Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED14
MultiStage: No
DXCat Label: Anomaly: Transposition of the Great Arteries Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Transposition of the great arteries Transposition of the great arteries [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
DX 74510-74519;
2.01 with ventricular septal defect Stage 1.01
AND ventricular septal defect [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
2.02 with pulmonary stenosis Stage 1.01-2.01
AND pulmonic stenosis [cardiac catheterization report or cardiac surgery report or
echocardiogram report]
2.03 with polycythemia Stage 1.01-2.02
AND polycythemia:
3.01 with pulmonary hypertension Stage 1.01-2.03
AND pulmonary hypertension
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 sepsis Stage 1.01-3.03
AND sepsis:
STAGE 1.01 + DXCAT PED15;
STAGE 1.01-2.01 + DXCAT PED11;
STAGE 1.01-2.02 + DX 7764;
STAGE 1.01-2.03 + (DX 4150,
4160, 4168);
STAGE 1.01-3.01 + GROUP
ENDOCARDITIS;
STAGE 1.01-3.02 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.03 + GROUP SEPSIS;
STAGE 1.01-3.03 + DX 41512;
3.05 with respiratory failure Stage 1.01-3.04
AND respiratory failure:
3.06 with shock Stage 1.01-3.05
AND shock:
4.00 with death Stage 1.01-3.06
AND death
STAGE 1.01-3.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.05 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Bernstein D. Cyanotic congenital heart disease: cyanotic lesions associated with increased pulmonary blood flow. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds.
Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders; 1996:1320--1322.
Freed M. Congenital heart disease: acyanotic and cyanotic. In: Gewitz MH, ed. Primary Pediatric Cardiology. Armonk, NY: Futura; 1995:145-220.
Perloff JK. Complete transposition of the great arteries. In: The Clinical Recognition of Congenital Heart Disease. 4th ed. Philadelphia, PA: WB Saunders; 1994:658-685.
Perloff JK. Survival patterns without cardiac surgery or interventional catheterization: a narrowing base. In: Perloff JK and Child JS. Congenital Heart Disease in Adults. 2nd ed.
Philadelphia, PA: WB Saunders; 1998:15-52.
Wolfe RR, Boucek M, Schaffer MS, and Wiggins, JW. Cyanotic heart disease: complete transposition of the great arteries. In: Hay WW, Groosthius JR, Hayward AR, Levin MJ,
eds. Current Pediatric Diagnosis and Treatment. 13th ed. Stamford, CT: Appleton & Lange; 1997:511-512.
Thursday, January 07, 2010 9:22:57 AM
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