Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: TRA08
MultiStage: No
DXCat Label: Lead Poisoning Specificity: A
Etiology: Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Lead poisoning Blood lead level > 10mcg/dl [chemistry report]
AND Blood lead level ≤ 19mcg/dl [chemistry report]
1.02 with blood lead level 20-44 mcg/dl Blood lead level ≥ 20mcg/dl [chemistry report]
AND Blood lead level ≤ 44mcg/dl [chemistry report]
1.03 with blood lead level 45-69 mcg/dl Blood lead level ≥ 45mcg/dl [chemistry report]
AND Blood lead level ≤ 69mcg/dl [chemistry report]
1.04 with blood lead level ≥70 mcg/dl Blood lead level ≥ 70mcg/dl [chemistry report]
2.01 Symptomatic lead poisoning Stage 1.01-1.04
AND abdominal pain
OR constipation
OR peripheral neuropathy at age ≥ 16 years
DX 9840-9849, 9851, 9612, E857,
E8615, E8621, E8634, E8635,
E8660;
NO;
NO;
NO;
STAGE 1.01 + (DX 33811, 33821,
56400-56409, 78900-78907,
78909, 7897);
STAGE 1.01 + DX 3577 + AGE 16-
124;
2.02 with permanent neurologic deficits Stage 1.01-2.01
AND mental retardation:
OR persistence of seizure disorder with normalization of blood lead levels
OR developmental regression
3.01 with encephalopathy Stage 1.01-2.02
AND persistent vomiting
OR seizures
OR disorientation:
OR coma:
4.00 with death Stage 1.01-3.01
AND death
STAGE 1.01-2.01 + (DX 78039 OR
DXCAT NEU15);
STAGE 1.01-2.02 + (GROUP COMA
OR GROUP DISORIENT OR GROUP
ENCEPHALO);
NO;
Thursday, January 07, 2010 9:23:21 AM
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