Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END11
MultiStage: No
DXCat Label: Neoplasm, Benign: Acromegaly Specificity: A
Etiology:
Congenital; Neoplasm; Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Acromegaly Pituitary adenoma [CT scan, MRI or operative/pathology report]
DX 2530;
AND gigantism
OR acromegaly
OR oral glucose suppression test of 100gms shows growth hormone excess
> 10ug/L
OR serum insulin-like growth factor-1 level > normal for age [chemistry report]
OR serum somatomedin C > normal for age[chemistry report]
1.02 with osteoarthritis or carpal tunnel
syndrome
Stage 1.01
AND osteoarthritis [joint x-ray report]
OR carpal tunnel syndrome
2.01 with hypertension Stage 1.01-1.02
AND hypertension:
2.02 with diabetes mellitus Stage 1.01-2.01
AND diabetes mellitus:
2.03 with thyroid dysfunction Stage 1.01-2.02
AND hyperthyroidism:
OR hypothyroidism:
3.01 with myocardial infarction Stage 1.01-2.03
AND acute myocardial infarction:
3.02 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.03 with new cerebrovascular accident Stage 1.01-3.02
AND new intracranial infarction [CT scan or MRI report ]
OR new intracranial hemorrhage [CT scan or MRI report]
3.04 with sepsis Stage 3.01-3.03
AND sepsis:
3.05 with respiratory failure Stage 3.01-3.03
AND respiratory failure:
3.06 with shock Stage 1.01-3.04
AND shock:
4.00 with death Stage 2.1-3.5
AND death
STAGE 1.01 + (DXCAT MUS34 OR
DX 3383, 3540);
STAGE 1.01-1.02 + DXCAT CVS13;
STAGE 1.01-2.01 + (DXCAT END04
OR DXCAT END05);
STAGE 1.01-2.02 + (DXCAT END07
OR DXCAT END09);
STAGE 1.01-2.03 + GROUP AMI;
STAGE 1.01-3.01 + (GROUP
CHF__HTNIVE OR GROUP
CHF__NON_HTN);
STAGE 1.01-3.02 + (DX 430-4329,
43301, 43311, 43321, 43331,
43381, 43391, 43401, 43411,
43491, 436);
STAGE 3.03 + GROUP SEPSIS;
STAGE 1.01-3.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.05 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:26 AM
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