Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS05
MultiStage: No
DXCat Label: Aortic Stenosis Specificity: A
Etiology: Congenital; Degenerative
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Mild aortic valve stenosis Mean aortic valve gradient ≤ 25mm Hg [echocardiogram report or Doppler report or cardiac
catheterization report]
DX 4241, 7463, 74681;
OR aortic valve area > 1.5cm 2 [echocardiogram report or Doppler report or cardiac
catheterization report]
2.01 Moderate aortic valve stenosis Mean aortic valve gradient > 25 mmHg [echocardiogram report or Doppler report or cardiac
catheterization report]
AND mean aortic valve gradient ≤ 50 mmHg [echocardiogram report or Doppler report or
cardiac catheterization report]
OR aortic valve area < 1.5 cm 2 [echocardiogram report or Doppler report or cardiac
catheterization report]
NO;
3.01 Severe aortic valve stenosis Mean aortic valve gradient > 50 mmHg [echocardiogram report or Doppler report or cardiac
catheterization report]
OR aortic valve area < 1.0 cm 2 [echocardiogram report or Doppler report or cardiac
catheterization report]
3.02 Severe aortic valve stenosis with angina Stage 3.01
AND angina pectoris:
3.03 Severe aortic valve stenosis with low Stage 3.01-3.02
ejection fraction
AND left ventricular ejection fraction < 50% [echocardiogram report or doppler report or cardiac
catheterization report or radionuclide ventriculogram report]
3.04 Severe aortic valve stenosis with syncope Stage 3.01-3.03
AND syncope
3.05 Severe aortic valve stenosis with atrial
fibrillation
Stage 3.01-3.04
AND atrial fibrillation:
3.06 Severe aortic valve stenosis with CHF Stage 3.01-3.05
AND congestive heart failure:
3.07 Severe aortic valve stenosis with
respiratory failure
Stage 3.01-3.06
AND respiratory failure:
3.08 Severe aortic valve stenosis with shock Stage 3.01-3.07
AND shock:
4.00 Severe aortic valve stenosis with death Stage 3.01-3.08
AND death
NO;
STAGE 1.01 + (DX 4111, 4130-
4139);
NO;
STAGE 1.01-3.02 + DX 7802;
STAGE 1.01-3.04 + (DX 42731-
42732);
STAGE 1.01-3.05 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.06 + GROUP
RESP_FAIL;
STAGE 1.01-3.07 + (GROUP
SHOCKA OR GROUP SHOCKC OR
GROUP SHOCKN);
NO;
Thursday, January 07, 2010 9:21:14 AM
©2010 Thomson Reuters. All rights reserved.