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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: GIS37<br />

MultiStage: No<br />

DXCat Label: Ulcerative Colitis Specificity: A<br />

Etiology:<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

1.01 Ulcerative colitis without complications Ulcerative colitis [operative/pathology report]<br />

DX 5560-5569;<br />

OR Ulcerative colitis: A spectrum of colonic mucosal changes from finely granular and friable<br />

mucosa with scattered hemorrhagic areas to zones of spongy red blood and pus filled<br />

ulcerations; areas may extend into muscular layer; there are infiltrates of<br />

polymorphonuclear and lymphoid inflammatory cells around affected regions<br />

[operative/pathology report]<br />

Presumptive Diagnostic Findings:<br />

Ulcerations, loss of haustrations and marginal spiculations with or without colonic pseudopolyposis<br />

[barium enema report or colonoscopy report]<br />

2.01 with arthritis or uveitis or stomatitis or<br />

erythema nodosum or pyoderma<br />

gangrenosum or anemia or<br />

hypoproteinemia<br />

Stage 1.01<br />

AND arthritis:<br />

OR ankylosing spondylitis [chest x-ray report]<br />

OR sacroiliitis [pelvic x-ray report]<br />

OR erythema nodosum<br />

OR red, tender nodules on the anterior tibial surface<br />

OR uveitis [ophthalmologist's report]<br />

OR stomatitis<br />

OR pyoderma gangrenosum<br />

OR rapidly evolving cutaneous ulcer(s) with markedly undermined borders<br />

OR anemia:<br />

OR hypoproteinemia:<br />

STAGE 1.01 + (DX 36400, 36402-<br />

36404, 36410-36411 , 3643, 5280-<br />

5283, 68601, 6952, 70712-70715,<br />

7078-7079, 7200, 7202, 7822 OR<br />

GROUP ARTHR_OTH OR GROUP<br />

ANEM_DEF_FE OR GROUP<br />

ANEM_DEF_B12 OR GROUP<br />

ANEM_DEF_FOL OR GROUP<br />

ANEM_DEF_OTH OR GROUP<br />

HYPOPROTEIN);<br />

2.02 with hepatitis Stage 1.01-2.01<br />

AND hepatitis:<br />

STAGE 1.01-2.01 + DXCAT HEP10;<br />

Thursday, January 07, 2010 9:21:49 AM<br />

©2010 Thomson Reuters. All rights reserved.

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