Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NUT03
MultiStage: No
DXCat Label: Pellagra Specificity: A
Etiology: Nutritional
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Pellagra History of dietary intake of American corn or maize as staple food
DX 2652;
OR history of alcoholism or gastrointestinal disease or psychiatric disturbance
OR Hartnup disease
OR ‘neutral’ aminoaciduria (urinary chemistry report)
OR carcinoid syndrome
OR 5-HIAA ≥ 25 mg/dl (chemistry report)
OR urinary N-methylnicotinamide < 1.5 mg/d (urinary chemistry report)
AND symmetrically reddened and roughened skin when exposed to light
2.01 with dermatitis or mucositis Stage 1.01
AND acute sunburn type skin when exposed to light (butterfly eruption on face and Casal’s
necklace)
OR proctitis
OR vaginitis
OR diarrhea
OR abdominal distention
OR peripheral neuritis and myelitis
OR atrophy of papillae of the tongue
OR dementia
STAGE 1.01 + (DX 69272, 69282,
6929, 56944-56949 , 61610,
78791, 7873, 3574, 5294, 29410,
29411, 3238);
3.01 with renal failure Stage 1.01-2.01
AND renal failure:
3.02 with coma Stage 1.01-3.01
AND coma:
4.00 with death Stage 3.01-3.02
AND death
STAGE 1.01-2.01 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + GROUP COMA;
NO;
References:
Baron RB. Nutrition. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1150-1180.
Black MM, Gawkrodger DJ, Seymour CA, Weismann K. Metabolic and nutritional disorders. In: Champion RH, Burton JL, Burns DA, Breathnach SM. Rook/Wilkson/Ebling
Textbook of Dermatology. Oxford: Blackwell Science Ltd.; 1998:2659-2660.
Lanska DJ. Stages in the recognition of epidemic pellagra in the United States: 1865-1960. Neurology. 1996;47(3):829-34.
Stratigos JD, Katsambas A. Pellagra, a still existing disease. Br J Dermatol. 1977;(96):99-106.
Wilson JD. Vitamin deficiency and excess. 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. New York, NY: McGraw-Hill; 1998:480-489.
Thursday, January 07, 2010 9:22:52 AM
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