Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END03
MultiStage: No
DXCat Label: Diabetes insipidus Specificity: A
Etiology: Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Primary diabetes insipidus Diabetes insipidus
DX 2535;
OR fluid restriction to >1kg weight loss ≤ 24 hrs
AND vasopressin challenge test shows rise in urinary osmolality ≥ 9 %
AND plasma osmolality ≥ 288 mmol/kg [chemistry report]
OR Wolfram Syndrome
1.02 Secondary diabetes insipidus Stage 1.01
STAGE 1.01 + (DX 2250, 2273,
AND pituitary or hypothalamic tumors [MRI report]
2370, 2375, 2397);
1.03 Vasopressinase induced diabetes insipidus Stage 1.01
STAGE 1.01-1.02 + (DX 64000-
AND pregnancy
677, V270-V279, V220-V242);
OR vasopressinase positive [chemistry report]
1.04 Nephrogenic diabetes insipidus Fluid restriction to > 1kg weight loss ≤ 24 hrs
Elevated serum vasoporessin [chemistry report
2.01 with hyponatremia Stage 1.01-1.04
AND hyponatremia:
2.02 with hypernatremia Stage 1.01-2.01
AND hypernatremia:
2.03 with azotemia or dehydration Stage 1.01-2.02
AND azotemia:
OR dehydration:
3.01 with renal failure Stage 1.01-2.03
AND renal failure:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 1.01-3.02
AND death
References:
DX 5881;
STAGE 1.01-1.03 + GROUP
HYPONATREMIA;
STAGE 1.01-1.03 + GROUP
HYPR_NATREM;
STAGE 1.01-2.02 + (DX 7906 OR
GROUP DEHYDRATION) ;
STAGE 1.01-3.01 + (GROUP
REN_FAIL_ACU);
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Fitzgerald PA. Diabetes insipidus. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1037-1039.
Fitzgerald PA. Diabetes insipidus. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1037-1039.
Moses AM, Streeten DHP. Disorders of the neurohypophysis. 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; 1998:2003-2012.
Singer I, Oster JR, Fishman LM. The management of diabetes insipidus in adults. Archives of Internal Medicine. 1997;157(12):1293-1301.
NO;
Thursday, January 07, 2010 9:21:23 AM
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