18
*6 36 v
*5
●
*
●
*
*
*
*
10
●5 69 12 14
* 11 22 71 16 35 14 12 20 14
●6 9
*5
*
* 22 20
*
* w 17 17 17
*
*
*
*
* w
●8 T
*
* 25 21
*
*
*
*
*
●
*
*8
%
*5
*
*
*
*
*
*
*
*
33
*6
*6
* v 10 32 11 13
*
*
‘w 7
*
●5
*
*
* 13 12
*
*
*
*5
*5
*5
●
*
*
*
*
*
*
*
*
*
* 16 16
●
* 39
*8 12
* 15
*6
*
*
*
*
*
*
*
*
*
*
22
*
*
*
*
w
24
*6 10
*5
*
*8
*
*
*
*
*
* 11 10
*
*
*
*5
*5
*5
*
*
*
*
*
*
*
*
*
*
*
*6 7
*
* 42
*6 10
●5 21
*7
*
*
*
*
*
*
%
*
*8
* 37 9 7
*
* 11 43 7 22 10
‘W 17 12
*6
%
*
*
* 14 14
*6
*
* 17 17 17
●6
*
*
*
*
* 11 10
%
*
* 10 v
*
* 72
*6 15 T 45 11
%
* 7
*
*
*
*
*
*
*
20
*
*
*
*
*6 22
●8 9
*
*
*
*
●
*
●
*
*
*6
*6
*
*
*
*
*
* 7 7
*
*5
●
*
*
*
●
*
*
*
●
*
* 46
*5
%
* 29
*8
*
*
*
*
*
*
NOTREetimates of5,00&9,000are to beusedwithceution; see’’Useoftables” intext.
Table 1. Number of first-listed diagnoaes for inpatients discharged from short-stay non-Federai hospitais, by iCD-9-CM code, sex and age of patient, and geographic region of hospital: United States, 1992-Con.
[Excludes newborn infants. Code numbers are from the /nternatiorre/ Ck?ssifisstion of Diseases, 8th Revision, Clinical Modification (lCD-SMM); see appendix Ill for category titles. Totals include data for categories not listed in tablq see “Use of tables” in text]
Sex Age Region
ICD-9-OM code
Under
Total Male
15-# 45-64 65 years
Female 15 years years years end over Northeast Midwest South
west
233 . . . . 233.0 . . . . 233.1 . . . . 235 . . . . 235.2 . . . . 236 . . . . 237 . . . . 238 . . . . 238.7 . . . . 239 . . . . 240-279 . . . . 241 . . . . 241.0 . . . . 241.1 . . . . 242 . . . . 244 . . . . 244.9 . . . . 250 . . . . 250.0 . . . . 250.00 . . . . 250.01 . . . . 250.1 . . . . 250.10 . . . . 250.11 . . . . 250.2 . . . . 250.21 . . . . 250.4 . . . . 250.40 . . . . 260.41 . . . . 250.5 . . . . 250.51 . . . . 250.6 . . . . 250.60 . . . . 250.61 . . . . 250.7 . . . . 250.70 . . . . 250.71 . . . . 250.8 . . . . 250.80 . . . . 250.81 . . . . 250.9 . . . . 250.90 . . . . 250.91 . . . . 251 . . . . 251.0 . . . . 251.2 . . . . 252 . . . . 252.0 . . . . 253 . . . . 253.6 . . . . 255 . . . . 263 . . . . 283.9 . . . . 272 . . . . 272.0 . . . . 272.4 . . . .
31 9 19 12 w
*6
*6 10
‘v 11 1,178 15 7
*6 10 12 11 476
79 38 41 89 16 73
%
*5 26 v 19 11
% 35 15 20 42 19 23 40 15 25 139 54 36 58 15 41
*5
●5 10
*5
●8 13 12 32 19
%
*
—
7
*
●
*
*
*
% 467
●
*
*
*
*
* 207
31 15 16 42 7 34
*
* 13
* 10
*
●
15
% T 23 12 11 21 w 12 55 20 35 26 7 17
●
*
*
●
*
*
* 17 10
*
30 9 19
*5
*
*
●
v
*
% 691 12
*5
* 7 10
%7 269
46 24 25 4s w 39
%
●
13
* 9 7
●5 19 9 13 19
% 11 19
% 12 85 34 51 32 7 24
●
*
%
*
●5
%
% 15 10
●
*
—
*
*
*
●
●
☛
113
—
●
*
* 19
*
●
10
* 9
*
*
—
—
●
*
●6
*
*5
*
*
●
*
*
*
*
*
*
*
●
*
Numberoffirst-listad diagnosaainthouaan ds 16
* 14
●
*
●
*
*
*
* 258
*6
●
*
*5
*
* 134 19
% 11 55
●8 47
*
*
*6
*
*5
●5
*
*
*
*
*
*
* 7
*
% 33
% 25 9
*
%
●
●
*
*
*
●
9
●
●
*6
●
*
*
*
*
*
*
*
* 301
*
*
●
●
*
* 146 29 14 15 15
* 11
●
* 11
*
*6
*
* 12
*5 7 15
*5 10 16
*6 10 43 21 22 15
●6
%
*
*
*
*
*
*
●
16 11
*
*6
*
* 9 7
●
*
%
*5
*5 507
*
●
*
●
*6
*6 174 26 16 12 9
*
*6
*6
* 10
*
*6
*
* 17 10
*8 2s 13 12 17
*8
% 57 24 33 31 7 24
*
*
*8
*5
* w
% v
*
*
7
●
*
*
*
*
*
*
*
* 252
*
●
*
*
*
* 96 18 w 10 16
●
15
*
*
*
*
*
*
*
%
*
*6 10
*5
*
*8
*
*5 27 10 17 14
* 11
*
*
*
*
*
*
*
●8
*5
*
% *
*
*
*
*
*
*
*
*
271
*
*
*
*
*
* 102 17
% 9 20
* 17
*
*
*
●
*
*
●
%
*
*
%
*
* 12
*5 T 32 11 21 13
* 10
*
*
*
*
*
*
* 9
%
*
12
* 9
*
*
*
*
*
*
*
*6
*
*
*
*
*
35 17 18 35
*8 27
*
* 13
* 10
*5
* 17
*6
% 15
*6 v 13
*
*6 67 27 40 25
*6 17
*
*
*
*
* 7 v 13 v
*
*6
*
*
*
*
*
●
*
*
* 169
*
*
*
*
*
* 70 9
*6
* 18
* 15
*
●
*5
*
*
*
*
*
*
* 9
●
*6
*6
*
* 13
*5 7
*6
*
*
*
*
*
*
*
*
*
*
*
*
NOTEEatimates of5,000-9,000are to bausedwithosufion; see%lseoftsbles” intexL
