Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NUT02
MultiStage: No
DXCat Label: Obesity Specificity: A
Etiology: Genetic (or hereditary); Metabolic; Nutritional
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Simple obesity, overweight and other Body weight ≥ 1.2 times ideal body weight
DX 27800, 2781, 27802, V8521-
hyperalimentation
AND body weight < 1.4 times ideal body weight
V8525;
OR Body mass index ≥ 7.5 kg/m2
AND Body mass index < 30 kg/m2
1.02 Moderate obesity Body weight ≥ 1.4 times ideal body weight
DX V8530-V8539;
AND body weight < 2.0 times ideal body weight
OR Body Mass Index ≥ 30 kg/m2
AND Body Mass Index < 40 kg/m2
2.01 Severe obesity Body weight ≥ 2.0 times ideal body weight
OR Body mass index > 40 kg/m2
2.02 with dyslipidemia Stage 1.01-2.01
AND hypercholesterolemia:
OR hypertriglyceridemia:
OR low high density lipoprotein, HDL, cholesterol:
OR high low density lipoprotein, LDL, cholesterol:
2.03 with the Pickwickian syndrome Stage 1.01-2.02
AND Pickwickian syndrome
OR obesity hypoventilation syndrome
OR sleep apnea
DX 27801, V854;
STAGE 1.01 + (DX 2721, 2723,
2724, 2725, 2726, 2727, 2728,
2729 OR GROUP HYPR_CHOLEST);
DX 2788;
STAGE 1.01-2.02 + (DX 78051,
78053, 78057, 78609, 32720,
32726, 32723-32724, 32729);
3.01 with respiratory failure Stage 2.03
AND respiratory failure:
3.02 with shock Stage 2.03-3.01
AND shock:
4.00 with death Stage 2.03-3.02
AND death
STAGE 1.01-2.03 + GROUP
RESP_FAIL;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Baron RB. Obesity. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1161-1164.
Bjorntorp P. Obesity. Lancet. 1997;350(9075):423-426.
Bray GA. Obesity. 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; 1998:454-462.
Rosenbaum M, Leibel RL, Hirsch J. Obesity. N Engl J Med. 1997;37(6):396-407.
Thursday, January 07, 2010 9:22:52 AM
©2010 Thomson Reuters. All rights reserved.