Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED10
MultiStage: No
DXCat Label: Anomaly: Other Congenital Heart Disease Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Tricuspid atresia or truncus arteriosus or Tricuspid atresia [cardiac catheterization report or cardiac surgery report or echocardiogram report] DX 7450, 7453, 7457-7459, 74600-
single ventricle or Ebstein's anomaly or
hypoplastic left heart
OR truncus arteriosus [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
74601, 74609-7462, 7467, 74682,
74684-7469;
OR single ventricle [cardiac catheterization report or cardiac surgery report or echocardiogram
report]
OR Ebstein’s anomaly
OR hypoplastic left ventricle [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
2.01 with hypoxemia Stage 1.01
AND hypoxemia:
3.01 with congestive heart failure Stage 1.01-2.01
AND congestive heart failure:
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
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 + GROUP HYPOXEMIA;
STAGE 1.01-2.01 + (DX 514 OR
GROUP CHF__NON_HTN) ;
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Bernstein D. Cyanotic congenital heart disease: the left to right shunt lesions. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed.
Philadelphia, PA: WB Saunders; 1996:1310-1329.
Freed M. Congenital heart disease: acyanotic and cyanotic. In: Gewitz MH, ed. Primary Pediatric Cardiology. Armonk, NY: Futura; 1995:145-220.
Perloff JK. Ebstein’s anomaly of the tricuspid valve. In: The Clinical Recognition of Congenital Heart Disease. 4th ed. Philadelphia, PA: WB Saunders; 1994:247-272
Perloff JK. The hypoplastic left heart. In: The Clinical Recognition of Congenital Heart Disease. 4th ed. Philadelphia, PA: WB Saunders; 1994:727-737.
Perloff JK. The univentricular heart. In: The Clinical Recognition of Congenital Heart Disease. 4th ed. Philadelphia, PA: WB Saunders; 1994:635-657.
Perloff JK. Tricuspid artresia. In: The Clinical Recognition of Congenital Heart Disease. 4th ed. Philadelphia, PA: WB Saunders; 1994:686-702.
Perloff JK. Truncus arteriosus. In: The Clinical Recognition of Congenital Heart Disease. 4th ed. Philadelphia, PA: WB Saunders; 1994:614-634.
Thursday, January 07, 2010 9:22:56 AM
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