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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: HEM01<br />

MultiStage: No<br />

DXCat Label: Agranulocytosis Specificity: A<br />

Etiology: Idiopathic; Toxicologic<br />

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

1.01 Neutropenia Neutropenia:<br />

DX 2880-28809;<br />

1.02 Moderate neutropenia Absolute neutrophil count ≤ 1,000 cells/mm 3 [hematology report]<br />

NO;<br />

2.01 Severe neutorpenia Absolute neutrophil count ≤ 500 cells/mm 3 [hematology report]<br />

2.02 with oral or anal ulcerations Stage 1.01-2.01<br />

AND oral ulcers<br />

OR anal ulcers<br />

2.03 with thrombocytopenia Stage 1.01-2.02<br />

AND thrombocytopenia:<br />

3.01 with meningitis or endocarditis Stage 1.01-2.03<br />

AND meningitis:<br />

OR endocarditis:<br />

3.02 with sepsis Stage 1.01-3.01<br />

AND sepsis:<br />

3.03 with shock Stage 1.01-3.02<br />

AND shock:<br />

4.00 with death Stage 1.01-3.03<br />

AND death<br />

References:<br />

NO;<br />

STAGE 1.01 + (DX 52802, 5289,<br />

56941);<br />

STAGE 1.02-2.02 + GROUP<br />

THRMBCYTPEN;<br />

STAGE 1.01-2.03 + (GROUP<br />

MENGIT__BACT OR GROUP<br />

ENDOCARDITIS);<br />

STAGE 1.01-3.01 + GROUP SEPSIS;<br />

STAGE 1.01-3.02 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

Baehner RL. Neutropenia. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders; 1996:587-591.<br />

Dinauer MC. The phagocytic system and disorders of granulopoiesis and granulocyte function. In: Nathan DG and Orkin SH, eds. Nathan and Oski's Hematology of Infancy and<br />

Childhood. 5th ed. Philadelphia, PA: WB Saunders; 1998:889-967.<br />

Holland SM, Gallin JI. Disorders of granulocytes and monocytes. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds.<br />

Harrison's Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:351-359.<br />

Lane PA, Nuss R, Ambruso DR. Hematologic disorders. In: Hay WW, Groosthius JR, Hayward AR, Levin MJ, eds. Current Pediatric Diagnosis and Treatment. 13th ed. Stamford,<br />

CT: Appleton & Lange; 1997:732-780.<br />

Linker CA. Blood. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:479-534.<br />

Sharis PJ, Cannon CP, Loscalzo J. The antiplatelet effects of ticlopidine and clopidogrel. Annals of Internal Medicine. 1998;129(5):394-405.<br />

Viscoli C, Castagnola E. Planned progressive antimicrobial therapy in neutropenic patients. British Journal of Haematology. 1998;102(4):879-88.<br />

NO;<br />

Thursday, January 07, 2010 9:22:01 AM<br />

©2010 Thomson Reuters. All rights reserved.

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