Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS10
MultiStage: No
DXCat Label: Diverticular Disease Specificity: A
Etiology: Degenerative
Stage Description Diagnostic findings ICD-9-CM Codes
1.01
1.02
Diverticulosis
Diverticulitis
Diverticulosis [operative/pathology report or barium enema report or colonoscopy report or CT scan
report]
Stage 1.01
DX 56200, 56210;
DX 56201, 56211;
AND diverticulitis [operative/pathology report or barium enema report or colonoscopy report]
2.01 with lower gastrointestinal bleeding Stage 1.01-1.02
AND bleeding diverticulum [colonoscopy report or bleeding scan or angiography report
or operative/pathology report]
OR bleeding:
2.02 with fistula Stage 1.01-2.01
AND fistula from diverticulum [colonoscopy report or barium enema report]
2.03 with obstruction Stage 1.01-2.02
AND large bowel obstruction [operative/pathology report or KUB x-ray report]
2.04 with intra-abdominal abscess Stage 1.01-2.03
AND diverticular disease and intra-abdominal abscess operative/pathology report
or CT scan report ]
2.05 with generalized peritonitis or gross Stage 1.01-2.04
perforation
AND generalized peritonitis or gross perforation [operative/pathology report or
peritoneal effusion culture reports growth of pathologic organism(s)]
3.01 with sepsis Stage 1.01-2.05
AND sepsis:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 1.01-3.02
AND death
References:
Elliott TB. Yego S. Irvin TT. Five-year audit of the acute complications of diverticular disease. British Journal of Surgery. 199784(4):535-539.
Imbembo AL. Diverticular disease of the colon. In: Sabiston, ed. Sabiston Textbook of Surgery. 15th ed. Philadelphia, PA: WB Saunders; 1997:982-993.
DX 56202-56203, 56212-56213;
STAGE 1.01-1.02 + (DX 5693,
5781-5789);
STAGE 1.01-2.01 + DX 56981;
STAGE 1.01-2.02 + (DX 5373,
56089-5609);
STAGE 1.01-2.03 + DX 5672-5679;
STAGE 1.01-2.04 + DX 56983;
STAGE 1.01-2.05 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Isselbacher KJ, Epstein A. Diverticular, vascular, and other disorders of the intestine and peritoneum. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL,
Hauser SL, Longo, DL, eds. Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:1648-1656.
McQuaid KR. Diverticular disease of the colon. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:614-617.
Tancer ML, Veridiano NP. Genital fistulas secondary to diverticular disease of the colon: a review. Obstetrical & Gynecological Survey. 1996:51(1):67-73.
Willemsen P, Tielliu I, Appeltans B. Surgical management of complicated colonic diverticulitis. British Journal of Surgery. 1997:84(8):1177-1178.
NO;
Thursday, January 07, 2010 9:21:42 AM
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