Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS24
MultiStage: No
DXCat Label: Malabsorption from Blind Loop Syndrome Specificity: A
Etiology: Mechanical
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Blind loop syndrome
Bacterial overgrowth [quantitative intestinal aspirates which have ≥ 10 6 cfu/ml]
DX 5792;
AND positive breath test report
OR carbohydrate absorption deficiency [D-xylose tolerance test report]
2.01 with anemia Stage 1.01
AND anemia:
2.02 with malnutrition Stage 1.01-2.01
AND body weight ≥ 85% of ideal weight
2.03 with hypoalbuminemia Stage 1.01-2.02
AND hypoalbuminemia:
2.04 with peripheral neuropathy or tetany or Stage 1.01-2.03
night blindness or hypocalcemia or AND peripheral neuropathy
dermatitis
OR tetanus
OR hypocalcemia:
OR night blindness
OR dermatitis
2.05 with hepatitis Stage 1.01-2.04
AND hepatitis:
3.01 with renal failure Stage 1.01-2.05
AND renal failure:
3.02 with wasting Stage 1.01-2.03
AND body weight ≤ 75% of ideal weight
3.03 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.04 with shock Stage 1.01-3.02
AND shock:
4.00 with death Stage 1.01-3.03
AND death
STAGE 1.01 + (GROUP
ANEM_DEF_B12 OR GROUP
ANEM_DEF_FOL);
STAGE 1.01-2.01 + (DX 2630-
2631, 2638-2639);
STAGE 1.01-2.02 + GROUP
HYPOALBUMIN;
STAGE 1.01-2.03 + (DX 2645,
3568-3569, 3574, 3578-3579,
6908, 7817 OR GROUP
HYPOCALCEMIA);
STAGE 1.01-2.04 + DXCAT HEP10;
STAGE 1.01-2.05 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + DX 260-262;
STAGE 1.01-3.02 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:45 AM
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