Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN29
MultiStage: No
DXCat Label: Placenta Previa Specificity: A
Etiology: Pregnancy
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Marginal placenta previa Pregnancy ≥ second trimester
DX 64100-64103;
AND marginal placenta previa [sonogram report placenta encroaches on the cervical os]
1.02 Partial placenta previa Pregnancy ≥ second trimester
NO;
AND partial placenta previa [placenta incompletely covers cervical os per sonogram report]
2.01 Complete placenta previa Pregnancy ≥ second trimester
AND complete placenta previa [placenta completely covers cervical os per sonogram report]
2.02 with hemorrhage Stage 1.01-2.01
AND bleeding:
2.03 with chorioamnionitis or endometritis Stage 1.01-2.02
AND endometritis [culture reports growth of pathologic organism(s)]
OR postpartum fever
AND uterine tenderness
OR chorioamnionitis [culture reports growth of pathologic organism(s)]
OR antepartum fever
AND uterine tenderness
NO;
DX 64110-64113;
STAGE 1.01-2.02 + (DX 65840-
65843, 64660-64664 OR GROUP
FEVER);
2.04 with placenta accreta Stage 1.01-2.03
AND Invasion of trophoblast beyond Nitabuch’s fibrinoid layer [pathology report]
2.05 with placenta increta Stage 1.01-2.04
AND Invasion of trophoblast into myometrium [pathology report]
2.06 with placental percreta Stage 1.01-2.05
AND Invasion of trophoblast beyond uterine serosa [pathology report]
3.01 with sepsis Stage 2.03-2.06
AND sepsis:
3.02 with shock Stage 2.03-3.01
AND shock:
4.00 with death Stage 2.03-3.02
AND death
DX 66600, 66604, 66700, 66704;
NO;
NO;
STAGE 1.01-2.06 + (DX 65930-
65933, 67000-67004, 67010-
67014, 67020-67024, 67030-
67034, 67080-67084 OR GROUP
SEPSIS);
STAGE 1.01-3.01 + (DX 66910-
66914 OR GROUP SHOCKN OR
GROUP SHOCKC);
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 9:22:00 AM
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