Home Care and Administrative Data 1.00

APPENDIX

CODE TABLES

FOR

HOME CARE AND ADMINISTRATIVE DATA 1.00

MICHIGAN DEPARTMENT OF COMMUNITY HEALTH

Lansing, MI

September 9, 2002

Last Modified on April 13, 2005

G:\dvlpapps\Long Term Care\Home Care\Home Care Code Tables.doc

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04/13/2005 G:\Dvlpapps\Long Term Care\Home Care\Docs\Home Care Code Tables.doc

TABLE OF CONTENTS – CODE TABLES

SCREEN SOURCE TABLE 3

AGENT CODE TABLE 3

RACE TABLE 4

ICD-9 TABLE 4

COUNTIES TABLE 7

TOWNSHIP TABLE 9

SCREEN SOURCE table

SCREEN_SOURCE / DESCRIPTION
01 / Self
02 / Spouse
03 / Child/Parent/Other Relative
04 / Friend
05 / Hospital Discharge
06 / Physician
07 / Social Worker/Therapist
08 / Home Health Nurse/OT/PT
09 / Home Health Aide
10 / Guardian/Conservator
11 / Attorney/Advocate
12 / Other

AGENT CODE TABLE

/
AGENT_CODE / AGENT NAME /
09 / REGION 9 AREA AGENCY ON AGING
3B / COMMUNITY CARE OPTIONS
06 / TRI COUNTY OFFICE ON AGING
1C / THE SENIOR ALLIANCE
14 / REGION 14 AREA AGENCY ON AGING
25 / LIFEWAYS
10 / AREA AGENCY ON AGING OF NORTHWEST MICHIGAN
08 / AAA OF WESTERN MICHIGAN - REGION 8 (AAAWM)
04 / REGION IV AREA AGENCY ON AGING
05 / VALLEY AREA AGENCY ON AGING
22 / THE INFORMATION CENTER
21 / HHS, INC.
1A / REGION 1A
27 / A & D HOME HEALTH
30 / NORTHERN HEALTH CARE MANAGEMENT
26 / SENIOR SERVICES, INC.
29 / NORTHERN MICHIGAN REGIONAL HEALTH SYSTEM
11 / REGION 11
02 / REGION 2 AREA AGENCY ON AGING
23 / MORC
24 / WASHTENAW COMMUNITY MENTAL HEALTH
50 / HENRY FORD (PACE)
3A / KALAMAZOO COUNTY HUMAN SERVICES DEPT. AAA-3A
3C / BRANCH-ST. JOSEPH AREA AGENCY ON AGING (IIIC)
07 / REGION VII AREA AGENCY ON AGING
1B / AREA AGENCY ON AGING 1-B

SC-Screen

FS-Facesheet

A – Assessment

RACE table

CODE / DESCRIPTION
0 / WHITE
1 / BLACK
2 / ASIAN/PACIFIC ISLANDER
3 / AMERICAN INDIAN/ESKIMO/ALEUT
APPROVED MEDICAID DIAGNOSIS CODES

ICD-9 TABLE

/
FIELD_NAME / DIAGNOSIS_CODE / DIAGNOSIS_NAME / CLAIMS_POSITION /
I_DIS_ENDO_HYPERTHY
I_DIS_ENDO_HYPOTHY
I_DIS_MUSC_MISSING
I_DIS_OTHER_ALLERGIES
I_DIS_PSY_MANIC
I_DIS_PSY_SCHIZO
I_INF_ANTI_RES / N/A
I_INF_CLOSTRI / N/A
I_INF_CONJUNC / N/A
I_INF_HIV / N/A
I_INF_RESP
I_INF_SEPTI
I_INF_SEXU
I_INF_TUBER
I_INF_URINARY
I_INF_VIRAL
I_INF_WOUND
I_DIS_OTHER_CANCER / 199.1 / CA / 40
I_DIS_ENDO_DIABETES / 250.00 / Diabetes / 1
274.9 / Gout
I_DIS_OTHER_ANEMIA / 285.9 / Anemia / 38
I_DIS_PSY_OTHER / 293.83 / OBS / 31
I_DIS_NEURO_DEMENTIA / 298.9 / Dementia / 20
I_DIS_PSY_ANXIETY / 300.09 / Anxiety Disorder / 29
I_DIS_PSY_DEPRESS / 311 / Depression / 30
I_DIS_NEURO_ALZHEI / 331.0 / Alzheimer's / 16
331.4 / HYDROCEPHALUS
I_DIS_NEURO_PARK / 332.0 / Parkinson's / 24
333.4 / HUNTINGTON'S DISEASE
335.29 / ALS
I_DIS_NEURO_MS / 340 / MS / 22
I_DIS_NEURO_CERE_PALSY / 343.9 / Cerebral Palsy / 18
I_DIS_NEURO_QUAD / 344.0 / Quadriplegia / 25
I_DIS_NEURO_PARA / 344.1 / Paraplegia / 23
I_DIS_NEURO_SEIZURE / 345.9 / Seizure Disorder (Epilepsy) / 26
355.9 / NEUROPATHY
358.0 / MYASTHENIA GRAVIS
359 / MD
360.0 / BLINDNESS
I_DIS_SENS_GLAUCOMA / 365.9 / Glaucoma / 36
I_DIS_SENS_CATARACTS / 366.9 / Cataract / 34
I_DIS_SENS_DIABETIC / 369.00 / Blindness / 35
I_DIS_SENS_MACULAR / 369.00 / Blindness / 37
I_DIS_HEART_HYPERTEN / 401.9 / Hypertension / 2
I_DIS_HEART_CORON / 410.90 / MI / 5
413.9 / Angina
I_DIS_HEART_CARDIAC / 427.31 / Fib-Atrial / 8
427.41 / Fib - Ventral
427.9 / Arrhythmia
I_DIS_HEART_CONG / 428.0 / CHF / 9
I_DIS_NEURO_TRANSIENT / 435.9 / TIA / 27
I_DIS_NEURO_CERE_ACC / 436 / CVA / 19
I_DIS_HEART_ASHD / 440.9 / ASHD / 7
I_DIS_HEART_OTHER / 442.9 / Aneurysm / 6
443.0 / Raynaud's
443.9 / Peripheral Vascular disease
443.9 / Peripheral Vascular Disease
I_DIS_HEART_PERIPHERAL / 443.9 / Peripheral Vascular Disease / 4
I_DIS_HEART_THROM / 443.9 / Peripheral Vascular Disease / 10
I_DIS_HEART_HYPOTEN / 458.1 / Hypotension / 3
I_DIS_PUL_EMPHY / 492.8 / Emphyesma / 33
I_DIS_PUL_ASTHMA / 493.9 / Asthma / 32
496 / COPD
530.4 / ESOPHAGEAL RUPTURE
534.90 / ULCER - GI
558.9 / COLITIS
I_DIS_OTHER_RENAL / 586 / Renal Failure / 39
I_INF_PNEU / 685.1 / Pneumonia / 41
695.4 / LUPUS
707.0 / ULCER-DECUBITUS
714.0 / Rheumatoid Arthritis
715.90 / Osteo Arthritis
I_DIS_MUSC_ARTH / 716.90 / Arthritis / 11
729.39 / PANNICULITIS
I_DIS_MUSC_OSTEO / 733.00 / Osteoporosis / 13
781.3 / ATAXIA
I_DIS_MUSC_HIP / 829.0 / Fracture / 12
I_DIS_MUSC_OTHER / 829.0 / Fracture / 15
I_DIS_MUSC_PATH / 829.0 / Fracture / 14
I_DIS_NEURO_APHASIA / 854.0 / Intracranial Injury / 17
I_DIS_NEURO_HEMI / 854.0 / Intracranial Injury / 21
I_DIS_NEURO_TRAUMATI / 854.0 / Intracranial Injury / 28

COUNTIES table

/
COUNTY_CODE / COUNTY_NAME /
00 / OUT OF STATE
01 / ALCONA
02 / ALGER
03 / ALLEGAN
04 / ALPENA
05 / ANTRIM
06 / ARENAC
07 / BARAGA
08 / BARRY
09 / BAY
10 / BENZIE
11 / BERRIEN
12 / BRANCH
13 / CALHOUN
14 / CASS
15 / CHARLEVOIX
16 / CHEBOYGAN
17 / CHIPPEWA
18 / CLARE
19 / CLINTON
20 / CRAWFORD
21 / DELTA
22 / DICKINSON
23 / EATON
24 / EMMET
25 / GENESEE
26 / GLADWIN
27 / GOGEBIC
28 / GRAND TRAVERSE
29 / GRATIOT
30 / HILLSDALE
31 / HOUGHTON
32 / HURON
33 / INGHAM
34 / IONIA
35 / IOSCO
36 / IRON
37 / ISABELLA
38 / JACKSON
39 / KALAMAZOO
40 / KALKASKA
41 / KENT
42 / KEWEENAW
43 / LAKE
44 / LAPEER
45 / LEELANAU
46 / LENAWEE
47 / LIVINGSTON
48 / LUCE
49 / MACKINAC
50 / MACOMB
51 / MANISTEE
52 / MARQUETTE
53 / MASON
54 / MESCOSTA
55 / MENOMINEE
56 / MIDLAND
57 / MISSAUKEE
58 / MONROE
59 / MONTCALM
60 / MONTMORENCY
61 / MUSKEGON
62 / NEWAYGO
63 / OAKLAND
64 / OCEANA
65 / OGEMAW
66 / ONTONAGON
67 / OSCEOLA
68 / OSCODA
69 / OTSEGO
70 / OTTAWA
71 / PRESQUE ISLE
72 / ROSCOMMON
73 / SAGINAW
74 / ST. CLAIR
75 / ST. JOSEPH
76 / SANILAC
77 / SCHOOLCRAFT
78 / SHIAWASSEE
79 / TUSCOLA
80 / VAN BUREN
81 / WASHTENAW
82 / WAYNE - PSA 1A
83 / WEXFORD
99 / UNKNOWN

TOWNSHIP table

/
COUNTY_CODE / TOWNSHIP_CODE / TOWNSHIP_NAME /
28 / 005 / ACME TOWNSHIP
41 / 005 / ADA TOWNSHIP
06 / 005 / ADAMS TOWNSHIP
30 / 005 / ADAMS TOWNSHIP
31 / 005 / ADAMS TOWNSHIP
63 / 005 / ADDISON TOWNSHIP
46 / 010 / ADRIAN TOWNSHIP
57 / 005 / AETNA TOWNSHIP
54 / 005 / AETNA TOWNSHIP
79 / 005 / AKRON TOWNSHIP
35 / 005 / ALABASTER TOWNSHIP
33 / 005 / ALAIEDON TOWNSHIP
39 / 005 / ALAMO TOWNSHIP
73 / 005 / ALBEE TOWNSHIP
60 / 005 / ALBERT TOWNSHIP
13 / 010 / ALBION TOWNSHIP
01 / 005 / ALCONA TOWNSHIP
12 / 005 / ALGANSEE TOWNSHIP
41 / 010 / ALGOMA TOWNSHIP
03 / 010 / ALLEGAN TOWNSHIP
30 / 010 / ALLEN TOWNSHIP
70 / 005 / ALLENDALE TOWNSHIP
71 / 005 / ALLIS TOWNSHIP
42 / 005 / ALLOUEZ TOWNSHIP
80 / 005 / ALMENA TOWNSHIP
79 / 010 / ALMER TOWNSHIP
10 / 005 / ALMIRA TOWNSHIP
44 / 005 / ALMONT TOWNSHIP
16 / 005 / ALOHA TOWNSHIP
04 / 010 / ALPENA TOWNSHIP
41 / 015 / ALPINE TOWNSHIP
53 / 005 / AMBER TOWNSHIP
30 / 015 / AMBOY TOWNSHIP
81 / 010 / ANN ARBOR TOWNSHIP
83 / 005 / ANTIOCH TOWNSHIP
78 / 005 / ANTRIM TOWNSHIP
80 / 010 / ANTWERP TOWNSHIP
79 / 015 / ARBELA TOWNSHIP
29 / 010 / ARCADA TOWNSHIP
51 / 005 / ARCADIA TOWNSHIP
44 / 010 / ARCADIA TOWNSHIP
06 / 010 / ARENAC TOWNSHIP
25 / 005 / ARGENTINE TOWNSHIP
76 / 005 / ARGYLE TOWNSHIP
80 / 015 / ARLINGTON TOWNSHIP
50 / 005 / ARMADA TOWNSHIP
18 / 005 / ARTHUR TOWNSHIP
07 / 005 / ARVON TOWNSHIP
58 / 005 / ASH TOWNSHIP
62 / 005 / ASHLAND TOWNSHIP
08 / 005 / ASSYRIA TOWNSHIP
13 / 015 / ATHENS TOWNSHIP
25 / 010 / ATLAS TOWNSHIP
44 / 015 / ATTICA TOWNSHIP
06 / 020 / AU GRES TOWNSHIP
35 / 010 / AU SABLE TOWNSHIP
72 / 005 / AU SABLE TOWNSHIP
02 / 005 / AU TRAIN TOWNSHIP
81 / 015 / AUGUSTA TOWNSHIP
33 / 010 / AURELIUS TOWNSHIP
54 / 010 / AUSTIN TOWNSHIP
76 / 010 / AUSTIN TOWNSHIP
60 / 010 / AVERY TOWNSHIP
72 / 010 / BACKUS TOWNSHIP
69 / 005 / BAGLEY TOWNSHIP
11 / 005 / BAINBRIDGE TOWNSHIP
35 / 015 / BALDWIN TOWNSHIP
21 / 005 / BALDWIN TOWNSHIP
08 / 010 / BALTIMORE TOWNSHIP
09 / 010 / BANGOR TOWNSHIP
80 / 020 / BANGOR TOWNSHIP
05 / 005 / BANKS TOWNSHIP
07 / 010 / BARAGA TOWNSHIP
21 / 010 / BARK RIVER TOWNSHIP
11 / 010 / BARODA TOWNSHIP
08 / 015 / BARRY TOWNSHIP
62 / 010 / BARTON TOWNSHIP
12 / 010 / BATAVIA TOWNSHIP
36 / 005 / BATES TOWNSHIP
19 / 005 / BATH TOWNSHIP
21 / 015 / BAY DE NOC TOWNSHIP
17 / 005 / BAY MILLS TOWNSHIP
15 / 005 / BAY TOWNSHIP
24 / 005 / BEAR CREEK TOWNSHIP
40 / 005 / BEAR LAKE TOWNSHIP
51 / 010 / BEAR LAKE TOWNSHIP
71 / 010 / BEARINGER TOWNSHIP
16 / 010 / BEAUGRAND TOWNSHIP
20 / 005 / BEAVER CREEK TOWNSHIP
62 / 015 / BEAVER TOWNSHIP
09 / 020 / BEAVER TOWNSHIP
26 / 010 / BEAVERTON TOWNSHIP
13 / 030 / BEDFORD TOWNSHIP
58 / 010 / BEDFORD TOWNSHIP
71 / 015 / BELKNAP TOWNSHIP
23 / 005 / BELLEVUE TOWNSHIP
59 / 005 / BELVIDERE TOWNSHIP
19 / 010 / BENGAL TOWNSHIP
78 / 010 / BENNINGTON TOWNSHIP
64 / 005 / BENONA TOWNSHIP
26 / 015 / BENTLEY TOWNSHIP
16 / 015 / BENTON TOWNSHIP
23 / 010 / BENTON TOWNSHIP
11 / 015 / BENTON TOWNSHIP
10 / 010 / BENZONIA TOWNSHIP
66 / 005 / BERGLAND TOWNSHIP
34 / 010 / BERLIN TOWNSHIP
74 / 005 / BERLIN TOWNSHIP
58 / 015 / BERLIN TOWNSHIP
11 / 025 / BERRIEN TOWNSHIP
11 / 030 / BERTRAND TOWNSHIP
27 / 010 / BESSEMER TOWNSHIP
29 / 015 / BETHANY TOWNSHIP
12 / 015 / BETHEL TOWNSHIP
68 / 005 / BIG CREEK TOWNSHIP
62 / 020 / BIG PRAIRIE TOWNSHIP
54 / 020 / BIG RAPIDS TOWNSHIP
26 / 020 / BILLINGS TOWNSHIP
19 / 015 / BINGHAM TOWNSHIP
45 / 005 / BINGHAM TOWNSHIP
32 / 010 / BINGHAM TOWNSHIP
73 / 010 / BIRCH RUN TOWNSHIP
71 / 020 / BISMARCK TOWNSHIP
38 / 005 / BLACKMAN TOWNSHIP
10 / 015 / BLAINE TOWNSHIP
28 / 010 / BLAIR TOWNSHIP
70 / 010 / BLENDON TOWNSHIP
24 / 010 / BLISS TOWNSHIP
46 / 015 / BLISSFIELD TOWNSHIP
59 / 010 / BLOOMER TOWNSHIP
63 / 025 / BLOOMFIELD TOWNSHIP
32 / 015 / BLOOMFIELD TOWNSHIP
57 / 010 / BLOOMFIELD TOWNSHIP
80 / 025 / BLOOMINGDALE TOWNSHIP
61 / 005 / BLUE LAKE TOWNSHIP
40 / 010 / BLUE LAKE TOWNSHIP
73 / 015 / BLUMFIELD TOWNSHIP
40 / 015 / BOARDMAN TOWNSHIP
66 / 010 / BOHEMIA TOWNSHIP
49 / 005 / BOIS BLANC TOWNSHIP
83 / 010 / BOON TOWNSHIP
34 / 015 / BOSTON TOWNSHIP
26 / 025 / BOURRET TOWNSHIP
41 / 020 / BOWNE TOWNSHIP
15 / 015 / BOYNE VALLEY TOWNSHIP
39 / 010 / BRADY TOWNSHIP
73 / 020 / BRADY TOWNSHIP
21 / 020 / BRAMPTON TOWNSHIP
53 / 010 / BRANCH TOWNSHIP
63 / 035 / BRANDON TOWNSHIP
73 / 025 / BRANT TOWNSHIP
22 / 005 / BREEN TOWNSHIP
22 / 010 / BREITUNG TOWNSHIP
49 / 010 / BREVORT TOWNSHIP
76 / 015 / BRIDGEHAMPTON TOWNSHIP
73 / 030 / BRIDGEPORT TOWNSHIP
62 / 025 / BRIDGETON TOWNSHIP
81 / 020 / BRIDGEWATER TOWNSHIP
47 / 010 / BRIGHTON TOWNSHIP
60 / 015 / BRILEY TOWNSHIP
74 / 010 / BROCKWAY TOWNSHIP
12 / 025 / BRONSON TOWNSHIP
32 / 020 / BROOKFIELD TOWNSHIP
23 / 015 / BROOKFIELD TOWNSHIP
62 / 030 / BROOKS TOWNSHIP
37 / 005 / BROOMFIELD TOWNSHIP
51 / 015 / BROWN TOWNSHIP
84 / 015 / BROWNSTOWN TOWNSHIP
17 / 010 / BRUCE TOWNSHIP
50 / 010 / BRUCE TOWNSHIP
11 / 045 / BUCHANAN TOWNSHIP
26 / 030 / BUCKEYE TOWNSHIP
76 / 025 / BUEL TOWNSHIP
73 / 035 / BUENA VISTA TOWNSHIP
33 / 015 / BUNKER HILL TOWNSHIP
67 / 005 / BURDELL TOWNSHIP
35 / 020 / BURLEIGH TOWNSHIP
44 / 020 / BURLINGTON TOWNSHIP
13 / 035 / BURLINGTON TOWNSHIP
78 / 015 / BURNS TOWNSHIP
44 / 025 / BURNSIDE TOWNSHIP
75 / 005 / BURR OAK TOWNSHIP
02 / 010 / BURT TOWNSHIP
16 / 020 / BURT TOWNSHIP
74 / 015 / BURTCHVILLE TOWNSHIP
59 / 015 / BUSHNELL TOWNSHIP
12 / 030 / BUTLER TOWNSHIP
26 / 035 / BUTMAN TOWNSHIP
57 / 015 / BUTTERFIELD TOWNSHIP
41 / 025 / BYRON TOWNSHIP
57 / 020 / CALDWELL TOWNSHIP
78 / 020 / CALEDONIA TOWNSHIP
41 / 030 / CALEDONIA TOWNSHIP
01 / 010 / CALEDONIA TOWNSHIP
12 / 035 / CALIFORNIA TOWNSHIP
31 / 010 / CALUMET TOWNSHIP
14 / 005 / CALVIN TOWNSHIP
30 / 020 / CAMBRIA TOWNSHIP
46 / 020 / CAMBRIDGE TOWNSHIP
30 / 025 / CAMDEN TOWNSHIP
34 / 020 / CAMPBELL TOWNSHIP
41 / 035 / CANNON TOWNSHIP
84 / 020 / CANTON TOWNSHIP
08 / 020 / CARLTON TOWNSHIP
23 / 020 / CARMEL TOWNSHIP
66 / 015 / CARP LAKE TOWNSHIP
24 / 015 / CARP LAKE TOWNSHIP
73 / 040 / CARROLLTON TOWNSHIP
41 / 040 / CASCADE TOWNSHIP
74 / 020 / CASCO TOWNSHIP
03 / 015 / CASCO TOWNSHIP
71 / 025 / CASE TOWNSHIP
32 / 025 / CASEVILLE TOWNSHIP
61 / 010 / CASNOVIA TOWNSHIP
08 / 025 / CASTLETON TOWNSHIP
59 / 020 / CATO TOWNSHIP
83 / 020 / CEDAR CREEK TOWNSHIP
61 / 015 / CEDAR CREEK TOWNSHIP
67 / 010 / CEDAR TOWNSHIP
55 / 005 / CEDARVILLE TOWNSHIP
24 / 020 / CENTER TOWNSHIP
45 / 010 / CENTERVILLE TOWNSHIP
05 / 010 / CENTRAL LAKE TOWNSHIP
52 / 005 / CHAMPION TOWNSHIP
15 / 020 / CHANDLER TOWNSHIP
32 / 030 / CHANDLER TOWNSHIP
73 / 045 / CHAPIN TOWNSHIP
39 / 015 / CHARLESTON TOWNSHIP
15 / 030 / CHARLEVOIX TOWNSHIP
69 / 010 / CHARLTON TOWNSHIP
43 / 005 / CHASE TOWNSHIP
31 / 015 / CHASSELL TOWNSHIP
83 / 025 / CHERRY GROVE TOWNSHIP
43 / 010 / CHERRY VALLEY TOWNSHIP
73 / 050 / CHESANING TOWNSHIP
03 / 020 / CHESHIRE TOWNSHIP