Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END18
MultiStage: No
DXCat Label: Vitamin D Deficiency Specificity: A
Etiology: Metabolic; Nutritional
Stage Description Diagnostic findings ICD-9-CM Codes
0.00
NO;
1.01 Vitamin D deficiency 25-(OH)D3 ≤ 21 ng/ml [chemistry report]
DX 2689;
OR 1,25-(OH)2D3 < 14 ng/ml [chemistry report]
2.01 with rickets or osteoporosis or osteomalacia Stage 1.01
DX 267, 2680, 2700;
AND rickets [skeletal x-ray report]
(STAGE 1.01 OR DX 267, 2680,
OR osteoporosis:
2700, 2753 ) + (DX 2682, 5790,
OR osteomalacia [x -ray report]
5880, 73300, 73302, 73309, 7564);
2.02 with pathologic fractures Stage 1.01-2.01
AND fracture of bones without history of trauma
2.03 with hypocalcemia Stage 1.01-2.02
AND hypocalcemia:
2.04 with rachitic tetany Stage 1.01-2.03
AND tetany
OR Chvostek’s sign
OR Trousseau’s sign
3.01 with respiratory failure Stage 1.01-2.04
AND respiratory failure:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
DX 2681;
STAGE 1.01-2.01 + (DX 73310-
73316, 73319);
STAGE 1.01-2.02 + GROUP
HYPOCALCEMIA;
STAGE 1.01-2.03 + DX 7817;
STAGE 1.01-2.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Aurbach GD, Marx SJ, Spiegel AM. Parathyroid hormone, calcitonin and the calciferols. In: Williams Textbook of Endocrinology. Wilson JD, Foster DW, eds. 8th ed. Philadelphia,
PA: WB Saunders; 1992:1397-1476.
Baron RB. Nutrition. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1150-1180.
Krane SM, Holick MF. Metabolic bone disease. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of
Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:2247-2259.
Thomas MK, Lloyd-Jones DM, Thadhani RI, Shaw AC, Deraska DJ, Kitch BT, Vamvakas EC, Dick IM, Prince RL, Finkelstein JS. Hypovitaminosis D in medical inpatients. N Engl J
Med. 1998; 338 (12) 777.
Thursday, January 07, 2010 9:21:28 AM
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