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
3.02 Sarcoidosis meningitis Stage 1.01-3.01
DX 3214;
AND meningitis:
3.03 Sarcoidosis with cor pulmonale Stage 1.01-3.01
STAGE 1.01-3.02 + GROUP
AND cor pulmonale:
COR_PULMONAL;
3.04 Sarcoidosis with cardiac abnormalities Stage 1.01-3.02
AND low cardiac output (echocardiogram reports ejection fraction < 50% or nuclear ejection
fraction reports ejection fraction < 50% or cardiac catheterization shows
cardiac output < 4.0 l/min)
OR new onset bundle branch blocks or hemiblocks [EKG report or nuclear phase
study report]
OR new onset second degree heart block [EKG report]
OR new onset third degree heart block [EKG report]
STAGE 1.01-3.03 + (DX 4260,
42610-4269);
3.05 Sarcoidosis with respiratory failure Stage 1.01-3.03
AND respiratory failure:
3.06 with shock Stage 1.1-3.4
AND shock:
4.00 with death Stage 2.01-3.05
AND death
STAGE 1.01-3.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.05 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Berkow R, Fletcher AJ, eds. In: Merck Manual. 16th ed. Rahway, NJ: Merck & Co., Inc.; 1987:272-275.
Crystal RG. Sarcoidosis. In: Wilson JD, Braunwald E, Isselbacher KJ, Petersdorf RG, Martin JB, Fauci AS, Root RK, eds. Harrison’s Principles of Internal Medicine. 12th ed. New
York, NY: McGraw-Hill; 1991:1463-1469.
Fanburg BL. Sarcoidosis. In: Wyngaarden JB, Smith Jr LH, Bennett JC, eds. Cecil Textbook of Medicine. 19th ed., Vol 1. Philadelphia, PA: WB Saunders; 1992:430-435.
Thursday, January 07, 2010 9:23:14 AM
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