Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEP01
MultiStage: Yes
DXCat Label: Cholecystitis and Cholelithiasis Specificity: A
Etiology: Idiopathic; Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Chronic cholecystitis or cholelithiasis Chronic cholecystitis [operative/pathology report or sonography report or HIDA scan report or oral
cholescytogram report]
DX 57410-57421, 57510-57511;
2.01 Chronic cholecystitis with
choledocholithiasis
Stage 1.01
AND chronic cholecystitis with choledocholithiasis [endoscopic retrograde
cholangiopancreatography report or intraoperative cholangiogram report or HIDA scan
report or sonogram report or oral cholecystogram report or CT scan report or
operative/pathology report]
2.02 Acute cholecystitis Acute cholecystitis [operative/pathology report or sonogram report or HIDA scan report or oral
cholecystogram report]
2.03 Acute cholecystitis with choledocholithiasis Stage 2.02
AND choledocholithiasis [operative/pathology report or endoscopic retrograde
cholangiopancreatography report or intraoperative cholangiogram report or HIDA scan
report or sonogram report or CT scan report]
2.04 Empyema of gallbladder Stage 1.01-2.03
AND empyema of gallbladder [operative/pathology report or plain abdomen x-ray report or
sonogram report]
2.05 Cholecystitis with gangrene of gallbladder Stage 1.01-2.04
AND gangrene of gallbladder [operative/pathology report]
2.06 Cholecystitis with localized perforation of
gallbladder
2.07 Cholecystitis with gallstone ileus or with
cholecystoduodenal or cholecystoenteric
fistula or gallbladder obstruction
Stage 1.01-2.05
AND localized perforation of the gallbladder [operative/pathology report]
Stage 1.01-2.06
AND gallstone ileus [operative/pathology report or KUB x-ray report]
OR fistula between gallbladder and intestines [operative/pathology report or
UGI series report]
2.08 with ascending cholangiitis Stage 1.01-2.07
AND cholangitis [operative/pathology report]
OR infected biliary tree [biliary tree culture reports growth of pathologic organism(s)]
2.09 with bile peritonitis Stage 1.01-2.08
AND bile peritonitis [operative/pathology report]
DX 57440-57441, 57450, 57470-
57471, 57490-57491, 5752;
DX 57400-57401, 5750, 57512;
DX 57430-57431, 57460-57461,
57480-57481;
NO;
NO;
DX 5754, 5763;
DX 56031, 57451, 5753, 5755,
5762, 5764;
DX 5761;
STAGE 1.01-2.08 + (DX 5672,
5678-56781, 5679, 56983);
Thursday, January 07, 2010 9:22:16 AM
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