Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS17
MultiStage: No
DXCat Label: Periarteritis Nodosa Specificity: A
Etiology: Immune
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Periarteritis nodosa or polyarteritis nodosa Any three of the following:
Weight loss of > 4 kg
DX 4460;
OR livedo reticularis
OR testicular tenderness or pain
OR diffuse mylagias or weakness
OR neuropathies
OR diastolic BP . 90 mmHg
OR azotemia:
OR creatinine > 1.5 mg/dl [chemistry report]
OR hepatitis B infection [serology report]
OR arteriographic abnormalities [arteriogram report]
OR segmental necrotizing inflammation of the media and adventitia layers of arteries
[operative/pathology report]
1.02 with hypertension Stage 1.01
AND hypertension:
2.01 with mononeuritis complex Stage 1.01-1.02
AND neuralgia
2.02 with hepatitis Stage 1.01-2.01
AND hepatitis:
2.03 with nephritis Stage 1.01-2.02
AND proteinuria:
OR hematuria:
2.04 with peritonitis Stage 1.01-2.03
AND peritonitis [operative/pathology report]
3.01 with myocardial infarction Stage 1.01-2.04
AND acute myocardial infarction:
3.02 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.03 with renal failure Stage 1.01-3.02
AND renal failure:
3.04 with bleeding or ruptured aneurysm Stage 1.01-3.03
AND bleeding:
3.05 with coma Stage 1.01-3.04
AND coma:
STAGE 1.01 + GROUP
HYPERTENSION;
STAGE 1.01-1.02 + (DX 3540-
3556, 35571-3559);
STAGE 1.01-2.01 + DXCAT HEP10;
STAGE 1.01-2.02 + (DX 5800,
5804, 58081-5810, 5812-5839,
59381, 7910 OR GROUP
HEMATURIA) ;
STAGE 1.01-2.03 + (DX 5672-
5679, 56983);
STAGE 1.01-2.04 + GROUP AMI;
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.02 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.03 + (DX 4421,
44284);
STAGE 1.01-3.04 + GROUP COMA;
Thursday, January 07, 2010 9:21:18 AM
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