Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU21
MultiStage: No
DXCat Label: Tuberous Sclerosis Specificity: A
Etiology:
Genetic (or hereditary)
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Asymptomatic tuberous sclerosis Tuberous sclerosis gene on chromosome 9q and 16p [genetics report]
DX 7595;
OR cerebral cortical focal dysplastic island [MRI report]
OR subependymal nodule [CT scan report]
OR giant cell astrocytoma [CT scan report]
OR retinal astrocytic hamartoma [ultrasonography report]
OR facial angiofibroma ("adenoma sebaceum")
OR ungual fibroma
OR pulmonary lymphangiomyomatosis
OR a "shagreen patch"
OR hypopigmented ash-leaf shaped macules
2.01 with seizures Stage 1.01
AND seizures
2.02 with mental retardation Stage 1.01-2.01
AND mental retardation:
2.03 with renal cysts Stage 1.01-2.02
AND renal cysts [ultrasonography report]
2.04 with renal angiomyolipomas Stage 1.01-2.03
AND renal angiomyolipomas [operative/pathology report]
2.05 with rhabdomyomas of the heart Stage 1.01-2.04
AND rhabdomyomas of the heart [ultrasonography report or cardiac catheterization report or
operative/pathology report]
2.06 with rhabdomyomas of the heart and Stage 2.05
ventricular premature contractions or atrial AND ventricular premature contractions [EKG report]
premature contractions or atrial premature OR atrial premature contractions [EKG report]
contractions or supraventricular
OR supraventricular tachycardia [EKG report]
tachycardias or ectopic atrial rhythm or
OR ectopic atrial rhythm [EKG report]
atrial fibrillation or atrial flutter
OR atrial fibrillation [EKG report]
OR atrial flutter [EKG report]
2.07 with Wolff-Parkinson-White syndrome Stage 1.01-2.06
AND Wolff-Parkinson-White syndrome[EKG report]
3.01 with renal failure Stage 1.01-2.07
AND renal failure:
3.02 with hydrocephalus Stage 1.01-3.01
AND hydrocephalus [CT scan or MRI report]
STAGE 1.01 + (DX 78032, 78039);
STAGE 1.01-2.01 + DXCAT NEU15;
STAGE 1.01-2.02 + (DX 75310,
75311);
STAGE 1.01-2.03 + (DX 2143,
2155);
STAGE 1.01-2.04 + DX 2127;
STAGE 2.05 + (DX 42731, 42732,
42760, 42761, 42769, 42789);
STAGE 1.01-2.06 + DX 4267;
STAGE 1.01-2.07 + GROUP
REN_FAIL_ACU;
STAGE 1.01-3.01 + (DX 74100,
7423);
Thursday, January 07, 2010 9:22:50 AM
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