Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: TRA02
MultiStage: No
DXCat Label: Adverse Drug Reactions Specificity: A
Etiology: Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Adverse drug reaction with cutaneous History of ingestion of drug(s) in therapeutic doses
DX 5583, 6923, 52801-52802,
manifestations
OR history of contact with any drug(s) in therapeutic doses
6930;
AND contact dermatitis
(DX 9952-99520, 99522-99523,
OR skin rash
99527-99529, E9300-E9352, E9355-
OR urticaria
E9420, E9422-E9499) + NOT (DX
E8583, E9421);
1.02 with fever Stage 1.01
AND fever:
2.01 with hemolytic anemia Stage 1.01-1.02
AND hemolysis:
2.02 with hepatitis or pancreatitis Stage 1.01-2.01
AND hepatitis:
OR pancreatitis:
2.03 with coagulation defects Stage 1.01-2.02
AND coagulation defect:
2.04 with angioneurotic edema Stage 1.01-2.03
AND angioneurotic edema
2.05 with hypotension Stage 1.01-2.04
AND hypotension:
3.01 with renal failure Stage 1.01-2.05
AND renal failure:
3.02 with hepatic encephalopathy Stage 1.01-3.01
AND hepatic coma:
3.03 with respiratory failure Stage 3.01-3.04
AND coma:
3.04 with ventricular flutter or ventricular Stage 2.01-3.03
fibrillation or "anaphylactic" shock AND ventricular fibrillation
OR ventricular flutter
OR shock:
4.00 with death Stage 2.01-3.04
AND death
STAGE 1.01 + GROUP FEVER;
STAGE 1.01-1.02 + (DX 2820-
2821, 2823, 2827-2829 OR GROUP
ANEM_HEM_ACQ);
STAGE 1.01-2.01 + (DXCAT HEP10
OR DXCAT HEP12);
STAGE 1.01-2.02 + GROUP
COAG_DEFECT;
DX 9951, 99521;
STAGE 1.01-2.04 + GROUP
HYPOTENSION;
STAGE 1.01-2.05 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + GROUP
COMA__HEP;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + (DX 9950, 9994
OR GROUP ARHTHYM_VFIB OR
GROUP SHOCKA);
NO;
Thursday, January 07, 2010 9:23:19 AM
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