Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS23
MultiStage: No
DXCat Label: Gout Specificity: A
Etiology: Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Hyperuricemia Hyperuricemia:
DX 27481-2749;
1.02 Acute gouty arthritis Acute gouty arthritis [Needle shaped negatively birefringent crystals in fluid or in phagocytes per
synovial fluid report]
DX 2740, 27400, 27401;
2.01 Chronic gouty arthritis History of acute gouty arthritis of the involved joint
AND punched out lesion of subchondral bone [x-ray report]
OR destruction of involved joint [x-ray report]
2.02 with renal urate stones Stage 1.01-2.01
AND renal urate stones [pathology report]
2.03 with pyelonephritis Stage 1.01-2.02
AND pyelonephritis:
3.01 with renal failure Stage 2.02-2.03
AND renal failure:
3.02 with shock Stage 2.03-3.01
AND shock:
4.00 with death Stage 2.03-3.03
AND death
References:
Barth WF. Office evaluation of the patient with musculoskeletal complaints. American Journal of Medicine. 1997;102(1A):3S-10S.
Emmerson BT. The management of gout N Engl J Med. 1996;334(7):445-51.
DX 27402-27403;
DX 27410-27419;
STAGE 1.01-2.02 + DX 59010-
59011;
STAGE 1.01-2.03 + GROUP
REN_FAIL_ACU;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Hellmann DB. Arthritis & musculoskeletal disorders. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:774-824.
Wortmann RL. Gout and other disorders of purine metabolism. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's
Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:2158-2166.
NO;
Thursday, January 07, 2010 9:22:37 AM
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