Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS17
MultiStage: No
DXCat Label: Gastritis Specificity: A
Etiology: Idiopathic; Infection; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Chronic erosive gastritis Numerous punctate or aphthous gastric erosions [operative/pathology report or gastroscopy report] DX 53540, 53550, 53570;
1.02 Nonerosive gastritis Superficial gastritis: patchy mucosal inflammation with round cell and plasma cell infiltration
[operative/pathology report]
DX 53510;
OR deep gastritis: patchy mucosal inflammation with round cell and plasma cell infiltration
extending to the muscularis layer [operative/pathology report]
OR atrophic gastritis: diminished gastric glands in size and number
[operative/pathology report]
OR Helicobacter pylori gastritis [H. pylori stain report or rapid urease positivity by
gastric biopsy report]
1.03 Gastric hyperplasia Ménétrier's Disease: enlargement of the gastric mucosal folds with thickened mucosa and
hyperplasia of the mucous cells with loss of parietal and chief cells and infiltration of the lamina
propria with lymphocytes [operative/pathology report]
2.01 Acute erosive gastritis Petechiae or ecchymoses on the mucosal surface progressing to irregular erosions
[operative/pathology report]
AND history of alcoholic beverage abuse within 5 days of event
OR history of severe trauma or stress within 5 days of event.
2.02 with hemorrhage Stage 1.01-2.01
AND bleeding:
DX 53520;
DX 53500;
DX 53501, 53511, 53521, 53541,
53551, 53571;
STAGE 1.01-2.01 + DX 5780-5789;
3.01 with hypotension Stage 2.02
AND hypotension:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 2.01-3.03
AND death
STAGE 1.01-2.02 + GROUP
HYPOTENSION;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:44 AM
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