Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN11
MultiStage: No
DXCat Label: Dysfunctional Uterine Bleeding Specificity: A
Etiology: Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Hypomenorrhea, puberty bleeding, Hypomenorrhea
DX 6260-6261, 6263, 6265, 6266,
ovulation bleeding or metrorrhagia OR puberty bleeding
6268, 6269, 6270 ;
OR ovulation bleeding
OR metrorrhagia
1.02 Hypermenorrhea or polymenorrhea Increase in the frequency of menses
DX 6262;
OR increase in the flow of menses
STAGE 1.01 + (GROUP
OR increase in the duration of menses
ANEM_DEF_B12 OR GROUP
AND normal endometrium [operative/pathology report]
ANEM_DEF_FE OR GROUP
ANEM_DEF_FOL OR GROUP
ANEM_DEF_OTH OR GROUP
ANEM_OTH_UN);
2.01 Dysfunctional uterine bleeding and anemia Increase in the frequency of menses
STAGE 1.01-1.02 + (GROUP
OR increase in the flow of menses
ANEM_DEF_FE OR GROUP
OR increase in the duration of menses
ANEM_DEF_OTH OR GROUP
AND normal endometrium [operative/pathology report]
ANEM_OTH_UN);
AND anemia:
2.02 Dysfunctional uterine bleeding and marked
anemia
References:
Stage 2.01
AND hemoglobin < 8 gm/dl
Carr BR, Bradshaw KD. Disorders of the ovary and female reproductive tract. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL,
eds. Harrison's Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:2097-2115.
MacKay HT. Gynecology. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:691-724.
Wentz AC. Abnormal uterine bleeding. In: Jones III HW, Wentz AC, Burnett LS, eds. Novak’s Textbook of Gynecology. 11th ed. Baltimore, MD: Williams & Wilkins; 1988:378-396.
NO;
Thursday, January 07, 2010 9:21:56 AM
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