Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS19
MultiStage: No
DXCat Label: Pericarditis: Viral or Traumatic Specificity: A
Etiology: Idiopathic; Infection, Viral; Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
2.01 Acute pericarditis from viral infection or Idiopathic pericarditis
DX 42090-42099, 4200;
trauma or idiopathic pericarditis OR history of viral infection
OR viral infection
OR trauma to chest wall
AND pericarditis:
2.02 with pericardial effusion Stage 2.01
AND pericardial effusion [echocardiogram report]
3.01 with myocarditis Stage 2.01-2.02
AND myocarditis:
3.02 with pericardial tamponade Stage 2.01-3.01
AND pericardial tamponade [pulmonary artery catheter report reveals ‘equalization’ of filling
pressures or pulmonary catheter report equal diastolic pressure of right atrium, right
ventricle and pulmonary capillary wedge pressure or echocardiogram reports pericardial
effusion with diastolic collapse of the right atrium, right ventricle or both]
3.03 with congestive heart failure Stage 2.01-3.02
AND congestive heart failure:
3.04 with respiratory failure Stage 2.01-3.03
AND respiratory failure:
3.05 with shock Stage 2.01-3.04
AND shock:
4.00 with death Stage 2.01-3.05
AND death
References:
STAGE 2.01 + (DX 4233, 4239);
STAGE 2.01-2.02 + (DX 4220,
42290, 42292-42299);
NO;
STAGE 2.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 2.01-3.03 + GROUP
RESP_FAIL;
STAGE 2.01-3.04 + GROUP
SHOCKA;
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NO;
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