Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS36
MultiStage: No
DXCat Label: Typhoid Fever Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Typhoid carrier state History of gastroenteritis within 14 days
DX V021;
AND Salmonella typhi in stools [stool culture report]
1.02 Typhoid gastroenteritis Salmonella typhi in stools [stool culture report]
DX 0020-0029;
AND generalized abdominal pain
AND bowel movements ≥ 5 times a day
2.01 Typhoid fever Temperature ≥ 103 degrees orally or 103.5 degrees rectally
AND 'rose spots' rash
OR typhoid bacteremia [blood culture reports growth of Salmonella typhi]
OR Salmonella typhi infection [Widal agglutination reaction or O/H antibody titers 2
weeks apart show ≥ fourfold increase in titers]
2.02 Typhoid hepatitis or leukopenia or anemia Stage 2.01
AND jaundice:
OR leukopenia:
OR anemia:
NO;
STAGE 1.02 + (DX 5732, 2880-
28809, 7824 OR GROUP HEPATITIS
OR GROUP ANEM_OTH_CHR OR
GROUP ANEM_OTH_UN OR GROUP
ANEM_HEM_ACQ OR GROUP
ANEM_DEF_FE OR GROUP
LEUKOPENIA);
2.03 with gastrointestinal bleeding Stage 2.01-2.02
AND bleeding:
2.04 Typhoid fever with hepatomegaly or Stage 2.01-2.03
splenomegaly or cholecystitis
AND splenomegaly [physical examination or liver/spleen scan report or sonogram report or
CT scan report or MRI report]
OR hepatomegaly [physical examination or liver/spleen scan report or sonogram
report or CT scan report or MRI report]
OR
acute cholecystitis [operative/pathology report or sonogram report or HIDA scan
report]
AND
Salmonella typhi cholecystitis [biopsy culture reports growth of
Salmonella typhi]
2.05 with peritonitis Stage 2.01-2.04
AND air under diaphragm [KUB x-ray report]
OR peritonitis [operative/pathology report]
2.06 Typhoid arthritis Stage 2.01-2.05
AND Salmonella spp. arthritis [culture reports growth of pathologic organism(s)]
2.07 Typhoid osteomyelitis Stage 2.01-2.06
AND osteomyelitis:
STAGE 1.02-2.02 + (DX 5693,
5780-5789);
STAGE 1.02-2.03 + (DX 57400-
57401, 57430-57431, 57460-
57461, 57480-57481, 5750, 57512,
7891-7892);
STAGE 1.02-2.04 + (DX 5672-
5679, 56983);
STAGE 1.02-2.05 + (DX 71100-
71199, 73080-73089);
STAGE 1.02-2.06 + DXCAT MUS25;
Thursday, January 07, 2010 9:21:49 AM
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