Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES25
MultiStage: No
DXCat Label: Sarcoidosis Specificity: A
Etiology: Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Sarcoidosis Noncaseating epithelioid granulomas [operative/pathology report]
OR Kveim reaction (Kveim skin-test positive)
Presumptive Diagnostic Findings:
Bihilar adenopathy [chest x-ray report
AND angiotensin converting enzyme > 2 standard deviations of normal range *
*
(normal value varies widely with different laboratories)
DX 135;
DX 135 + DX 5178;
1.02 Sarcoidosis with involvement of the skin or
sicca syndrome or arthritis
Stage 1.01
AND skin lesions containing noncaseating epithelioid granulomas [operative/pathology report]
OR sicca syndrome
(dryness of eyes or buccal mucosa)
OR nonspecific arthritis
OR joint WBC > 200 [arthrocentesis report]
AND joint culture reports no growth
AND joint glucose > 25 mg/dl
[arthrocentesis report]
STAGE 1.01 + (DX 6861, 7102,
7137);
2.01 Sarcoidosis with nephrolithiasis Stage 1.01-1.02
AND nephrolithiasis [intravenous urography report or nuclear renogram or sonography report or
KUB report]
OR dilated ureters [intravenous urography report or nuclear renogram or sonography
report or KUB report]
STAGE 1.01-1.02 + (DX 5920,
5921, 5929);
2.02 Sarcoidosis with cranial nerve palsy Stage 1.01-2.01
AND Cranial nerve palsy
AND no new cerebral infarction [CT report or MRI report]
2.03 Sarcoidosis with blindness Stage 1.01-2.02
AND blindness:
2.04 Sarcoidosis with diabetes insipidus Stage 1.01-2.03
AND urine output of > 6.0 liters/24 hours
AND urine specific gravity < 1.006
AND urine < 200 mOsm/l
2.05 Sarcoidosis with involvement of the
pulmonary parenchyma
Stage 1.01-2.04
AND diffuse, bilateral reticulonodular infiltrates [chest x-ray report]
3.01 Sarcoidosis with pulmonary hypertension Stage 1.01-2.05
AND pulmonary artery peak systolic pressure > 30 mmHg [pulmonary artery catheter report]
STAGE 1.01-2.01 + (DX 3501-
3529, 37749, 37820-37856, 3885);
STAGE 1.01-2.02 + GROUP
BLINDNESS;
STAGE 1.01-2.03 + DXCAT END03;
STAGE 1.01-2.04 + DX 5183;
STAGE 1.01-2.05 + (DX 4160,
4168);
Thursday, January 07, 2010 9:23:14 AM
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