Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM02
MultiStage: No
DXCat Label: Anemia: Aplastic, Acquired Specificity: A
Etiology: Idiopathic; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
2.01 Early aplastic anemia Leukopenia:
DX 2840-2842, 2848-28489, 2849,
AND thrombocytopenia:
2853;
AND anemia:
AND bone marrow cellularity < 20%[bone marrow biopsy report]
AND reticulocytes < 1% [CBC report]
2.02 Advanced aplastic anemia Bone marrow cellularity < 20%[bone marrow biopsy report]
NO;
AND total WBC count < 1,000 cells/mm 3 [complete blood count report]
AND platelet count < 50,000 cells/mm 3 [hematology report]
AND hemoglobin < 8 gm/dl [hematology report]
AND reticulocytes < 1% [CBC report]
3.01 Severe aplastic anemia Bone marrow cellularity < 20%[bone marrow biopsy report]
AND total WBC count ≤ 500 cells/mm 3 [complete blood count report]
AND platelet count < 20,000 cells/mm 3 [hematology report]
AND hemoglobin ≤ 6 gm/dl [hematology report]
AND reticulocytes < 1% [CBC report]
3.02 with intracranial hemorrhage Stage 2.01-3.01
AND intracranial hemorrhage [CT scan or MRI scan report]
NO;
STAGE 2.01 + (DX 430, 431, 4320-
4321, 4329, 43301, 43311, 43321,
43331, 43381, 43391, 43401,
43411, 43491, 436);
3.03 with sepsis Stage 2.01-3.02
AND sepsis:
4.00 with death Stage 2.01-3.03
AND death
STAGE 1.01-3.02 + GROUP SEPSIS;
NO;
Thursday, January 07, 2010 9:22:02 AM
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