Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS06
MultiStage: No
DXCat Label: Celiac Disease Specificity: A
Etiology: Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Celiac disease or gluten enteropathy History of diet containing gluten
DX 5790;
AND absence of jejunal villi [operative/pathology report or biopsy report]
AND jejunal crypt hyperplasia
1.02 with malnutrition Stage 1.01
STAGE 1.01 + DX 260-2639;
AND body weight ≤ 85% of ideal body weight
OR hypoalbuminemia:
2.01 with anemia Stage 1.01-1.02
AND anemia:
2.02 with non-Hodgkin's lymphoma or
esophageal Ca
Stage 1.01-2.01
AND non-Hodgkin's lymphoma [operative/pathology report or biopsy report]
OR esophageal carcinoma [operative/pathology report or biopsy report]
STAGE 1.01-1.02 + (GROUP
ANEM_CON_HEM OR GROUP
ANEM_APLAST OR GROUP
ANEM_DEF_B12 OR GROUP
ANEM_DEF_FE OR GROUP
ANEM_DEF_FOL OR GROUP
ANEM_DEF_OTH OR GROUP
ANEM_ESRD OR GROUP
ANEM_HEM_ACQ OR GROUP
ANEM_NEOPL OR GROUP
ANEM_OTH_CHR OR GROUP
ANEM_OTH_UN);
STAGE 1.01-2.01 + (DXCAT GIS28
OR DXCAT HEM23 OR DXCAT
HEM24 OR DXCAT HEM27 OR
DXCAT HEM29 OR DXCAT HEM31
OR DXCAT HEM22);
2.03 with intestinal obstruction Stage 1.01-2.02
AND small bowel obstruction [KUB x-ray report]
3.01 with CHF Stage 1.01-2.03
AND congestive heart failure:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 1.01-3.02
AND death
STAGE 1.01-2.02 + (DX 5373,
5609);
STAGE 1.01-2.03 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:41 AM
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