Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END15
MultiStage: No
DXCat Label: Neoplasm: Pheochromocytoma Specificity: A
Etiology:
Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Adrenal pheochromocytoma Adrenal pheochromocytoma [operative/pathology report]
Presumptive Diagnostic Findings:
total urinary metanephrines ≥ 2.2 ug/mg creatinine/24 hrs.
DX 1940;
OR urinary VMA ≥ 5.5 ug/mg creatinine/24 hrs.
OR pheochromocytoma [metaiodobenzylguanidine scintiscan report]
AND paroxysmal headache
OR paroxysmal palpitations
OR paroxysmal profuse sweating
1.02 Extra-adrenal pheochromocytoma Celiac pheochromocytoma [operative/pathology report]
OR superior mesenteric pheochromocytoma [operative/pathology report]
OR inferior mesenteric pheochromocytoma [operative/pathology report]
OR urinary bladder pheochromocytoma [operative/pathology report]
OR sympathetic ganglia pheochromocytoma [operative/pathology report]
OR extracranial branches of IX or X cranial nerve pheochromocytoma
[operative/pathology report]
DX 1580-1588, 1710-1719;
Presumptive Diagnostic Findings:
total urinary metanephrines ≥ 2.2 ug/mg creatinine/24 hrs.
OR urinary VMA ≥ 5.5 ug/mg creatinine/24 hrs.
OR pheochromocytoma [metaiodobenzylguanidine scintiscan report]
AND paroxysmal headache
OR paroxysmal palpitations
OR paroxysmal profuse sweating
1.03 with hypertension Stage 1.01-1.02
AND hypertension:
2.01 with impaired glucose tolerance Stage 1.01-1.02
AND impaired glucose tolerance
OR 2 hour post prandial glucose > 140 and < 200 mg/dl under the World Health
Organization protocol for oral glucose tolerance test using 75g anhydrous glucose
in water
2.02 with bundle branch block Stage 1.01-2.01
AND right bundle branch block [EKG report]
OR left bundle branch block [EKG report]
OR interventricular conduction defect [EKG report
STAGE 1.01-1.02 + GROUP
HYPERTENSION;
STAGE 1.01-1.03 + DX 7902-79029;
STAGE 1.01-2.01 + GROUP
COND_BBBS;
Thursday, January 07, 2010 9:21:27 AM
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