Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS09
MultiStage: No
DXCat Label: Crohn's Disease Specificity: A
Etiology: Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
2.04 with acute gastrointestinal bleed Stage 1.01-2.03
STAGE 1.01-2.03 + (DX 5693,
AND hematochezia
5781-5789);
AND bleeding:
2.05 with intestinal obstruction Stage 1.01-2.04
AND intestinal obstruction [KUB x-ray reports small bowel or large bowel obstruction
2.06 with intra-abdominal abscess Stage 1.01-2.05
AND intra-abdominal abscess [sonogram report or CT scan report or gallium scan report or
operative/pathology report]
2.07 with perforation of bowel or peritonitis Stage 1.01-2.06
AND free air within peritoneal cavity [KUB x-ray report or chest x-ray report]
OR perforation of the bowel [barium enema report or UGI series reports spilling of
barium into the peritoneal cavity]
OR peritonitis [operative/pathology report]
2.08 with renal or hepatic amyloidosis Stage 1.01-2.07
AND renal amyloidosis [operative/pathology report]
OR hepatic amyloidosis [operative/pathology report]
2.09 with sclerosing cholangitis or cirrhosis of Stage 1.01-2.08
the liver
AND sclerosing cholangitis: fibrosing inflammation of the intrahepatic or extrahepatic
bile ducts [liver biopsy operative/pathology reports sclerosing cholangitis]
OR primary biliary cirrhosis: inflammation of the medium sized bile ducts or portal
triad progressing to periportal fibrosis [liver biopsy operative/pathology reports
primary biliary cirrhosis]
OR micronodular cirrhosis: thin bands of connective tissue within the hepatic
parenchyma with no delineation of hepatic veins or portal spaces [liver biopsy
operative/pathology reports micronodular cirrhosis]
OR macronodular cirrhosis: bands of connective tissue within the hepatic
parenchyma which contain hepatic veins or portal spaces [liver biopsy
operative/pathology reports macronodular cirrhosis]
OR mixed cirrhosis: bands of connective tissue within the hepatic parenchyma with
areas with and without hepatic veins or portal spaces [liver biopsy
operative/pathology reports mixed cirrhosis]
OR cirrhosis: [sonogram report or liver/spleen scan report]
STAGE 1.01-2.04 + (DX 5373,
56089-5609);
STAGE 1.01-2.05 + DX 5672-5679;
STAGE 1.01-2.06 + DX 56983;
STAGE 1.01-2.07 + DX 2773;
STAGE 1.01-2.07 + DX 2773-27739
+ DX 58381 ;
STAGE 1.01-2.08 + (DX 5715-
5716, 5761);
3.01 with sepsis Stage 1.01-2.09
AND sepsis:
3.02 with shock Stage 1.01-3.01
AND shock:
STAGE 1.01-2.09 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Thursday, January 07, 2010 9:21:42 AM
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