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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: GEN01<br />

MultiStage: No<br />

DXCat Label: Down's Syndrome Specificity: A<br />

Etiology: Genetic (or hereditary)<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

1.01 Mosaic Down's syndrome Genotype: 46/47 with trisomy 21 [cytogenetics report]<br />

DX 7580;<br />

1.02 Down's syndrome Trisomy 21 [cytogenetics report]<br />

NO;<br />

OR mongolism<br />

2.01 with mental retardation Stage 1.01-1.02<br />

AND mental retardation:<br />

2.02 with atlantoaxial instability Stage 1.01-2.01<br />

AND with atlantoaxial instability [x-ray report]<br />

2.03 with duodenal atresia Stage 1.01-2.02<br />

AND duodenal atresia [UGI report]<br />

2.04 with cardiac malformation Stage 1.01-2.03<br />

AND ventricular septal defect [cardiac catheterization report]<br />

OR atrial septal defect [cardiac catheterization report]<br />

OR atrioventricular defect [cardiac catheterization report]<br />

2.05 with leukemia Stage 1.01-2.04<br />

AND leukemia [peripheral smear, or bone marrow aspiration report or bone marrow biopsy]<br />

STAGE 1.01 + DXCAT NEU15;<br />

STAGE 1.01-2.01 + DX 7249;<br />

STAGE 1.01-2.02 + DX 7511;<br />

STAGE 1.01-2.03 + DX 7453-7459;<br />

STAGE 1.01-2.04 + (DXCAT HEM18<br />

OR DXCAT HEM19 OR DXCAT<br />

HEM20 OR DXCAT HEM21);<br />

3.01 with endocarditis Stage 1.01-2.05<br />

AND endocarditis:<br />

3.02 with congestive heart failure Stage 1.01-3.03<br />

AND congestive heart failure:<br />

3.03 with sepsis Stage 1.01-3.01<br />

AND sepsis:<br />

3.04 with shock Stage 1.01-3.04<br />

AND shock:<br />

4.00 with death Stage 1.01-3.04<br />

AND death<br />

STAGE 1.01-2.05 + GROUP<br />

ENDOCARDITIS;<br />

STAGE 1.01-3.01 + GROUP<br />

CHF__NON_HTN;<br />

STAGE 1.01-3.02 + GROUP SEPSIS;<br />

STAGE 1.01-3.03 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

NO;<br />

Thursday, January 07, 2010 9:21:39 AM<br />

©2010 Thomson Reuters. All rights reserved.

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