Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED12
MultiStage: No
DXCat Label: Anomaly: Tetralogy of Fallot Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Tetralogy of Fallot Tetralogy of Fallot [cardiac catheterization report or cardiac surgery report]
DX 7452;
2.01 with hypercarbia Stage 1.01
AND hypercarbia:
2.02 with anemia Stage 1.01-2.01
AND anemia:
2.03 with polycythemia Stage 1.01-2.02
AND polycythemia:
2.04 with aortic stenosis Stage 1.01-2.03
AND aortic stenosis [echocardiogram report or cardiac surgery report]
2.05 with aortic regurgitation Stage 1.01-2.04
AND aortic regurgitation [echocardiogram report or cardiac surgery report]
3.01 with brain abscess Stage 1.01-2.05
AND brain abscess [CT report or MRI report or op/.path report]
3.02 with infectious endocarditis Stage 1.01-3.01
AND infectious endocarditis:
3.03 with congestive heart failure Stage 1.01-3.02
AND congestive heart failure:
3.04 with cerebrovascular accident Stage 1.01-3.01
AND cerebrovascular accident [CT report or MRI report or op/path report]
STAGE 1.01 + (DX 2764, 7708,
78609);
STAGE 1.01-2.01 + (GROUP
ANEM_OTH_UN OR GROUP
ANEM_APLAST OR DXCAT HEM03
OR DXCAT HEM05 OR DXCAT
HEM06 OR DXCAT HEM07 OR
DXCAT HEM08 OR DX 2820-2821,
2823, 2827-2829 OR GROUP
ANEM_HEM_ACQ);
STAGE 1.01-2.02 + DX 7764;
STAGE 1.01-2.03 + DX 7463;
STAGE 1.01-2.04 + DX 7464;
STAGE 1.01-2.06 + DX 3240;
STAGE 1.01-3.01 + GROUP
ENDOCARDITIS;
STAGE 1.01-3.02 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.03 + (DX 430-4329,
43301, 43311, 43321, 43331,
43381, 43391, 43401, 43411,
43491, 436, 77210-77214);
3.05 with sepsis Stage 1.01-3.04
AND sepsis:
3.06 with respiratory failure Stage 1.01-3.05
AND respiratory failure:
3.07 with shock Stage 1.01-3.06
AND shock:
4.00 with death Stage 1.01-3.07
AND death
STAGE 1.01-3.04 + GROUP SEPSIS;
STAGE 1.01-3.05 + GROUP
RESP_FAIL;
STAGE 1.01-3.06 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:57 AM
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