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ICD 9 pediatric code and condition

Potential addition to estimated prevalence and outpatient visits for SPARC from selected pediatric conditions not included in SPARC, by ICD-9-CM Code*

ICD-9-CM code and condition § Percent addition to prevalence Percent addition to visits†
719.4Pain in joint97.794.8
726Peripheral enthesopathies and allied syndromes53.137.6
729.5Pain in limb ‡34.744.9
727.4Ganglion and cyst of synovium, tendon, and bursa28.017.3
719.0Effusion of joint19.613.0
728.8Other disorders of muscle, ligament, and fascia19.118.9
729.8Other musculoskeletal symptoms referable to limbs ‡13.615.4
719.9Unspecified disorder of joint12.813.9
088.81Lyme Disease ‡12.111.7
719.6Other symptoms referable to joints10.67.5
717.7Chondromalacia of patella ‡9.16.0
759.82Marfan's Syndrome ‡9.15.7
727.8Other disorders of synovium, tendon, and bursa7.84.1
719.8Other specified disorders of joint6.72.9
719.7Difficulty in walking6.63.6
279.4Autoimmune disease, not elsewhere classified ‡6.32.9
756.83Ehlers Danlos Syndrome ‡3.81.5
729.4Fasciitis, unspecified3.31.2
337.2Reflex sympathetic dystrophy ‡2.94.0
728.9Unspecified disorder of muscle, ligament, and fascia2.85.4

* ICD-9-CM = International Classification of Diseases, Ninth Revision, Clinical Modification; SPARC = significant pediatric arthritis and other rheumatologic conditions.

† Visit data include the following emergency department visits that were not used to estimate prevalence: 719.4 = 139,000; 729.5 = 108,000; 729.8 = 40,000; 719.0 = 23,000; 728.8 = 15,000; the first two estimates were based on more than 30 records; the latter two were not and should be considered unreliable. The remaining codes with ED visits all had estimates less than 15,000.

‡ Conditions that are not a subset of NADW adult definition.

§ Estimate for 719.4 based on >30 records and has relative standard error less than 30%.; estimates for 726, 729.5, 727.4, 719.0, 728.8, 729.8 and 719.9 are based on >30 records but have relative standard errors greater than 30%. All other estimates are based on less than 30 records.

Note: The following ICD-9-CM codes all contributed less than 3% to either prevalence or visit estimates: 3.23‡, 36.82‡, 56.71‡, 95.6, 95.7, 98.5, 135‡, 272.8‡, 277.2, 279.8‡, 344.6, 353.0, 354.0, 355.5, 357.1, 364.1‡, 443.89‡, 719.1, 719.5, 721, 727.1, 727.2, 727.3, 727.5, 727.9, 728.0, 728.1, 728.2, 728.3, 728.4, 728.5, 728.6, 728.7, 729.3‡ and 733.4‡.

Reference

Sacks JJ, Helmick CG, Luo YH, Ilowite NT, Bowyer S. Prevalence of and Annual Ambulatory Health Care Visits for Pediatric Arthritis and Other Rheumatologic Conditions in the United States in 2001–2004. Arthritis Care Res 2007;57(8):1439–1445. abstract

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