Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN34
MultiStage: No
DXCat Label: Vulvovaginitis Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01
1.02
Vulvovaginitis
Symptomatic vulvovaginitis
Vulvovaginitis [gram stain, wet mount, or culture report growth of pathologic organism(s) from
vaginal smears or wet mount identification
Stage 1.01
DX 13101, 61610-61611, 6169;
DX 6164, 61650, 61651;
AND symptomatic vaginal itching
OR complains of vaginal discharge with foul odor
OR complains of vaginal burning
OR complains of vaginal pain
OR complains of vaginal ulceration
2.01 with urinary retention Stage 1.01-1.02
AND residual bladder urine > 100 cc
2.02 with urinary tract infection Stage 1.01-2.01
AND UTI:
2.03 with pyelonephritis Stage 2.02
AND pyelonephritis:
3.01 with sepsis Stage 1.01-2.03
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
STAGE 1.01-1.02 + (DX 78820-
78829, 78838);
STAGE 1.01-2.01 + DXCAT GUS10;
STAGE 1.01-2.02 + (DX 59010-
59011);
STAGE 1.01-2.03 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Holmes KK, Handsfield HH. Sexually transmitted diseases: overview and clinical approach. 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; 1998:801-812.
Jones III HW. Benign disease of the vulva and vagina. In: Jones III HW, Wentz AC, Burnett LS, eds. Novak’s Textbook of Gynecology. 11th ed. Baltimore, MD: Williams & Wilkins;
1988:570-598.
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 9:22:01 AM
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