Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes DXCat Number: PED19 MultiStage: No DXCat Label: Full Term Infant with Abnormal Birth Weight Specificity: A Etiology: Congenital Stage Description Diagnostic findings ICD-9-CM Codes 1.01 Full term infant, large for gestational age Infant ≥ 38 weeks and ≤ 42 weeks gestational age DX 7660; AND birth weight ≥ 90th percentile for gestational age DX V3000-V392 + DX 7660; 1.02 Full term infant, small for gestational age, Infant ≥ 38 weeks and ≤ 42 weeks gestational age DX 76400-76419, 76490-76499; with asymmetric intrauterine growth AND birth weight < 10th percentile for gestational age DX V3000-V392 + (DX 76400- retardation AND head circumference > 10th percentile for gestational age 76419, 76490-76499); 1.03 Full term infant, small for gestational age, with symmetric intrauterine growth retardation Infant ≥ 38 weeks and ≤ 42 weeks gestational age AND birth weight < 10th percentile for gestational age AND head circumference < 10th percentile for gestational age 2.01 with hypocalcemia Stage 1.01-1.03 AND hypocalcemia: 2.02 with hypoglycemia Stage 1.01-2.01 AND hypoglycemia: 2.03 with hyperbilirubinemia Stage 1.01-2.02 AND Infants < 1 day old total serum bilirubin 8.0 mg/dl [chemistry report] OR Infants 1-2 days old total serum bilirubin ≥ 12mg/dl [chemistry report] OR Infants 2-5 days old total serum bilirubin ≥ 16mg/dl [chemistry report] OR Infants > 5 days old total serum bilirubin ≥ 2mg/dl [chemistry report] 2.04 with polycythemia Stage 1.01-2.03 AND Central hematocrit > 65% 2.05 with seizures Stage 1.01-2.04 AND seizures 3.01 with persistent pulmonary hypertension Stage 1.01-2.05 AND Right to left shunting through a patent ductus arteriosus or patent foramen ovale [ultrasound report] AND PaO2 < 60mmHg unresponsive to 100% O2 OR PaO2 gradient between the radial artery and the umbilical artery > 20mmHg [ABG report] AND normal pCO2 [ABG report] NO; STAGE 1.01-1.02 + GROUP HYPOCALCEMIA; STAGE 1.01-2.01 + GROUP HYPOGLYCEMIA; STAGE 1.01-2.02 + GROUP HYPERBILI; STAGE 1.01-2.03 + DX 7764; STAGE 1.01-2.04 + DX 7790; STAGE 1.01-2.05 + (DX 4150, 4160, 4168); 3.02 with heart failure Stage 1.01-3.01 congestive heart failure: 3.03 with respiratory failure Stage 1.01-3.02 AND respiratory failure: STAGE 1.01-3.01 + GROUP CHF__NON_HTN; STAGE 1.01-3.02 + GROUP RESP_FAIL; Thursday, January 07, 2010 9:22:59 AM ©2010 Thomson Reuters. All rights reserved.
Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes DXCat Number: PED19 MultiStage: No DXCat Label: Full Term Infant with Abnormal Birth Weight Specificity: A Etiology: Congenital Stage Description Diagnostic findings ICD-9-CM Codes 3.04 with asphyxia Stage 1.01-3.03 STAGE 1.01-3.03 + (DX 7680- AND asphyxia 7689, 77088, 79901); AND ph < 7.0 on umbilical artery sample [chemistry report] AND Apgar score 0-3 for > 5 minutes AND seizures OR hypotonia OR congestive heart failure: AND multiple organ dysfunction (cardiovascular, GI, hematologic, pulmonary or renal) 3.05 with coma Stage 1.01-3.04 AND coma: 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 COMA; STAGE 1.01-3.05 + (GROUP SHOCKC OR GROUP SHOCKN) ; NO; References: Academy of Pediatrics. Use and abuse of the Apgar score. Pediatrics. 1996;98(1):141-142. DeWayne MP, Cloherty JP. Identifying the high-risk infant. In: Cloherty JP and Stark AR, eds. Manual of Neonatal Care. 4th ed. Philadelphia, PA: Lippincott-Raven; 1998:37-51. Goorin AM. Polycythemia. In: Cloherty JP and Stark AR, eds. Manual of Neonatal Care. 4th ed. Philadelphia, PA: Lippincott-Raven; 1998:466-470. Kleigman RM. The fetus and the neonatal infant. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders; 1996:431-513. Phibbs RH. Neonatal polycythemia. In: Rudolph AM, Hoffman JIE , Rudolph CD and Sagan P, eds. Rudolf's Pediatrics. 20th ed. Stamford CT: Appleton & Lange; 1996:252-255. Thursday, January 07, 2010 9:22:59 AM ©2010 Thomson Reuters. All rights reserved.
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Disease Staging: Clinical and Coded
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Copyright © 1999-2010 Thomson Reut
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present edition, are documented in
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Salvatore Mangione, M.D. Associate
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Bryce Templeton, M.D. Professor of
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acterial meningitis). And some may
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substage level. Different integer s
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choose to undergo an elective surgi
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Disease Staging can also be used as
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may occur? Does this vary depending
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16. Taroni F, Repetto F, Louis DZ e
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References 1. Nuland SB. Doctors: T
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Clinical Criteria with Description,
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Acute renal failure: Onset within o
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Anemia: Hemoglobin Decreased: Cord
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Aspartate aminotransferase, serum (
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Chronic renal failure: Small kidney
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Convalescent/Acute Phase serology:
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CSF Reference values: CSF Cell coun
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Down’s syndrome: Cytogenetics rep
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Fractional excretion of sodium (FEN
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Hepatitis: Serum bilirubin > 3 mg/d
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Hypernatremia: Increased: Serum sod
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Hypoxemia: pO2 < 60 mmHg with patie
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Lipase, serum: Increased: Serum lip
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Myocardial infarction, acute (AMI):
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Pneumonia: New pulmonary infiltrate
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Rheumatoid arthritis: Five of the f
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Sepsis: Sepsis syndrome OR Viremia:
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Thrombocytopenia: Decreased: Platel
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Vitamin B 12 binding capacity, unsa
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Disease staging: CliniCal anD CoDeD Criteria - HCUP

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