Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEP05
MultiStage: No
DXCat Label: Hepatitis B Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Carrier of viral hepatitis B Hepatitis B surface antigen [serology report]
DX V0261;
AND hepatitis B core antibody IgG [serology report]
1.02 Acute viral hepatitis B Acute hepatitis B [serology report]
DX 07030-07033;
OR hepatitis B surface antigen [serology report]
1.03 Chronic persistent hepatitis Stage 1.02
AND chronic persistent hepatitis [operative/pathology report]
1.04 Chronic active hepatitis Stage 1.02-1.03
AND chronic active hepatitis [operative/pathology report]
2.01 with cirrhosis Stage 1.02-1-04
AND cirrhosis [operative/pathology report or liver scan or CT scan report]
2.02 with bleeding Stage 1.02-2.01
AND bleeding:
2.03 with hepatoma Stage 1.02-2.02
AND hepatoma [operative/pathology report]
3.01 with renal failure Stage 1.02-2.03
AND renal failure:
3.02 with hepatic coma Stage 1.02-3.01
AND hepatic coma:
4.00 with death Stage 1.02-3.02
AND death
STAGE 1.02 + DX 57141;
STAGE 1.02-1.03 + DX 57149;
STAGE 1.02-1.04 + DX 5715;
STAGE 1.02-2.01 + (DX 2867-
2869, 4590);
STAGE 1.02-2.02 + DX 1550;
STAGE 1.02-2.03 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
DX 07020-07023;
NO;
References:
Dienstag JL, Isselbacher K. Acute viral hepatitis. 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; 1998:1677-1692.
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.
Noskin GA. Prevention, diagnosis, and management of viral hepatitis. A guide for primary care physicians. Archives of Family Medicine. 1995;4(11):923-34.
Tepper MI, Gully PR. Viral hepatitis: know your D, E, F and Gs. CMAJ. 1997;156(12):1735-8.
Thursday, January 07, 2010 9:22:17 AM
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