3701-57-02 Reporting requirements.

(A) Each physician, hospital and freestanding birthing center shall report to the birth defects information system information concerning all fetal death and children from birth to five years of age with any of the following abnormal conditions, birth defects and congenital abnormalities:

(1) Central nervous system disorders:

(a) Anencephalus, with "ICD-9-CM" codes 740.0 to 740.1 ;

(b) Spina bifida without anencephalus, with "ICD-9-CM" codes 741.0, 741.9, without 740.0 to 740.1 ;

(c) Hydrocephalus without Spina bifida, with "ICD-9-CM" codes 742.3, without 741.0, 741.9 ;

(d) Encephalocele, with "ICD-9-CM" code 742.0 ; and

(e) Microcephalus, with "ICD-9-CM" code 742.1 ;

(2) Eye and ear disorders:

(a) Anophthalmia/microphthalmia, with "ICD-9-CM" codes 743.0, 743.1 ;

(b) Congenital cataract, with "ICD-9-CM" codes 743.30 - 743.34 ;

(c) Aniridia, with "ICD-9-CM" code 743.45 ; and

(d) Anotia/microtia, with "ICD-9-CM" codes 744.01, 744.23 ;

(3) Cardiovascular disorders:

(a) Common truncus, with "ICD-9-CM" code 745.0 ;

(b) Transposition of great arteries, with "ICD-9-CM" codes 745.1, 745.11, 745.12, 745.19 ;

(c) Tetraology of fallot, with "ICD-9-CM" code 745.2 ;

(d) Ventricular septal defect, with "ICD-9-CM" code 745.4 ;

(e) Atrial septal defect, with "ICD-9-CM" code 745.5 ;

(f) Endocardial cushion defect, with "ICD-9-CM" codes 745.60, 745.61, 745.69 ;

(g) Pulmonary valve atresia and stenosis, with "ICD-9-CM" codes 746.01, 746.02 ;

(h) Tricuspid valve atresia and stenosis, with "ICD-9-CM" code 746.1 ;

(i) Ebstein anomaly, with "ICD-9-CM" code 746.2 ; (j) Aortic valve stenosis, with "ICD-9-CM" code 746.3 ;

(k) Hypoplastic left heart syndrome, with "ICD-9-CM" code 746.7 ; and

(l) Coarctation of aorta, with "ICD-9-CM" code 747.10 ;

(4) Orofacial disorders:

(a) Cleft palate without cleft lip, with "ICD-9-CM" code 749.0 ;

(b) Cleft lip with and without cleft palate, with "ICD-9-CM" codes 749.1, 749.2 ; and

(c) Choanal atresia, with "ICD-9-CM" code 748.0 ;

(5) Gastrointestinal disorders:

(a) Esophageal atresia/tracheoeesophageal fistula, with "ICD-9-CM" code 750.3 ;

(b) Rectal and large intestinal atresia/stenosis, with "ICD-9-CM" code 751.2 ;

(c) Hirshsprung diease (congenital megacolon), with "ICD-9-CM" code 751.3 ; and

(d) Biliary atresia, with "ICD-9-CM" code 751.61 ;

(6) Genitourinary disorders:

(a) Renal agenesis/hypoplasia, with "ICD-9-CM" code 753.0 ;

(b) Bladder exstrophy, with "ICD-9-CM" code 753.5 ;

(c) Obstructive genitourinary defect, with "ICD-9-CM" codes 753.2, 753.6 ; and

(d) Hypospadias and epispadias, with "ICD-9-CM" codes 752.61, 752.62 ;

(7) Musculosketal disorders:

(a) Reduction deformity, upper limbs, with "ICD-9-CM" codes 755.20 to 755.29 ;

(b) Reduction deformity, lower limbs, with "ICD-9-CM" codes 755.30 to 755.39 ;

(c) Gastroschisis, with "ICD-9-CM" code 756.79 ;

(d) Omphalocele, with "ICD-9-CM" code 756.79 ;

(e) Congenital hip dislocation, with "ICD-9-CM" codes 754.30, 754.31, 754.35 ; and

(f) Diaphragmatic hernia, with "ICD-9-CM" code 756.6 ;

(8) Chromosomal disorders:

(a) Trisomy 13, with "ICD-9-CM" code 758.1 ;

(b) Down syndrome (Trisomy 21), with "ICD-9-CM" code 758.0 ; and (c) Trisomy 18, with "ICD-9-CM" code 758.2 ;

(9) Other disorders:

(a) Fetal alcohol syndrome, with "ICD-9-CM" code 760.71 ;

(b) Amniotic bands with "ICD-9-CM" code 762.8 ;

(c) Long QT syndrome (Romano-Ward syndrome), Jervell-Lange-Nielsen syndrome, with "ICD-9-CM" code 426.82 ;

(d) Velo-cardio-facial syndrome (22q11 deletion), with "ICD-9-CM" code 758.32 ;

(e) Achondroplasia, with "ICD-9-CM" code 756.4 ;

(f) Albinism, with "ICD-9-CM" code 270.2 ;

(g) Hemihypertrophy, with "ICD-9-CM" code 759.89 ;

(h) Duchenne muscular dystrophy, with "ICD-9-CM" code 359.1 :

(i) Hemophilia type A with ICD-9-CM code 286.0 and type B with "ICD-9-CM" code 286.1 ;

(j) Neurofibromatosis type 1 with "ICD-9-CM" code 237.7 ;

(k) Spinal muscular atrophy, with "ICD-9-CM" code 728.2 ;

(l) Tuberous sclerosis, with "ICD-9-CM" code 759.5 ;

(m) Turner syndrome, with "ICD-9-CM" code 758.60 ; and

(n) Williams syndrome, with "ICD-9-CM" code 758.9 ;

(10) Disorders related to newborn hearing loss:

(a) Alport syndrome and CHARGE association, with "ICD-9-CM" code 759.89 ;

(b) Pendred sydnrome, with "ICD-9-CM" code 243;

(c) Stickler syndrome, Treacher Collins syndrome, Pierre Robin syndrome, Goldenhar syndrome, with "ICD-9-CM" code 756.0 ;

(d) Usher syndrome, with "ICD-9-CM" code 694.4 ;

(e) Mitochondrial (MELAS/MERRF) syndrome, with "ICD-9-CM" code 277.87 ;

(f) Norrie syndrome, with "ICD-9-CM" code 759.81 ; and

(g) Osteogenesis imperfecta, with "ICD-9-CM" code 756.51.

(B) Each physician, hospital and freestanding birthing center shall report cases as described in paragraph (A) of this rule in an electronic or written format as prescribed by the director. The report shall contain information regarding the child which includes:

(1) Child's name (first, middle, last, suffix);

(2) Child's county of residence;

(3) Child's address (street, city, state, zip code);

(4) Phone number of child's guardian (area code and number);

(5) Guardian name if different than child's mother;

(6) Child's date of birth;

(7) Child's gender;

(8) Child's race;

(9) Child's Hispanic ethnicity;

(10) Date of diagnosis of birth defect(s), syndrome, or disorder;

(11) Text description of birth defect(s), syndrome, or disorder;

(12) Child's birth plurality, birth order;

(13) "ICD-9-CM" code, if applicable;

(14) Child's date of death, if applicable;

(15) Child's underlying cause of death, if applicable;

(16) Mother's name (first, maiden, last);

(17) Mother's date of birth;

(18) Mother's race;

(19) Mother's Hispanic ethnicity;

(20) Reporter contact information (name, facility, phone number); and

(21) Date of report.

(C) Each physician, hospital and freestanding birthing center shall report to the Ohio department of health on a monthly basis, all new cases within two months (sixty days) from the date of diagnosis unless the physician, hospital, or freestanding birthing center has evidence that the case has already been reported.

(D) All physicians, hospitals and freestanding birthing centers providing diagnostic or treatment services to individuals with birth defects as specified in paragraph (A) of this rule shall grant to the director, or those representatives authorized in accordance with division (C) of section 3705.32 of the Revised Code, access to records that identify cases of birth defects.

(E) A physician, hospital, or freestanding birthing center is not subject to liability in an action for damages, or other relief for furnishing the information including records, reports, statements, notes, memoranda or other information to the director as required by this rule, or to a qualified person or governmental entity authorized by division (C) of section 3705.32 of the Revised Code.

(F) The director shall establish a form for use by parents and legal guardians who seek to have identifying information regarding their children removed from the birth defects information system. The director shall make the form available to hospitals, local health departments and physicians.

(G) The director shall make available to the state's birth defects information system, the same information listed in paragraph (B) of this rule for newborns diagnosed with disorders on the state's mandated newborn screening panel listed in rule 3701-55-02 of the Administrative Code.

Effective: 11/01/2010
R.C. 119.032 review dates: 06/09/2010 and 06/01/2015
Promulgated Under: 119.03
Statutory Authority: 3705.30, 3705.35
Rule Amplifies: 3705.30, 3705.31, 3705.33, 3705.35
Prior Effective Dates: 6/3/2005