Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN28
MultiStage: No
DXCat Label: Pelvic Inflammatory Disease Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Pelvic inflammatory disease Acute salpingitis [operative/pathology report]
DX 6140-6142;
DX 6140-6142 + GROUP FEVER;
Presumptive Diagnostic Findings:
Adnexal pain on examination
AND pain on cervical motion
AND fever:
2.01 with pelvic abscess Stage 1.01
AND pelvic abscess [operative/pathology report]
DX 6143, 6144;
Presumptive Diagnostic Findings:
Stage 1.01
AND adnexal mass [sonogram report]
2.02 with generalized peritonitis Stage 1.01-2.02
AND peritonitis [operative/pathology report]
3.01 with renal failure Stage 1.01-2.03
AND renal failure:
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with shock Stage 1.01-3.02
AND shock:
4.00 with death Stage 1.01-3.03
AND death
DX 6145, 6147-6149;
STAGE 1.01-2.02 + GROUP
REN_FAIL_ACU;
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Cartwright PS. Pelvic inflammatory disease. In: Jones III HW, Wentz AC, Burnett LS, eds. Novak’s Textbook of Gynecology. 11th ed. Baltimore, MD: Williams & Wilkins; 1988:507-
525.
Holmes KK. Pelvic inflammatory disease. 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; 1998:812-817.
MacKay HT. Gynecology. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:691-724.
Thursday, January 07, 2010 9:22:00 AM
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