Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF03
MultiStage: No
DXCat Label: Candida (Monilial) Infections Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Cutaneous or oral or vaginal candidiasis Cutaneous or oral cavity candidiasis [culture reports growth of Candida or Candida identified in
potassium hydroxide wet mounts from scraping]
Presumptive Diagnostic Findings:
Oral thrush
OR candida paronychia
OR cheesy, curd-like discharge of Candida vaginitis
DX 1120-1123, 11282, 11289,
1129;
2.01 Candidiasis of gastrointestinal or lower
urinary or upper respiratory tract
Candidiasis of gastrointestinal tract [culture reports growth of Candida or Candida identified in
potassium hydroxide wet mounts from scraping]
OR dysuria
AND candidiasis of urinary tract [culture reports growth of Candida]
OR cough
AND candidiasis of upper respiratory tract [culture reports growth of Candida]
DX 11284-11285, 1124;
2.02 Chronic candidiasis Stage 1.01-2.01
AND history of recurrent Candida infections
2.03 Candida endophthalmitis or pyelonephritis Candida endophthalmitis [operative or pathology report]
or arthritis or osteomyelitis
OR pyelonephritis:
OR candida arthritis [culture report of joint effusion]
OR candida osteomyelitis [bone culture report
2.04 Candida fungemia Candida fungemia [blood culture reports growth of candida]
3.01 with renal failure Stage 2.01-2.04
AND renal failure:
3.02 with endocarditis Stage 2.01-3.01
AND endocarditis:
3.03 with meningitis Stage 2.01-3.02
AND meningitis:
3.04 with sepsis Stage 2.01-3.02
AND sepsis
3.05 with shock Stage 2.01-3.04
AND shock:
4.00 with death Stage 2.01-3.05
AND death
NO;
STAGE 1.01-2.01 + (DX 36000-
36019, 59000-5909 OR GROUP
ARTHR_SEPTIC OR GROUP
OSTEOMYELIT);
DX 1125;
STAGE 1.01-2.04 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
DX 11281;
DX 11283;
STAGE 1.01-3.03 + GROUP SEPSIS;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:21 AM
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