Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN01
MultiStage: No
DXCat Label: Abortion: Elective Specificity: A
Etiology: Pregnancy
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Elective abortion Voluntary dilation and evacuation of uterus
AND pregnancy of < 12 weeks
DX 63540-63542, 63570-63592,
63640-63642, 63670-63692, 63740-
63742, 63770-63792, 6384, 6387-
6389, 6394;
1.02 Elective abortion of uterus ≥ 12 weeks
gestation
Voluntary dilation and evacuation of uterus
OR Voluntary pharmaceutical evacuation of uterus
AND pregnancy of ≥ 12 weeks
NO;
2.01 Perforation of uterus Stage 1.01-1.02
AND perforation of the uterus [operative/pathology report]
2.02 with laceration of bladder Stage 1.01-2.01
AND laceration of bladder [operative/pathology report]
2.03 with perforation of the bowels Stage 1.01-2.02
AND free air under the diaphragm [KUB upright x-ray report]
OR perforation of bowels [operative/pathology report]
2.04 with peritonitis Stage 1.01-2.03
AND peritonitis [operative/pathology report]
2.05 with laceration of pelvic arteries and
mesenteric arteries
3.01 with pulmonary embolism Stage 1.01-2.05
AND pulmonary embolism:
3.02 with renal failure Stage 1.01-3.01
AND renal failure:
3.03 with sepsis Stage 2.02-3.02
AND sepsis:
Stage 1.01-2.04
AND laceration of pelvic arteries [operative/pathology report]
OR laceration of mesenteric arteries [operative/pathology report]
DX 63520-63522, 63620-63622,
63720-63722, 6382 ;
STAGE 1.01 + DX 6392;
NO;
NO;
DX 63500-63502, 63600-63602,
63700-63702, 6380 ;
STAGE 1.01-2.01 + DX 6390;
DX 63510-63512, 63610-63612,
63710-63712, 6381 ;
STAGE 1.01-2.04 + DX 6391;
DX 63560-63562, 63660-63662,
63760-63762, 6386 ;
STAGE 1.01-2.05 + (DX 6396 OR
GROUP PULMEMB);
DX 63530-63532, 63630-63632,
63730-63732, 6383 ;
STAGE 1.01-3.01 + (DX 6393 OR
GROUP REN_FAIL_ACU);
STAGE 1.01-3.02 + GROUP SEPSIS;
Thursday, January 07, 2010 9:21:53 AM
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