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Disease staging: CliniCal anD CoDeD Criteria - HCUP

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: HEM08<br />

MultiStage: No<br />

DXCat Label: Anemia: Vitamin B-12 Deficiency Specificity: A<br />

Etiology: Nutritional<br />

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

1.01 Anemia secondary to vitamin B12 deficiencyAnemia:<br />

DX 2810, 2811;<br />

AND macrocytosis:<br />

AND serum vitamin B12 < 100 pg/ml [chemistry report]<br />

2.01 with neuropathy Stage 1.01<br />

AND paresthesia of extremities<br />

OR ataxia or loss of balance<br />

OR loss of vibratory sensation in lower extremities<br />

OR Babinski’s sign<br />

2.02 with cardiomegaly Stage 1.01-2.01<br />

AND cardiomegaly [chest x-ray or echocardiogram report]<br />

3.01 with megaloblastic madness (dementia) Stage 1.01-2.02<br />

AND delusions of grandeur and persecution<br />

OR disoriented to time or place or person<br />

3.02 with congestive heart failure Stage 1.01-3.01<br />

AND congestive heart failure:<br />

3.03 with shock Stage 2.01-3.02<br />

AND shock:<br />

4.00 with death Stage 2.01-3.03<br />

AND death<br />

References:<br />

STAGE 1.01 + (DX 34489, 3559,<br />

3569, 3574, 7813, 7820);<br />

STAGE 1.01-2.01 + DX 4293;<br />

STAGE 1.01-2.02 + (DX 29410,<br />

29411, 2970, 2971, 2979 OR<br />

GROUP DISORIENT);<br />

STAGE 1.01-3.01 + GROUP<br />

CHF__NON_HTN;<br />

STAGE 1.01-3.02 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

Hillman RS. Anemia. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of Internal Medicine. 14th ed.<br />

New York, NY: McGraw-Hill; 1998:334-339.<br />

Hoffbrand V, Provan D. ABC of clinical haematology. Macrocytic anaemias BMJ. 1997;314(7078):430-3.<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 />

Schwartz, E. Megaloblastic Anemias. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders;<br />

1996:1384-1387.<br />

Toh BH, van Driel IR, Gleeson PA. Pernicious anemia. N Engl J Med. 1997;337(20):1441-8.<br />

Whitehead VM, Rosenblatt DS, Cooper BA. Megaloblastic anemia. In: Nathan DG and Orkin SH, eds. Nathan and Oski's Hematology of Infancy and Childhood. 5th ed.<br />

Philadelphia, PA: WB Saunders; 1998:385-422.<br />

NO;<br />

Thursday, January 07, 2010 9:22:03 AM<br />

©2010 Thomson Reuters. All rights reserved.

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