Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEP12
MultiStage: Yes
DXCat Label: Pancreatitis Specificity: A
Etiology: Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
2.03 Hemorrhagic or severe pancreatitis Stage 1.01-2.02
NO;
AND hemorrhagic pancreatitis [ operative/pathology report]
OR Grey Turner's sign
OR Cullen's sign
OR Ranson's criteria for very high risk pancreatitis
(any finding ≥ 3 of the following:)
age ≥ 55 years old
OR serum glucose ≥ 200 mg/dl [ chemistry report]
OR serum LDH ≥ 350 mg/dl [ chemistry report]
OR SGOT ≥ 250 u/l [ chemistry report]
OR WBC ≥ 16,000/mm 3 [ complete blood count report]
OR hematocrit decrease ≥ 10% within 48 hours [ hematology report]
OR BUN increase ≥ 5 mg/dl within 48 hours [ chemistry report]
OR serum calcium ≤ 8 mg/dl within 48 hours[ chemistry report]
OR hypoxemia: within 48 hours
OR base deficit ≥ 4 mEq/L within 48 hours [ ABG report]
OR estimated fluid sequestration ≥ 6 liters within 48 hours
3.01 with renal failure Stage 1.01-2.03
AND renal failure:
3.02 with CHF Stage 1.01-3.01
AND congestive heart failure:
3.03 with sepsis Stage 1.01-3.02
AND sepsis:
3.04 with respiratory failure Stage 1.01-3.03
AND respiratory failure:
3.05 with shock Stage 1.01-3.04
AND shock:
4.00 with death Stage 1.01-3.05
AND death
STAGE 1.01-2.03 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.02 + GROUP SEPSIS;
STAGE 1.01-3.03 + GROUP
RESP_FAIL;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:18 AM
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