Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES27
MultiStage: No
DXCat Label: Tuberculosis Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
2.05 Tuberculous pyelonephritis or pelvic Stage 1.01-2.04
DX 01600-01606, 01660-01666,
inflammatory disease
AND pyelonephritis [intravenous pyelogram report or ultrasound report]
01670-01676;
OR tuberculosis of the ovary [biopsy culture report or DNA probe analysis or ELISA
serology report growth of Mycobacterium tuberculosis or
operative/pathology report]
STAGE 1.02-2.04 + DX 59081;
DX 01660-01666 + DX 59081;
OR tuberculosis of the uterus [biopsy culture report or DNA probe analysis or ELISA
serology report growth of Mycobacterium tuberculosis or
operative/pathology report]
OR tuberculosis of the oviducts[biopsy culture report or DNA probe analysis or ELISA
serology report growth of Mycobacterium tuberculosis or
operative/pathology report]
2.06 Tuberculosis of the GI tract Stage 1.01-2.05
AND superficial mucosal ulcerations infected with M. tuberculosis [biopsy culture report or DNA
probe analysis or ELISA serology or ELISA serology report growth or
operative/pathology report]
OR intestinal tuberculoma [biopsy culture report or DNA probe analysis or ELISA
serology report growth of Mycobacterium tuberculosis or
operative/pathology report]
OR small bowel obstruction [KUB xray report]
OR large bowel obstruction [KUB xray report]
2.07 Tuberculosis of the liver Stage 1.01-2.06
AND tuberculosis of the liver [biopsy culture report or DNA probe analysis or ELISA serology or
ELISA serology report growth of Mycobacterium tuberculosis or operative/pathology report]
DX 01480-01486, 01780-01786;
STAGE 1.02-2.05 + (DX 5370,
56089, 5609) ;
(DX 01480-01486, 01780-01786) +
(DX 5370, 56089, 5609);
DX 01770-01776, 01790-01796;
Presumptive Diagnostic Findings:
Stage 1.1-2.4
AND liver mass [CT scan report or MRI report]
AND jaundice:
2.08 Tuberculous peritonitis Stage 1.01-2.07
AND tuberculous peritonitis [biopsy culture report or DNA probe analysis or ELISA serology
report growth of Mycobacterium tuberculosis or operative/pathology report]
2.09 Adrenal tuberculosis Stage 1.01-2.08
AND adrenal mass [CT scan report]
OR hypoadrenalism:
DX 01400-01406;
STAGE 1.02-2.07 + (DX 5670-
5679, 56983);
DX 01400-01406 + (DX 5670-5679,
56983);
DX 01760-01766;
Thursday, January 07, 2010 9:23:15 AM
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