Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED17
MultiStage: No
DXCat Label: Cytomegalovirus Disease (Congenital) Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
2.08 with anemia Stage 2.01-2.07
AND anemia:
2.09 with thrombocytopenia Stage 2.01-2.08
AND thrombocytopenia:
2.10 with microcephaly Stage 1.01-2.09
AND head circumference < 10 th percentile for gestational age
2.11 with seizures Stage 2.01-2.10
AND seizures [EEG report]
2.12 with mental retardation Stage 1.01-2.11
AND mental retardation:
3.01 with glomerulopathy or renal failure Stage 2.01-2.13
AND renal failure:
3.02 with meningoencephalitis Stage 2.01-3.01
AND aseptic meningitis:
3.03 with respiratory failure Stage 2.01-3.02
AND respiratory failure:
3.04 with coma Stage 1.02-3.03
AND coma:
3.05 with shock Stage 1.02-3.04
AND shock:
4.00 with death Stage 2.01-3.05
AND death
STAGE 1.01-2.07 + (GROUP
ANEM_HEM_ACQ OR GROUP
ANEM_CON_HEM OR GROUP
ANEM_OTH_UN OR GROUP
ANEM_DEF_B12 OR GROUP
ANEM_DEF_FE OR GROUP
ANEM_DEF_FOL OR GROUP
ANEM_DEF_OTH);
STAGE 1.01-2.08 + GROUP
THRMBCYTPEN;
STAGE 1.01-2.09 + DX 7421;
STAGE 1.01-2.10 + DX 7790;
STAGE 1.01-2.11 + DXCAT NEU15;
STAGE 1.01-2.12 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + DXCAT NEU13;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + GROUP COMA;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:58 AM
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