Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS18
MultiStage: No
DXCat Label: Hemorrhoids Specificity: A
Etiology: Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Internal hemorrhoids Hemorrhoidal tissue [proctoscopy report]
DX 4550, 4556, 4559;
OR Stage 1 Hemorrhoids
1.02 Spontaneously reducible external Spontaneously reducible hemorrhoidal tissue in rectum with defecation or tenesmus
DX 4553;
hemorrhoids
OR Stage 2 Hemorrhoids
1.03 Prolapsed external hemorrhoids Manually reducible hemorrhoidal tissue in rectum with defecation or tenesmus
DX 4552, 4555, 4558;
OR Stage 3 Hemorrhoids
1.04 Non-reducible external hemorrhoids Non-reducible Hemorrhoidal tissue in rectum with defecation or tenesmus
NO;
2.01 Thrombosed hemorrhoids Stage 1.01-1.04
DX 4551, 4554, 4557;
AND tenderness of hemorrhoids
AND erythema of hemorrhoids
2.02 Ulcerated hemorrhoids Stage 1.01-2.01
NO;
AND ulceration of hemorrhoids
2.03 Hemorrhoids with hemorrhage or anemia Stage 1.01-2.02
AND anemia:
OR bleeding:
References:
STAGE 1.01-2.01 + (DX 5693,
5781-5789 OR GROUP
ANEM_DEF_FE OR GROUP
ANEM_OTH_UN);
Barnett LJ, Raper ES. Anorectal diseases. In: Yamada T, Alpers HD, Owyang C, Powell WD, Silverstein EF, eds. Textbook of Gastroenterology. 2nd ed. JP Lippincott &
Company. 1995:2027-2050.
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.
Mackeigan MJ, Cataldo AP. Disorders of the anorectum. In: DiManino JA, Benjamin BS, Al-Kawas HF, Baillie J, Conn M, Hawesh R., Eds. Gastrointestinal Disease: An
Endoscopic Approach. Blackwell-Science, Inc. 1997:707-729.
McQuaid KR. Hemorrhoids. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:623-624.
Pfenninger JL. Modern treatments for internal haemorrhoids. BMJ. 1997;314(7089):1211-1212.
Schuster MM, Ratych ER. Anorectal disease. In: Haubrich, Schaffner, Berk, Bockus, eds. Gastroenterology. 5th ed. Philadelphia, PA: WB Saunders; 1995:1173-1789.
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