Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GUS10
MultiStage: No
DXCat Label: Urinary Tract Infections Specificity: B
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Urinary tract infection UTI:
DX 5990;
1.02 Acute cystitis Stage 1.01
STAGE 1.01 + DX 5997-59972;
AND hematuria:
DX 5950, 5953, 5954, 59589;
2.01 Acute pyelonephritis UTI:
AND
flank pain
OR costovertebral tenderness
OR kidney punch positive
2.02 with bacteremia Stage 1.01-2.01
AND bacteremia:
2.03 Acute pyelonephritis with obstruction Stage 2.01-2.02
AND hydronephrosis or dilated ureters [sonography report or CT scan report or
KUB x-ray report]
2.04 with perinephric abscess Stage 1.01-2.03
AND perinephric abscess [operative/pathology report or sonogram or CT scan report]
2.05 with necrotizing papillitis Stage 1.01-2.04
AND necrotizing papillitis [operative/pathology report]
3.01 with renal failure Stage 1.01-2.06
AND acute or chronic renal failure:
DX 59010-59011, 59080-5909;
STAGE 1.01-2.01 + GROUP
BACTEREMIA;
STAGE 1.01-2.02 + (DX 591, 5934,
59389, 5960, 5996-59969);
DX 5902;
STAGE 1.01-2.04 + DX 5847;
STAGE 1.01-2.05 + (DX 5845-
5846, 5848-5849, 585, 5859);
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 2.01-3.03
AND death
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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