Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED23
MultiStage: No
DXCat Label: Neonatal Necrotizing Enterocolitis Specificity: A
Etiology: Congenital
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Necrotizing enterocolitis Neonate
DX 7775-77752;
AND temperature instability
OR apnea:
OR bradycardia:
AND feeding problems
AND abdominal distention and absent bowel sounds
OR ileus [x-ray report]
AND abdominal tenderness
AND blood in the stool
AND pneumatosis intestinalis [x-ray report of abdomen]
2.01 with localized peritonitis Stage 1.01
AND abdominal cellulitis
AND RLQ mass
AND portal vein gas [x-ray report of ultrasound of the abdomen]
2.02 with stricture of the bowel Stage 1.01-2.01
AND abdominal distention 2-3 weeks after recovery from acute necrotizing enterocolitis
AND stricture of bowel [report of barium enema]
2.03 with generalized peritonitis Stage 1.01-2.02
AND peritonitis:
2.04 with bowel perforation Stage 1.01-2.03
AND pneumoperitoneum [x-ray report]
3.01 with sepsis Stage 1.01-2.04
AND sepsis, infant:
3.02 with DIC Stage 1.01-3.01
AND DIC:
3.03 with shock Stage 1.01-3.02
AND shock:
4.00 with death Stage 1.01-3.03
AND death
STAGE 1.01 + (DX 5672-5679,
7776);
DX 77753;
STAGE 1.01-2.01 + (DX 56089,
5609, 5373, 7511, 7512);
NO;
STAGE 1.01-2.02 + DX 56983;
STAGE 1.01-2.04 + GROUP SEPSIS;
STAGE 1.01-3.01 + GROUP DIC;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:23:00 AM
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