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
3.01 Cholecystitis with acute Pancreatitis Stage 1.01-2.09
DX 57510-57511 + DX 5770;
AND acute pancreatitis [operative/pathology report or CT scan report or sonogram report or KUB
x-ray report]
OR serum amylase ≥ 163 u/l [chemistry report]
OR serum p-type isoamylasemia [chemistry report]
AND serum lipase ≥ 200 u/l per chemistry report
OR sentinel loop [plain abdomen x-ray report]
OR edema of the pancreas [sonogram or CT scan report]
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with shock Stage 1.01-3.02
AND shock:
4.00 Cholecystitis with death Stage 1.01-3.03
AND death
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Fenster LF, Lonborg R, Thirlby RC, Traverso LW. What symptoms does cholecystectomy cure? Insights from an outcomes measurement project and review of the literature.
American Journal of Surgery. 1995;169(5):533-8.
Friedman LS. Liver, biliary tract, & pancreas. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:628-666.
Greenberger NJ, Toskes PP, Isselbacher KJ. Acute and chronic pancreatitis. 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; 1998:1741-1753.
Russell RC. General surgery: biliary surgery. BMJ. 1993;307(6914):1266-9.
Thursday, January 07, 2010 9:22:16 AM
©2010 Thomson Reuters. All rights reserved.