Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: CVS24
MultiStage: No
DXCat Label: Varicose Veins of Lower Extremities Specificity: A
Etiology: Degenerative; Genetic (or hereditary)
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Varicose veins Varicose veins
DX 4548-4549;
1.02 with superficial thrombophlebitis Stage 1.01
STAGE 1.01 + (DX 4510, 4519);
AND superficial thrombophlebitis [nuclear venogram report or Doppler ultrasonography report or
physical examination]
2.01 with chronic venous insufficiency Stage 1.01-1.02
AND dermal pigmentation
OR stasis dermatitis
OR induration of the skin
2.02 with stasis ulcers Stage 1.01-2.01
AND stasis ulcers
2.03 with cellulitis Stage 1.01-2.02
AND cellulitis:
OR area of redness, induration, tenderness and heat with indistinct borders
2.04 with deep vein thrombosis Stage 1.01-2.03
AND DVT:
3.01 with pulmonary embolism Stage 2.04
AND pulmonary embolism [nuclear ventilation/perfusion scan or pulmonary angiogram report]
3.02 with sepsis Stage 2.03-3.01
AND sepsis:
3.03 with respiratory failure Stage 2.03-3.02
AND respiratory failure:
3.04 with shock Stage 2.03-3.03
AND shock:
4.00 with death Stage 2.03-3.04
AND death
References:
Angle N, Bergan JJ. Chronic venous ulcer. BMJ. 1997;314(7086):1019-23.
STAGE 1.01-1.02 + (DX 45981,
70900, 70909, 7828) ;
DX 4541;
DX 4540, 4542;
STAGE 1.01-2.02 + (DX 68110-
68111, 6826, 6827);
STAGE 1.01-2.03 + (DX 45111,
45119);
STAGE 2.04 + (DX 41519, 4162);
STAGE 2.03-3.01 + GROUP SEPSIS;
STAGE 2.03-3.02 + GROUP
RESP_FAIL;
STAGE 2.03-3.03 + GROUP
SHOCKN;
Bradbury A, Evans C, Allan P, et al. What are the symptoms of varicose veins? Edinburgh vein study cross sectional population survey. BMJ. 1999;318(7180):353-6.
Chant AD. Venous insufficiency and perforating veins. British Journal of Surgery. 1998;85(12):1721.
NO;
Thursday, January 07, 2010 9:21:20 AM
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