Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END04
MultiStage: Yes
DXCat Label: Diabetes Mellitus Type 1 Specificity: A
Etiology: Metabolic
Stage Description Diagnostic findings ICD-9-CM Codes
3.04 with acute myocardial infarction Stage 2.04-3.03
STAGE 2.04 + GROUP AMI;
AND acute myocardial infarction [EKG report]
OR CPK-MB > normal [CPK isoenzyme report]
OR LDH1/LDH2 ratio ≥ 1.0 [LDH isoenzyme report]
3.05 with acute cerebral vascular accident Stage 2.04-3.04
AND acute cerebral vascular accident:
(STAGE 2.04, 3.04) + (DX 430,
431, 4320-4321, 4329, 43301,
43311, 43321, 43331, 43381,
43391, 43401, 43411, 43491);
3.06 with sepsis Stage 2.05-3.05
AND sepsis:
STAGE 1.02-3.05 + GROUP SEPSIS;
DX 25081 + GROUP SEPSIS;
DX 25083 + GROUP SEPSIS;
3.07 with coma Stage 2.01-3.06
AND coma:
3.08 with hyperosmolar coma Stage 2.01-3.07
AND coma:
AND unresponsive to tactile stimuli
3.09 with shock Stage 2.01-3.08
AND shock:
4.00 with death Stage 2.01-3.09
AND death
DX 25031, 25033;
STAGE 3.02 + GROUP COMA;
STAGE 3.01-3.08 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
DX 25081 + (GROUP SHOCKC OR
GROUP SHOCKN) ;
DX 25083 + (GROUP SHOCKC OR
GROUP SHOCKN);
NO;
Thursday, January 07, 2010 9:21:24 AM
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