Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS21
MultiStage: No
DXCat Label: Thromboangiitis Obliterans Specificity: A
Etiology:
Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Thromboangiitis obliterans History of tobacco smoking
DX 4431;
AND nonsuppurative panarteritis of small and medium arteries [operative/pathology report]
OR Raynaud’s phenomenon
AND intermittent claudication
OR history of migratory thrombophlebitis
OR arterial occlusion in affected upper limbs [arteriogram report]
AND arterial occlusion in affected lower limbs [arteriogram report]
2.01 with stasis ulcerations Stage 1.01
AND stasis ulceration
2.02 with gangrene Stage 1.01-2.01
AND gangrene of involved extremity [operative/pathology report]
3.01 with sepsis Stage 1.01-2.02
AND sepsis:
3.02 with shock Stage 2.02-3.01
AND shock:
4.00 with death Stage 2.02-3.02
AND death
STAGE 1.01 + (DX 70710-70719);
STAGE 1.01-2.01 + DX 7854;
STAGE 1.01-2.02 + GROUP SEPSIS;
STAGE 1.01-3.01 + GROUP
SHOCKA;
NO;
References:
Aqel MB. Olin JW. Thromboangiitis obliterans (Buerger's disease). Vascular Medicine. 1997;2(1):61-6.
Szuba A, Cooke JP. Thromboangiitis obliterans. An update on Buerger's disease. Western Journal of Medicine. 1998;168(4):255-60.
Thursday, January 07, 2010 9:21:19 AM
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