Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS26
MultiStage: No
DXCat Label: Neoplasm, Benign: Small Bowel Specificity: A
Etiology:
Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Benign tumors small bowel Adenomatous polyps [operative/pathology report]
DX 2112, 20940-20943;
AND leiomyomas [operative/pathology report]
OR fibromas [operative/pathology report]
OR fibromyomas [operative/pathology report]
OR neurofibromas [operative/pathology report]
OR lipomas [operative/pathology report]
OR hemangiomas [operative/pathology report]
OR arteriovenous malformations [operative/pathology report]
2.01 with bleeding Stage 1.01
AND guaiac positive stools
OR bleeding:
2.02 with intestinal obstruction Stage 1.01-2.01
AND small bowel obstruction [KUB x-ray report or operative/pathology report]
2.03 with peritonitis Stage 1.01-2.02
AND peritonitis [operative/pathology report]
3.01 with sepsis Stage 1.01-2.03
AND sepsis:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
STAGE 1.01 + DX 5781-5789;
STAGE 1.01-2.01 + (DX 3383,
5373, 5609);
STAGE 1.01-2.02 + (DX 5672-
5679, 56983);
STAGE 1.01-2.03 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
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Blackwell Scientific Publications. 1994:649-673.
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.
Lightdale Ch J, Lewis LH. Tumors of the small intestine. In: Haubrich, Schaffner, Berk, Bockus. Gastroenterology. 5th ed. Philadelphia, PA: WB Saunders; 1995:1274-1290.
Mason GR. Tumors of the duodenum and small intestine. In: Sabiston, ed. Textbook of Surgery. 15th ed. WB Saunders; 1997:882-887.
McQuaid KR. Polyps of the colon and small intestine. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton &
Lange, 1998:616-619.
Widgren S. “Rare and Secondary Tumors.” In: Whitehead R, ed. Gastrointestinal and Oesophageal Pathology. 2nd ed. Churchill-Livingstone. 1995:849-853.
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