Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS22
MultiStage: No
DXCat Label: Intussusception Specificity: A
Etiology: Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Intussusception Intussusception [ultrasound report or barium enema report or operative/pathology report]
Presumptive Diagnostic Findings:
currant jelly stools
DX 5600;
AND soft abdominal mass
AND vomiting
2.01 with dehydration Stage 1.01
AND loss of ≥ 3% of body weight
2.02 with bowel obstruction Stage 1.01-2.01
AND large bowel obstruction [KUB x-ray report or operative/pathology report]
2.03 with gangrene of the bowel Stage 1.01-2.02
AND gangrene of the bowel [operative/pathology report]
2.04 with peritonitis or perforation Stage 1.01-2.03
AND peritonitis [operative/pathology report]
OR perforation [KUB x-ray reports air under the diaphragm or perforation]
3.01 with sepsis Stage 1.01-2.04
AND sepsis:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 1.01-3.02
AND death
STAGE 1.01 + GROUP
DEHYDRATION;
STAGE 1.01-2.01 + DX 5609;
STAGE 1.01-2.02 + DX 5570;
STAGE 1.01-2.03 + (DX 5672-
5679, 56983);
STAGE 1.01-2.04 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Begos DG. Sandor A. Modlin IM. The diagnosis and management of adult intussusception. American Journal of Surgery. 1997:173(2):88-94.
Grosfeld JL. Pediatric surgery. In: Sabiston Textbook of Surgery, 15th ed. Philadelphia, PA: WB Saunders; 1998:1234-1254.
Livingstone AS, Sosa JL. Ileus and obstruction. In: Haubrich, Scheaffner, Berk, eds. Bockus Gastroenterology, 5th ed. Philadelphia, PA: WB Saunders; 1995:1235-1248.
Rubin DC. Small intestine. In: Yamada, Alpers, Owyang, Powell, Silverstein, eds. Textbook of Gastroenterology. 2nd ed. Philadelphia, PA: JB Lippincott Company; 1995:1555-
1576.
Silen W. Acute intestinal obstruction. 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; 1998:1656-1658.
Thursday, January 07, 2010 9:21:45 AM
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