Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN14
MultiStage: No
DXCat Label: Gonorrhea: Female Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Carrier or suspected carrier of gonorrhea
DX V027 + FEMALE;
1.02 Gonococcal endocervicitis or gonococcal Gonococci in exudates [gram stain of exudates report gram negative diplococci]
(DX 0980, 09810, 09811, 09815,
infection of Skene's glands or gonococcal OR gonococcal infection [culture reports growth of Neisseria gonorrhoeae]
09819, 0982, 09830, 09831,
infection of Bartholin's glands or OR gonococcal conjunctivitis [gram stain of exudates report gram negative diplococci]
09835, 09839, 09841-09849, 0986,
gonococcal pharyngitis or gonococcal OR gonococcal pharyngitis [gram stain of exudates report gram negative diplococci]
0987) + FEMALE;
conjunctivitis or gonococcal vulvovaginitis
or gonococcal urethritis or gonococcal
proctitis
OR gonococcal proctitis [gram stain of exudates report gram negative diplococci]
DX 09840 + AGE 1-124 + FEMALE;
2.01 Gonococcal pelvic inflammatory disease Stage 1.02
AND pain on cervical motion
AND adnexal pain
2.02 with dermatitis Stage 1.02-2.01
AND gonococcal dermatitis [skin wound culture reports growth of Neisseria gonorrhoeae]
2.03 with peritonitis Stage 1.02-2.02
AND peritonitis [operative/pathology report]
3.01 with septic arthritis Stage 1.02-2.03
AND infectious arthritis:
OR gonococcal arthritis [culture reports growth of Neisseria gonorrhoeae]
3.02 Gonococcal endocarditis or gonococcal Stage 1.02-3.01
pericarditis
AND endocarditis:
OR pericarditis:
3.03 Gonococcal meningitis Stage 1.02-3.02
AND meningitis:
3.04 with congestive heart failure Stage 3.01-3.03
AND congestive heart failure:
3.05 with sepsis Stage 1.02-3.04
AND sepsis:
DX 09816, 09817, 09836 OR DX
09837 + FEMALE;
DX 09881 + FEMALE;
DX 09886 + FEMALE;
DX 09850-09859 + FEMALE;
DX 09883-09885 + FEMALE;
DX 09882 + FEMALE;
STAGE 3.01-3.03 + GROUP
CHF__NON_HTN;
DX 09889 + FEMALE;
STAGE 1.02-3.04 + (DX 03840,
03849, 0388, 0389, 41512, 449);
3.06 with shock Stage 2.02-3.05
AND shock:
4.00 with death Stage 2.02-3.06
AND death
STAGE 2.02-3.05 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:57 AM
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