Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MGS03
MultiStage: No
DXCat Label: Gonorrhea: Male Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Carrier or suspected carrier of gonorrhea
DX V027 + MALE;
1.02 Gonococcal urethritis or pharyngitis or Gonococci in exudates [gram stain of exudates report]
(DX 0980-09811, 09819-09831,
proctitis or conjunctivitis
OR gonococcal infection [culture reports growth of Neisseria gonorrhoeae report]
09839, 09841-09849, 0986-0987)
OR gonococcal conjunctivitis [gram stain of exudates report]
+ MALE;
OR gonococcal pharyngitis [gram stain of exudates report]
AGE 1-124 + DX 09840 + MALE;
OR gonococcal proctitis [gram stain of exudates report]
1.03 Gonococcal epididymitis Stage 1.02
AND inguinal pain
OR spermatic cord pain
OR edema of scrotum
AND erythema of scrotum
AND tenderness of scrotum
(DX 09813-09814, 09833-09834) +
MALE;
1.04 with acute prostatitis Stage 1.02-1.03
AND prostatitis:
2.01 with gonoccocal skin infection Stage 1.02-1.04
AND gonococcal skin infection [skin wound culture reports growth of Neisseria gonorrhoeae]
2.02 with peritonitis Stage 1.02-2.01
AND peritonitis [operative/pathology report]
2.03 with arthritis Stage 1.02-2.02
AND arthritis:
3.01 Gonococcal endocarditis or pericarditis Stage 1.02-2.03
AND endocarditis:
3.02 Infection with meningitis Stage 1.02-3.01
AND meningitis:
3.03 with congestive heart failure Stage 3.01-3.02
AND congestive heart failure:
3.04 with sepsis Stage 1.02-3.03
AND sepsis:
3.05 with shock Stage 2.02-3.04
AND shock:
4.00 with death Stage 2.02-3.05
AND death
(DX 09812, 09832) + MALE;
DX 09881 + MALE;
DX 09886 + MALE;
DX 09850-09859 + MALE;
DX 09883-09885 + MALE;
DX 09882 + MALE;
STAGE 3.01-3.02 + GROUP
CHF__NON_HTN;
DX 09889 + MALE;
STAGE 1.02-3.03 + (DX 03840,
03849-0389, 41512, 449);
STAGE 2.02-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:30 AM
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