Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS03
MultiStage: No
DXCat Label: Anomaly: Patent Ductus Arteriosus Specificity: A
Etiology:
Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Asymptomatic patent ductus arteriosus Patent ductus arteriosus [cardiac catheterization report]
DX 7470;
OR ‘machinery’ murmur
AND diastolic pressure ≤ 50 mmHg
AND left atrial enlargement [EKG report or echocardiogram report]
AND left ventricular hypertrophy [EKG report or echocardiogram report]
2.01 with hypoxemia Stage 1.01
AND hypoxemia:
3.01 with pulmonary hypertension Stage 1.01-2.01
AND pulmonary hypertension:
3.02 with infective endocarditis Stage 1.01-3.01
AND infective endocarditis:
3.03 with congestive heart failure Stage 1.01-3.02
AND congestive heart failure:
3.04 with sepsis Stage 1.01-3.03
AND sepsis:
STAGE 1.01 + GROUP HYPOXEMIA;
STAGE 1.01-2.01 + (DX 4150,
4160, 4168);
STAGE 1.01-3.01 + (DX 4210-
4219, 42491);
STAGE 1.01-3.02 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.03 + GROUP SEPSIS;
STAGE 1.01-3.03 + DX 41512;
3.05 with respiratory failure Stage 1.01-3.04
AND respiratory failure:
3.06 with shock Stage 1.01-3.05
AND shock:
4.00 with death Stage 1.01-3.06
AND death
STAGE 1.01-3.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.05 + GROUP
SHOCKN;
NO;
Thursday, January 07, 2010 9:21:14 AM
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