Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GUS01
MultiStage: No
DXCat Label: Bladder Disorders Specificity: C
Etiology: Degenerative; Trauma; Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Irradiation cystitis or chronic cystitis or
calcified bladder or contracted bladder or
Irradiation cystitis [operative/pathology report or cystography report or cystoscopy report or intravenous
urography report or CT scan report]
DX 5951, 5952, 59581, 59582,
5959, 5963, 5964, 59651, 5968;
hypertonic bladder or atonic bladder or
diverticulum of bladder
OR calcified bladder [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
OR contracted bladder [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or scan report]
OR hypertonic bladder [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
OR atonic bladder [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
OR diverticulum of bladder [operative/pathology report or cystography report or cystoscopy report
or intravenous urography report or CT scan report]
1.02 Bladder neck obstruction Bladder neck obstruction [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
2.01 Bladder fistula Bladder fistula [operative/pathology report or cystography report or cystoscopy report or intravenous
urography report or CT scan report]
2.02 Enterovesical fistula Enterovesical fistula [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
2.03 Hemorrhage into bladder wall Hemorrhage into bladder [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
2.04 Rupture of the bladder Rupture of the bladder [operative/pathology report or cystography report or cystoscopy report or
intravenous urography report or CT scan report]
2.05 with chronic renal failure Stage 1.01-2.04
AND chronic renal failure:
3.01 with acute renal failure Stage 1.01-2.05
AND acute renal failure:
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with shock Stage 3.01-3.02
AND shock:
4.00 with death Stage 3.01-3.03
AND death
DX 5960;
DX 5962;
NO;
DX 5967;
DX 5966;
STAGE 1.01-2.04 + GROUP
REN_FAIL_CHR;
STAGE 1.01-2.05 + GROUP
REN_FAIL_ACU;
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:50 AM
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