Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END02
MultiStage: No
DXCat Label: Cushing's Syndrome Specificity: A
Etiology:
Metabolic; Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Cushing's Syndrome Cushing’s Syndrome [dexamethasone suppression test report]
DX 2550;
Presumptive Diagnostic Findings:
urinary free cortisol ≥ 110ug/24hrs [chemistry report]
1.02 Cushing's Disease Stage 1.1
AND 9 pm ACTH ≥ 35 pg/ml [chemistry report]
OR Basophilic pituitary adenoma [operative/pathology report ]
OR Chromophobe pituitary adenoma [operative/pathology report or
immunohistochemical stain for ACTH report]
2.01 with growth retardation Stage 1.01-1.02
AND age < 16 years
AND height < 3rd percentile
OR growth velocity < 4 cm/yr
OR bone age < 2 yrs. behind chronological age
2.02 with osteoporosis Stage 1.01-2.01
AND osteoporosis:
2.03 with diabetes mellitus or hypertension or Stage 1.01-2.02
hypokalemia
AND Diabetes mellitus:
OR hypertension:
OR hypokalemia:
OR centripetal obesity
OR proximal muscle wasting
OR proximal muscle weakness
2.04 with vertebral fractures Stage 1.01-2.03
AND vertebral fracture [vertebrae x-ray report]
2.05 with visual field defects Stage 1.01-2.04
AND visual field defects
3.01 with Nelson's syndrome Stage 1.01-2.05
AND Nelson’s syndrome
OR history of bilateral adrenalectomy
AND hyperpigmentation
AND history of glucocorticoid replacement therapy
AND pituitary tumor [CT scan or MRI report]
3.02 with coma Stage 1.01-3.01
AND coma:
STAGE 1.01 + DX 2273;
STAGE 1.01-1.02 + AGE 0-15 +
(DX 73391, 78340, 78343);
STAGE 1.01-2.01 + DXCAT MUS38;
STAGE 1.01-2.02 + (DXCAT END04
OR DXCAT END05 OR DXCAT
CVS13 OR DX 2768, 7282);
STAGE 1.01-2.03 + (DX 3383,
73313, 80500-8069);
STAGE 1.01-2.04 + DX 36840-
36847;
NO;
STAGE 1.01-2.05 + GROUP COMA;
Thursday, January 07, 2010 9:21:23 AM
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