Appendix A

Selected Causes of Death Groups For Infant Mortality
ICD-9, ICD-10, and Comparability Ratios

Underlying Cause of Death ICD-10 ICD-9 Comparability Ratio
Certain gastrointestinal diseases* K50-K55, K29, A04, A08, A09, A02.0 008, 009, 535, 555- 558
---
Septicemia A40-A41
038
1.19
Remainder of infectious and parasitic diseases A00-A01, A02.1-A03, A05-A07, A16-A39, A42-A49, B00-B99 001-007, 010-037, 039-139
---
Meningitis G00-G03 320-322 1.01
Pneumonia & Influenza J10-J18
480-487
0.70
Congenital Malformations, Deformations & Chromosomal Abnormalities Q00-Q99 740-759 .85
Newborn affected by maternal complications of pregnancy, labor and delivery P01 761 1.04
Newborn affected by complications of placenta, cord and membranes P02 762 1.05
Disorders relating to short gestation and unspecified low birthweight P07
765
1.11
Birth trauma P10-P15 767
.044
Intrauterine hypoxia and birth asphyxia P20-P21 768
1.45
Respiratory distress syndrome P22 769
1.03
Other respiratory conditions P23-P28
770
.85
Infections specific to the perinatal period P35-P39
771
1.02
Neonatal hemorrhage P50-P52
772
1.43
All other and ill-define conditions originating in the perinatal period P29, P70-P83
760, 763, 764, 766, 773-779
---
Sudden infant death syndrome R95 798.0 1.04
Unintentional Injury
(Accidents)
V01-X59,Y85-Y86
E800-E869,E880-E929
1.03
Homicides X85-Y09, Y87.1 E960-E969 1.00

Note: The underlying cause of death is the condition giving rise to the chain of events leading to death. Between January 1, 1979 and December 31, 1998, the underlying causes of death were classified in accordance with the Ninth Revision of the International Classification of Diseases (ICD-9), a coding structure developed by the World Health Organization. Starting January 1, 1999, causes of death were classified using the Tenth Revision of the International Classification of Diseases (ICD-10). With each revision there are differences in classifying the underlying cause of death. Therefore, health statistics based on one revision are not directly comparable to the other revision without the use of comparability ratios. (See "Comparability of cause of death between ICD–9 and ICD–10: Preliminary estimates." National vital statistics reports; vol 49 no. 2. Hyattsville, Maryland: National Center for Health Statistics. 2001. )

*"Certain gastrointestinal diseases" was a grouping used during the eighties.

The comparability ratio results from double-coding a large sample of the national mortality file, once by the old revision (ICD-9) and again by the new revision (ICD-10), and expressing the results of the comparison as a ratio of deaths for a cause of death by the later revision divided by the number of that cause of death coded and classified by the earlier revision. A ratio greater than 1.0 indicates that the new coding structure will classify more deaths to that underlying cause of death.

See the National Center for Health Statistics for more information on the comparability ratio and the classification of mortality.