Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM11
MultiStage: No
DXCat Label: Hemolytic Disease of the Newborn Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Hemolytic disease of the newborn Umbilical cord blood bilirubin ≤ 5 mg/dl [chemistry report]
DX 7730-7732, 7740-7746;
secondary to rhesus isoimmunization or
ABO incompatibility or minor blood group
incompatibility
AND direct Coombs’ reaction [hematology report]
2.01 Severe hemolytic disease of the newborn
secondary to rhesus isoimmunization or
ABO incompatibility or minor blood group
incompatibility
3.01 with kernicterus Stage 1.01-2.01
AND kernicterus
3.02 with hydrops fetalis Stage 1.01-3.01
AND hydrops fetalis
4.00 with death Stage 1.01-3.02
AND death
Umbilical cord blood bilirubin ≥ 5 mg/dl [chemistry report]
AND direct Coombs’ reaction [hematology report]
AND cord blood hematocrit ≤ 40% [hematology report]
AND cord blood reticulocytes ≥ 15% [hematology report]
DX 7735;
DX 7734, 7747;
DX 7733;
NO;
References:
Bowman JM. Immune hemolytic disease. In: Nathan DG and Orkin SH, eds. Nathan and Oski's Hematology of Infancy and Childhood. 5th ed. Philadelphia, PA: WB Saunders;
1998:53-78.
Crombleholme WR. Obstetrics. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:724-748.
Forouzan I. Hydrops fetalis: recent advances. Obstetrical & Gynecological Survey. 1997;52(2):130-8.
Jones LJ. Hemolytic disease of the newborn. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders;
1996:500-504.
Liley HG. Rescue in inner space: management of Rh hemolytic disease. Journal of Pediatrics. 1997;131(3):340-2.
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