Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED22
MultiStage: No
DXCat Label: Meconium Aspiration Syndrome Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
3.06 with asphyxia Stage 2.01-3.05
STAGE 1.01-3.05 + (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 Stage 3.2
AND multiple organ dysfunction (cardiovascular, GI, hematologic, pulmonary or renal)
3.07 with coma Stage 2.01-3.06
AND coma:
3.08 with shock Stage 2.01-3.07
AND shock:
4.00 with death Stage 2.01-3.08
AND death
STAGE 1.02-3.06 + GROUP COMA;
STAGE 1.02-3.07 + GROUP
SHOCKA;
NO;
References:
Academy of Pediatrics. Use and abuse of the Apgar score. Pediatrics. 1996; 98(1):141-142.
Bone RC et al. Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. Chest. 1992;101(6):1644-1655.
Eichenwald EC. Meconium Aspiration. In: Cloherty JP and Stark AR, eds. Manual of Neonatal Care. 4th ed. Philadelphia, PA: Lippincott-Raven; 1998:388-391.
Hansen T, Corbet A. Disorders of transition. In: Taeusch HW and Ballard RA, eds. Avery's Diseases of the Newborn. 7th ed. Philadelphia, PA: WB Saunders, 1998:602-629.
Kliegman RM. Respiratory tract disorders. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia: WB Saunders,
1996:476-490.
Moore TR, Roberts D. Intrapartum fetal management. In: Taeusch HW and Ballard RA, eds. Avery's Diseases of the Newborn. 7th ed. Philadelphia, PA: WB Saunders, 1998:154-
166.
Prouix F, Fayon M, Farrell CA, Lacroix J, Gauthier M. Epidemiology of sepsis and multiple organ dysfunction syndrome in children. Chest. 1996;109(4):1033-1037.
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