Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GUS09
MultiStage: No
DXCat Label: Urethritis Specificity: B
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Urethritis Dysuria
AND UTI:
1.02 with cystitis Stage 1.01
AND cystitis (cystoscopy report)
1.03 with chronic or recurrent prostatitis Stage 1.01-1.02
AND prostatitis:
AND history of prior prostatitis
1.04 with epididymitis Stage 1.01-1.03
AND inguinal pain
OR spermatic cord pain
OR edema of scrotum
AND erythema of scrotum
AND tenderness of scrotum
DX 0993, 09940, 09949, 13102,
59780, 59789;
DX 5990 + DX 5959;
STAGE 1.01 + (DX 5950, 5953-
5954, 59589, 5997-59972);
STAGE 1.01-1.02 + (DX 13103,
6011, 6013, 6014, 6018, 6019);
STAGE 1.01-1.03 + DX 6040-60499;
1.05 with acute prostatitis Stage 1.01-1.04
AND prostatitis:
1.06 Urethral abscess Urethral abscess [by pelvic ultrasound or urologist report]
2.01 with obstruction Stage 1.01-1.05
AND urinary tract obstruction [excretory urogram report]
STAGE 1.01-1.04 + (DX 6010,
6012);
DX 5970;
STAGE 1.01-1.06 + (DX 591, 5934,
59389, 5960, 5996-59969);
3.01 with renal failure Stage 1.01-2.01
AND renal failure:
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with shock Stage 2.01-3.02
AND shock:
4.00 with death Stage 2.01-3.03
AND death
STAGE 1.01-2.01 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:52 AM
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