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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: PED05<br />

MultiStage: No<br />

DXCat Label: Anomaly: Congenital Megacolon Specificity: A<br />

Etiology: Congenital<br />

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

1.01 Congenital megacolon Congenital megacolon [rectal biopsy report or barium enema report]<br />

DX 7513;<br />

OR absence of colonic ganglion cells [operative/pathology report]<br />

2.01 with toxic enterocolitis or dehydration or Stage 1.01<br />

STAGE 1.01 + (GROUP<br />

electrolyte imbalance<br />

AND watery stools with movements ≥ 5 times a day<br />

DEHYDRATION OR GROUP<br />

OR dehydration:<br />

HYPR_NATREM OR GROUP<br />

OR hypernatremia:<br />

HYPER_KALEM OR DX 5582);<br />

OR hyperkalemia:<br />

2.02 with peritonitis Stage 1.01-2.01<br />

AND peritonitis [operative/pathology report]<br />

3.01 with sepsis Stage 1.01-2.02<br />

AND sepsis:<br />

3.02 with shock Stage 1.01-3.01<br />

AND shock:<br />

4.00 with death Stage 1.01-3.02<br />

AND death<br />

References:<br />

STAGE 1.01-2.01 + (DX 5670-<br />

5679, 56983, 7776);<br />

STAGE 1.01-2.02 + GROUP SEPSIS;<br />

STAGE 1.01-3.01 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

Eng C. Seminars in medicine of the Beth Israel Hospital, Boston. The RET proto-oncogene in multiple endocrine neoplasia type 2 and Hirschsprung's disease. N Engl J Med.<br />

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Holmes SJK. Emergencies in the newborn. In: Ellis BW, Paterson-Brown, S, eds. Hamilton Bailey’s Emergency Surgery. 12th ed. Butterworth-Heonemann. 1995;530-550.<br />

Isselbacher KJ, Epstein A. Diverticular, vascular, and other disorders of the intestine and peritoneum. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL,<br />

Hauser SL, Longo, DL, eds. Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998;1648-1656.<br />

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Moore T. Hirschsprung’s disease. In: Austin, ed. Challenges in Pediatric Surgery. RG Landes Company. 1994;27-32.<br />

Puri P. Hirschsprung <strong>Disease</strong>. In: Oldham TK, Colombani MP, Foglia PR, eds. Surgery of Infants and Children. Lippincott-Raven. 1997;1277-1299.<br />

Robertson K. Mason I. Hall S. Hirschsprung's disease: genetic mutations in mice and men. Gut. 1997;41(4):436-441.<br />

Rowe M, O’Neill J, Grosfeld J, Fonkalsrud E, Coran A. Hirschsprung’s disease. In: Mosby, ed. Essentials of Pediatric Surgery. 1995;586-595.<br />

Sullivan PB. Hirschprung's disease. Archives of <strong>Disease</strong> in Childhood. 1996;74(1):5-7.<br />

NO;<br />

Thursday, January 07, 2010 9:22:55 AM<br />

©2010 Thomson Reuters. All rights reserved.

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