Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN09
MultiStage: No
DXCat Label: Delivery, Cesarean Section Specificity: A
Etiology: Pregnancy
Stage Description Diagnostic findings ICD-9-CM Codes
3.01 with pulmonary embolism Stage 1.02-2.04
AND pulmonary embolism:
(DX 67151-67152, 67301-67302,
67311-67312, 67321-67322, 67331-
67332, 67381-67382, 66801-
66802) + (GROUP C_SECT OR DX
66971, 67412);
3.02 with renal failure Stage 1.01-3.01
AND renal failure:
3.03 with congestive heart failure Stage 1.01-3.02
AND congestive heart failure:
3.04 with sepsis Stage 1.01-3.03
AND sepsis:
3.05 with respiratory failure Stage 1.01-3.04
AND respiratory failure:
3.06 with shock Stage 1.02-3.05
AND shock:
4.00 with death Stage 1.02-3.06
AND death
(DX 64621-64622, 66932) +
(GROUP C_SECT OR DX 66971,
67412);
STAGE 1.01-3.01 + GROUP
REN_FAIL_ACU;
STAGE 1.01-3.02 + GROUP
CHF__NON_HTN;
DX 66811-66812 + (GROUP
C_SECT OR DX 66971 , 67412);
DX 65931 + (GROUP C_SECT OR
DX 66971, 67412);
STAGE 1.01-3.03 + (DX 65930,
65933 OR GROUP SEPSIS);
(DX 67022, 67032) + (GROUP
C_SECT OR DX 66971, 67412);
STAGE 1.01-3.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.05 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
DX 66911-66912 + (GROUP
C_SECT OR DX 66971 , 67412);
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 9:21:55 AM
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