Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS25
MultiStage: No
DXCat Label: Neoplasm, Benign: Adenomatous Polyps, Colon Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Hyperplastic polyps Hyperplastic polyps [operative/pathology report]
DX 2113-2114;
1.02 Small tubular adenoma or benign carcinoid Adenomatous polyp ≤ 15 mm. in diameter [operative/pathology report]
tumor
DX 20950-20957;
1.03 Tubular adenoma Tubular adenomas > 15 mm. in diameter [operative/pathology report]
1.04 Tubulovillous adenoma Stage 1.03
AND > 20% villous glands in polyp [operative/pathology report]
1.05 Villous adenoma Stage 1.01-1.03
AND villous adenoma [operative/pathology report]
OR > 50% villous glands in polyp [operative/pathology report]
2.01 with rectal bleeding Stage 1.01-1.05
AND guaiac positive stools
OR bleeding:
2.02 Villous adenomas with hypokalemia Stage 1.05
AND hypokalemia:
2.03 Familial polyposis History of polyps among members of the family
AND > 100 colonic polyps [operative/pathology report]
OR Peutz-Jeghers syndrome
OR Turcot's syndrome
2.04 with carcinoma or Gardener's syndrome Stage 1.01-2.03
AND adenocarcinoma [operative/pathology report]
OR Gardner's syndrome
2.05 with intestinal or colonic obstruction Stage 1.01-2.04
AND large bowel obstruction [KUB x-ray report or operative/pathology report]
2.06 with peritonitis Stage 1.01-2.05
AND peritonitis [operative/pathology report]
3.01 with sepsis Stage 1.01-2.06
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
NO;
NO;
DX 2352;
STAGE 1.01-1.05 + (DX 5693,
5781-5789);
STAGE 1.01-2.01 + GROUP
HYPOKALEMIA;
NO;
STAGE 1.01-2.02 + DXCAT GIS27;
STAGE 1.01-2.05 + (DX 56089-
5609, 3383);
STAGE 1.01-2.05 + (DX 5672-
5679, 56983);
STAGE 1.01-2.06 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:45 AM
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