Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS08
MultiStage: No
DXCat Label: Clostridium difficile Colitis Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Asymptomatic Clostridium difficile Clostridium difficile toxin [stool examination report]
DX 00845;
2.01 Clostridium difficile colitis with bleeding Stage 1.01
STAGE 1.01 + (DX 5693, 5781-
AND diarrhea with blood
5789);
OR guaiac positive stools
2.02 with bowel obstruction Stage 2.01
AND large bowel obstruction [plain abdomen x-ray report or operative/pathology report]
OR amoeboma [operative/pathology report or barium enema report]
2.03 with perforation or peritonitis Stage 2.01-2.02
AND intestinal perforation [plain abdomen x-ray or operative/pathology report]
OR peritonitis per operative/pathology report
3.01 with sepsis Stage 2.01-2.03
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.03
AND death
References:
Fekety R, et al. Diagnosis and treatment of Clostridium difficile colitis. JAMA. 1993;269-271.
Shim J, Johnson S, et al. Primary symptomless colonization by Clostridium difficile and decreased risk of subsequent diarrhea. Lancet. 1998;351:633-636.
STAGE 1.01-2.01 + (DX 5373,
56089-5609);
STAGE 1.01-2.02 + (DX 5672-
5679, 56983);
STAGE 1.01-2.03 + (DX 0383,
0388-0389);
STAGE 2.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:42 AM
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