Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN06
MultiStage: No
DXCat Label: Ante- and Postpartum Complications Specificity: A
Etiology: Pregnancy
Stage Description Diagnostic findings ICD-9-CM Codes
2.01 with preterm labor Pregnancy
DX 64400-64421, 65810-65833,
AND Preterm labor
66420, 66424, 66460 , 66464,
OR gestational age ≥ 20 weeks
66500-66503;
AND gestational age < 36 weeks
AND documented uterine contractions > 8/hour
AND Rupture membrane
OR Intact membranes
AND documented cervical change
OR Cervical effacement ≥ 80%
OR Cervical dilatation ≥ 2 cm
2.02 with chorioamnionitis Pregnancy
AND chorioamnionitis [amniotic fluid culture reports growth of pathologic organism(s)]
OR fever:
AND uterine tenderness
DX 64660, 64663-64664, 65840-
65843, 66430, 66434 , 66450,
66454;
STAGE 1.01-2.01 + GROUP FEVER;
2.03 with deep vein thrombosis Pregnancy
AND DVT:
3.01 with pulmonary embolism Pregnancy
AND pulmonary embolism:
3.02 with renal failure Pregnancy
AND renal failure:
3.03 with congestive heart failure Pregnancy
AND congestive heart failure:
DX 67130-67144, 67150, 67153-
67154, 67410, 67414 ;
STAGE 1.01-2.02 + GROUP DVT;
(DX 66800, 66803-66804, 67300,
67303-67310, 67313-67320, 67323-
67330, 67333-67380, 67383-
67384);
STAGE 1.01-2.03 + GROUP
PULMEMB;
DX 64620, 64623-64624, 66930,
66934;
STAGE 1.01-3.01 + GROUP
REN_FAIL_ACU;
DX 66810, 66813-66814;
STAGE 1.01-3.02 + GROUP
CHF__NON_HTN;
Thursday, January 07, 2010 9:21:54 AM
©2010 Thomson Reuters. All rights reserved.