Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN03
MultiStage: No
DXCat Label: Abruptio Placentae Specificity: A
Etiology:
Pregnancy
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Localized abruptio placentae, grade I Localized abruptio placentae [sonogram or physical/pathologic findings]
DX 64120-64123;
OR placenta post delivery Grade 1
OR mild bleeding
AND normal blood pressure
AND normal fetal heart rate
AND no DIC:
2.01 Moderate abruptio placentae or grade II Stage 1.01
AND localized uterine pain
AND moderate vaginal bleeding
OR concealed bleeding [sonogram report]
OR fetal tachycardia/distress
OR fibrinogen < 250 mg/dl [chemistry report]
2.02 Severe abruptio placentae, grade III Stage 1.01-2.01
AND board-like rigidity of the uterus
AND diffuse abdominal pain
AND hypotension
AND fibrogen < 150 mg/dl [chemistry report]
OR fetal death
3.01 with disseminated intravascular coagulation Stage 1.01-2.03
AND DIC:
3.02 with renal failure Stage 1.01-3.01
AND renal failure:
STAGE 1.01 + DX 65630-65633;
STAGE 1.01-2.01 + (DX 65640-
65643, 66920-66924);
STAGE 1.01-2.02 + (DX 2866,
64130-64133, 66630-66634);
STAGE 1.01-3.01 + (DX 66930-
66934 OR GROUP REN_FAIL_ACU);
3.03 with shock Stage 2.01-3.02
AND shock:
4.00 with death Stage 2.01-3.03
AND death
STAGE 1.01-3.02 + (DX 66910-
66914 OR GROUP SHOCKC OR
GROUP SHOCKN);
NO;
References:
Creasy R, Resnik R. Maternal Fetal Medicine. 4th ed. Saunders. 1999.
Cunningham FG, MacDonald PC, Gant NF, Lareno K, Gilstrap LC, eds. Williams Obstetrics. 19th ed. Norwalk, CT: Appleton & Lange; 1994.
Thursday, January 07, 2010 9:21:54 AM
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