![]() Severe diarrhea, or alternating diarrhea and constipation, with more or less constant abdominal distress ![]() Moderate gall bladder dyspepsia, confirmed by X-ray technique, and with infrequent attacks (not over two or three a year) of gall bladder colic, with or without jaundiceħ319 Irritable colon syndrome (spastic colitis, mucous colitis, etc.): Severe frequent attacks of gall bladder colic Note: For evaluation under diagnostic code 7312, documentation of cirrhosis (by biopsy or imaging) and abnormal liver function tests must be present. Symptoms such as weakness, anorexia, abdominal pain, and malaise Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss History of one episode of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis) History of two or more episodes of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), but with periods of remission between attacks Generalized weakness, substantial weight loss, and persistent jaundice, or with one of the following refractory to treatment: ascites, hepatic encephalopathy, hemorrhage from varices or portal gastropathy (erosive gastritis) Mild infrequent episodes of epigastric distress with characteristic mild circulatory symptoms or continuous mild manifestationsĭepending on the specific residuals, separately evaluate as adhesions of peritoneum (diagnostic code 7301), cirrhosis of liver (diagnostic code 7312), and chronic liver disease without cirrhosis (diagnostic code 7345).ħ312 Cirrhosis of the liver, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis: Moderate less frequent episodes of epigastric disorders with characteristic mild circulatory symptoms after meals but with diarrhea and weight loss Severe associated with nausea, sweating, circulatory disturbance after meals, diarrhea, hypoglycemic symptoms, and weight loss with malnutrition and anemia Mild with brief episodes of recurring symptoms once or twice yearlyħ307 Gastritis, hypertrophic (identified by gastroscope):Ĭhronic with severe hemorrhages, or large ulcerated or eroded areasĬhronic with multiple small eroded or ulcerated areas, and symptomsĬhronic with small nodular lesions, and symptomsĪ complication of a number of diseases, including pernicious anemia. Moderate with episodes of recurring symptoms several times a year Moderately severe intercurrent episodes of abdominal pain at least once a month partially or completely relieved by ulcer therapy, mild and transient episodes of vomiting or melena Severe same as pronounced with less pronounced and less continuous symptoms with definite impairment of health Pronounced periodic or continuous pain unrelieved by standard ulcer therapy with periodic vomiting, recurring melena or hematemesis, and weight loss. Mild with recurring symptoms once or twice yearly Moderate recurring episodes of severe symptoms two or three times a year averaging 10 days in duration or with continuous moderate manifestations Moderately severe less than severe but with impairment of health manifested by anemia and weight loss or recurrent incapacitating episodes averaging 10 days or more in duration at least four or more times a year ![]() Severe pain only partially relieved by standard ulcer therapy, periodic vomiting, recurrent hematemesis or melena, with manifestations of anemia and weight loss productive of definite impairment of health Note: Ratings for adhesions will be considered when there is history of operative or other traumatic or infectious (intraabdominal) process, and at least two of the following: disturbance of motility, actual partial obstruction, reflex disturbances, presence of pain. Moderate pulling pain on attempting work or aggravated by movements of the body, or occasional episodes of colic pain, nausea, constipation (perhaps alternating with diarrhea) or abdominal distension Moderately severe partial obstruction manifested by delayed motility of barium meal and less frequent and less prolonged episodes of pain Severe definite partial obstruction shown by X-ray, with frequent and prolonged episodes of severe colic distension, nausea or vomiting, following severe peritonitis, ruptured appendix, perforated ulcer, or operation with drainage If not amenable to dilation, rate as for the degree of obstruction (stricture).ħ205 Esophagus, diverticulum of, acquired. Permitting passage of liquids only, with marked impairment of general health Rate as for disfigurement and impairment of function of mastication. ![]()
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