Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS06
MultiStage: No
DXCat Label: Arrhythmias Specificity: B
Etiology: Congenital; Degenerative; Idiopathic; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Atrial premature contractions or sinus Atrial premature contractions [EKG report]
DX 42760-42761, 42789-4279,
arrhythmia or junctional rhythm
OR atrial bigeminy [EKG report]
42682;
OR atrial trigeminy [EKG report]
OR sinus arrhythmia [EKG report]
OR ectopic atrial rhythm [EKG report]
OR junctional rhythm [EKG report]
1.02 Asymptomatic unifocal ventricular
premature contractions
1.03 Wolff-Parkinson-White syndrome or Lown-
Ganong-Levine syndrome
1.04 Asymptomatic multifocal ventricular
premature contractions
No history of dizziness
OR no history of being lightheaded
AND unifocal ventricular contractions [EKG report]
OR ventricular bigeminy [EKG report]
OR ventricular trigeminy [EKG report]
WPW syndrome [EKG report]
OR LGL syndrome [EKG report]
OR Short PR Syndrome [EKG report]
No history of dizziness
OR no history of being lightheaded
AND multifocal ventricular contractions [EKG report
2.01 Paroxysmal atrial fibrillation or flutter Paroxysmal atrial fibrillation [EKG report]
OR paroxysmal atrial flutter [EKG report]
OR paroxysmal atrial flutter-fibrillation [EKG report]
2.02 Atrial fibrillation or flutter Atrial fibrillation [EKG report]
OR atrial flutter [EKG report
2.03 Sick sinus syndrome Sick sinus syndrome [EKG report]
2.04 Supraventricular tachycardia Supraventricular tachycardia [EKG report]
2.05 Symptomatic ventricular ectopy History of dizziness
OR history of being lightheaded
AND multifocal ventricular contractions [EKG report]
OR unifocal ventricular contractions [EKG report]
DX 42769;
DX 4267, 42681;
NO;
DX 42731-42732;
NO;
DX 42781;
DX 4270, 4272;
NO;
3.01 Arrhythmias with ventricular fibrillation or
flutter or shock
Stage 1.01-2.05
AND ventricular fibrillation [EKG or rhythm strip report]
OR ventricular flutter [EKG or rhythm strip report]
OR shock:
DX 4271, 42741, 42742, 4275;
STAGE 1.01-2.04 + (GROUP
SHOCKA OR GROUP SHOCKC OR
GROUP SHOCKN OR DX 7802);
4.00 Arrhythmias with death Stage 2.01-3.01
AND death
DX 7981;
Thursday, January 07, 2010 9:21:15 AM
©2010 Thomson Reuters. All rights reserved.