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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: HEM09<br />

MultiStage: No<br />

DXCat Label: Glucose 6-Phosphate Dehydrogenase Deficiency Specificity: A<br />

Etiology: Congenital; Genetic (or hereditary)<br />

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

1.01 Glucose 6-phosphate dehydrogenase Glucose 6-phosphate dehydrogenase activity ≥ 20% of normal [hematology report]<br />

NO;<br />

deficiency asymptomatic carrier or<br />

homozygotic female<br />

AND glucose 6-phosphate dehydrogenase activity ≤ 100% of normal [hematology report]<br />

1.02 with hemolytic anemia Stage 1.01<br />

AND hemolysis:<br />

2.01 with moderate anemia Stage 1.02<br />

AND glucose 6-phosphate dehydrogenase deficiency ≥ 20% of normal [hematology report]<br />

OR hemoglobin ≤ 8 gm/dl [CBC report]<br />

3.01 with severe anemia Stage 1.02-2.01<br />

AND hemoglobin ≤ 5 gm/dl [CBC report]<br />

3.02 with congestive heart failure Stage 1.02-3.01<br />

AND congestive heart failure:<br />

3.03 with shock Stage 1.02-3.02<br />

AND shock:<br />

4.00 with death Stage 1.02-3.03<br />

AND death<br />

References:<br />

DX 2822;<br />

NO;<br />

NO;<br />

STAGE 1.02 + GROUP<br />

CHF__NON_HTN;<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 />

STAGE 1.02 + (GROUP SHOCKC OR<br />

GROUP SHOCKN);<br />

Luzzatto L. Glucose-6-phosphate dehydrogenase deficiency and hemolytic anemia. In: Nathan DG and Orkin SH, eds. Nathan and Oski’s Heatology of Infancy and Childhood.<br />

5th ed. Philadelphia, PA: WB Saunders; 1998:704-726.<br />

Mason PJ. New insights into G6PD deficiency. British Journal of Haematology. 1996;94(4):585-91.<br />

Rosse W, Bunn HF. Hemolytic anemias and acute blood loss. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's<br />

Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:659-672.<br />

Segel GB. Enzymatic defects. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics, 15th ed. Philadelphia, PA: WB Saunders; 1996:1405-<br />

1408.<br />

Weatherall DJ. ABC of clinical haematology. The hereditary anaemias. BMJ. 1997;314(7079):492-6.<br />

NO;<br />

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

©2010 Thomson Reuters. All rights reserved.

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