Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS02
MultiStage: No
DXCat Label: Amebiasis Specificity: A
Etiology:
Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Asymptomatic Entamoeba histolytica carrier Entamoeba histolytica cysts in stool [stool examination report]
DX V022;
2.01 Entamoeba histolytica colitis Diarrhea with blood
OR guaiac positive stools
AND Entamoeba histolytica cysts or trophozoites in stool [stool examination report]
OR amebiasis [serology test report]
2.02 Entamoeba histolytica dermatitis Stage 2.01
AND Entamoeba histolytica cysts or trophozoites in skin lesions [slide examination report]
2.03 Entamoeba histolytica hepatic abscess Stage 2.01-2.02
AND jaundice:
AND liver abscess [operative/pathology report or sonogram or MRI report or CT scan report or
liver/spleen scan report]
OR amoebic liver abscess [operative/pathology report]
2.04 Entamoeba histolytica lung abscess Stage 2.01-2.03
AND lung abscess [operative/pathology report or sonogram or CT scan report or chest x-ray
report or bronchoscopy report]
OR amoebic lung abscess [operative/pathology report]
2.05 with bowel obstruction Stage 2.01-2.04
AND large bowel obstruction [plain abdomen x-ray report or operative/pathology report]
OR amoeboma [operative/pathology report or barium enema report]
2.06 with perforation or peritonitis Stage 2.01-2.05
AND intestinal perforation [plain abdomen x-ray or operative/pathology report]
OR peritonitis per operative/pathology report
3.01 with meningitis or brain abscess Stage 2.01-3.01
AND meningitis:
OR brain abscess [CT scan report or MRI report or operative/pathology report]
3.02 with sepsis Stage 2.01-2.06
AND sepsis:
3.03 with shock Stage 2.01-3.02
AND shock:
4.00 with death Stage 2.01-3.03
AND death
DX 0060-0062, 0068-0069;
DX 0066;
DX 0063;
DX 0064;
STAGE 2.01-2.04 + DX 56089-5609;
STAGE 2.01-2.05 + (DX 5672-
5679, 56983);
DX 0065;
STAGE 2.01-3.01 + GROUP SEPSIS;
STAGE 2.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:40 AM
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