Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN10
MultiStage: No
DXCat Label: Delivery, Vaginal Specificity: A
Etiology: Pregnancy
Stage Description Diagnostic findings ICD-9-CM Codes
1.02 with second degree laceration or uterine
atony with bleeding or retained placental
fragments
Delivery
AND
laceration of the perineal musculature
OR laceration of deep perimucosal vaginal tissue
OR laceration of vaginal musculature
OR uterine atony with bleeding < 500cc
OR retained placental fragments
(DX 64131, 66001, 66011, 66021,
66031, 66041, 66051, 66081,
66091, 66101, 66111, 66121,
66201, 66211, 66221, 66231,
66411, 66451, 66632, 66702,
66712, 67422) + NOT (GROUP
C_SECT OR DX 66971, 67412);
2.01 with third degree laceration Delivery
AND
2.02 with fourth degree laceration Delivery
AND
2.03 with laceration of the cervix or vaginal
sulcus
Delivery
AND
2.04 with marked hemorrhage Delivery
AND
2.05 with laceration of the bladder or urethra Delivery
AND
2.06 with deep vein thrombosis Stage 1.01-2.05
AND DVT:
laceration of the anal sphincter
OR laceration of the pelvic floor musculature
laceration of the anal mucosa
OR laceration of the rectal mucosa
laceration of the cervix
OR laceration of the vaginal sulcus
> 500 cc. estimated total blood loss
laceration of the bladder [operative/pathology report or methylene blue test]
OR laceration of the urethra [operative/pathology report or methylene blue test]
2.07 with inversion of the uterus Stage 1.01-2.06
AND inversion of the uterus
2.08 with rupture of the uterus Stage 1.01-2.07
AND rupture of the uterus [operative/pathology report]
DX 66421 + NOT (DX 66971,
67412 OR GROUP C_SECT) ;
DX 66461 + NOT (DX 66971,
67412 OR GROUP C_SECT);
DX 66431 + NOT (GROUP C_SECT
OR DX 66971, 67412) ;
(DX 66531, 66541) + NOT (GROUP
C_SECT OR DX 66971, 67412);
(DX 64081, 64091, 64111, 64121,
64181, 64191, 66602, 66612,
66622) + NOT (GROUP C_SECT OR
DX 66971, 67412);
(DX 64661-64662, 66551) + NOT
(GROUP C_SECT OR DX 66971,
67412);
(DX 67131, 67142, 67151-67152)
+ NOT (GROUP C_SECT OR DX
66971, 67412);
DX 66522 + NOT (GROUP C_SECT
OR DX 66971, 67412) ;
(DX 66501, 66511, 66561, 66571-
66572, 66581-66582, 66591-
66592) + NOT (GROUP C_SECT OR
DX 66971, 67412);
Thursday, January 07, 2010 9:21:56 AM
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