Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS01
MultiStage: No
DXCat Label: Alpha 1-Antitrypsin Deficiency Specificity: A
Etiology: Genetic (or hereditary)
Stage Description Diagnostic findings ICD-9-CM Codes
1.01
1.02
Heterozygous alpha-1-antitrypsin deficiency Serum alpha-1-antitrypsin < 50 mg/dl [chemistry report]
AND serum alpha-1-antitrypsin ≤ 250 mg/dl [chemistry report]
Homozygous alpha-1-antitrypsin deficiency Serum alpha-1-antitrypsin < 50 mg/dl [chemistry report]
DX 2734, 2776;
NO;
1.03 Alpha-1-antitrypsin deficiency with
panniculiits
Stage 1.01-1.02
AND panniculitis or fat necrosis [operative/pathology report]
STAGE 1.01 + (DX 72930, 7236);
2.01 with hepatitis Stage 1.01-1.03
AND hepatitis:
2.02 with COPD Stage 1.01-2.01
AND COPD:
2.03 with cirrhosis Stage 1.01-2.02
AND cirrhosis [biopsy report or sonogram report or liver/spleen scan report]
2.04 with coagulation defects Stage 1.01-2.03
AND coagulation defect:
3.01 with renal failure Stage 1.01-2.04
AND renal failure:
3.02 with respiratory failure Stage 1.01-3.01
AND respiratory failure:
3.03 with coma Stage 1.01-3.02
AND coma:
3.04 with shock Stage 1.01-3.03
AND shock:
4.00 with death Stage 1.01-3.04
AND death
STAGE 1.01-1.03 + DXCAT HEP10;
STAGE 1.01-2.01 + DXCAT RES05;
STAGE 1.01-2.02 + (DX 5715-
5716, 5761);
STAGE 1.01-2.03 + GROUP
COAG_DEFECT;
STAGE 1.01-2.04 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + GROUP
RESP_FAIL;
STAGE 1.01-3.02 + GROUP COMA;
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:40 AM
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