Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED02
MultiStage: No
DXCat Label: Anomaly: Atrial Septal Defect Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01
1.02
Atrial septal defect secundum
Atrial septal defect primum
Atrial septal defect secundum [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
Atrial septal defect primum [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
DX 7455;
DX 74561;
2.01 with atrial fibrillation or atrial flutter or Stage 1.01-1.02
reentrant atrial tachycardia
AND atrial fibrillation [EKG report]
OR atrial flutter [EKG report]
OR re-entrant atrial tachycardia [EKG report]
2.02 with mitral regurgitation Stage 1.01-2.01
AND mitral regurgitation [echocardiogram report or cardiac catheterization report or cardiac
surgery report]
3.01 with pulmonary hypertension Stage 1.01-2.02
AND pulmonary hypertension:
3.02 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.03 with respiratory failure Stage 1.01-3.02
AND respiratory failure:
3.04 with shock Stage 1.01-3.03
AND shock:
4.00 with death Stage 1.01-3.04
AND death
STAGE 1.01-1.02 + (DX 42731,
42732, 42789);
STAGE 1.01-2.01 + DX 7466;
STAGE 1.01-2.02 + (DX 4150,
4160, 4168);
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:54 AM
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