Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS20
MultiStage: No
DXCat Label: Raynaud's Disease Specificity: A
Etiology:
Idiopathic; Immune; Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Raynaud's disease or phenomenon History of vasospasm of arteries or arterioles of the hands in response to cold
DX 4430;
OR history of vasospasm of arteries or arterioles of the hands in response to stress
OR trophic ulcers on the hands
OR sclerodactyly cyanosis during vasospasm attacks
2.01 Gangrene of the digits Stage 1.01
AND gangrene of the fingers [operative/pathology report or physical examination]
3.01 with sepsis Stage 1.01-2.01
AND sepsis:
3.02 with shock Stage 3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
STAGE 1.01 + DX 7854;
STAGE 1.01-2.01 + GROUP SEPSIS;
STAGE 1.01-3.01 + GROUP
SHOCKA;
NO;
References:
Fraenkel L, Zhang Y, Chaisson CE, et al. Different factors influencing the expression of Raynaud's phenomenon in men and women. Arthritis & Rheumatism. 1999;42(2):306-10.
Herrick AL, Clark S. Quantifying digital vascular disease in patients with primary Raynaud's phenomenon and systemic sclerosis. Annals of the Rheumatic Diseases. 1998;57(2):70-
8.
Kahaleh B, Matucci-Cerinic M. Raynaud's phenomenon and scleroderma. Dysregulated neuroendothelial control of vascular tone. Arthritis & Rheumatism. 1995;38(1):1-4.
Thursday, January 07, 2010 9:21:19 AM
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