Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GEN03
MultiStage: No
DXCat Label: Turner's or Noonan's Syndrome Specificity: A
Etiology:
Genetic (or hereditary)
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Mosaic Turner's syndrome Genotype: 45 X/46 XX [cytogenetics report]
DX 7586;
OR genotype: 45 X/46 XY [cytogenetics report]
OR genotype: 45 X/46 X, fragment plus [cytogenetics report]
1.02 Noonan's syndrome Genotype 46 XX [ cytogenetics report]
NO;
OR genotype 46 XY [cytogenetics report]
AND height < 3rd percentile
OR growth velocity < 4 cm/yr.
OR bone age > 2 yrs. behind chronological age
AND webbed neck
AND ptosis
AND low hairline on the back of neck
AND wide chest with broadly spaced nipples
AND multiple pigmented nevi
AND short 4th metacarpal
AND hypoplasia of nails
AND amenorrhea
AND failure of breast development
AND juvenile external genitalia
1.03 Turner's syndrome Genotype 45 X [cytogenetics report]
AND height < 3rd percentile
OR growth velocity < 4 cm/yr
OR bone age > 2 yrs. behind chronological age
AND webbed neck
AND ptosis
AND low hairline on the back of the neck
AND wide chest with broadly spaced nipples
AND multiple pigmented nevi
AND short 4th metacarpal
AND hypoplasia of nails
AND amenorrhea
AND failure of breast development
AND juvenile external genitalia
NO;
1.04 with mental retardation Stage 1.01-1.03
AND mental retardation:
STAGE 1.01 + GROUP
MENT_RETARD;
Thursday, January 07, 2010 9:21:40 AM
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