Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF06
MultiStage: No
DXCat Label: Coccidioidomycosis Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Coccidioidomycosis of the respiratory tract Infected sputum [gram stain demonstrates Coccidioides spp. or sputum culture reports growth of
Coccidioides spp.]
DX 1140, 1143-1145, 1149;
OR Coccidioides titer ≥ 1:16 [serology report]
OR coccidioidomycosis [IgM or IgG serology report shows ≥ 4 fold increase in titer from
baseline]
2.01 Cutaneous coccidioidomycosis or
coccidioidomycosis with lymphadenopathy
Stage 1.01
AND skin ulcerations of coccidioidomycosis [operative/pathology report]
OR axillary and inguinal adenopathy
2.02 with pleural effusion Stage 1.01-2.01
AND pleural fluid [chest x-ray report]
2.03 with pulmonary cavitation Stage 1.01-2.02
AND pulmonary granuloma or cavitation [chest x-ray report]
2.04 with osteomyelitis or arthritis Stage 1.01-2.03
AND osteomyelitis:
OR coccidioidomycosis arthritis (synovial fluid reports Coccidioides spp.)
OR arthritis:
2.05 with hepatitis or splenic involvement Stage 1.01-2.04
AND liver mass [CT scan report or liver-spleen scan report]
OR splenomegaly [CT scan report or liver-spleen scan report]
OR hepatic granuloma of Coccidioides spp.
[operative/pathology report]
OR splenic granuloma of Coccidioides spp.
[operative/pathology report]
DX 1141;
STAGE 1.01-2.01 + DX 5111-5119;
STAGE 1.01-2.02 + DX 51889;
STAGE 1.01-2.03 + (GROUP
ARTHR_SEPTIC OR GROUP
OSTEOMYELIT);
STAGE 1.01-2.04 + (DX 5718,
5728, 7891-7892 OR GROUP
HEPATITIS);
2.06 Renal coccidioidomycosis Stage 1.01-2.05
AND renal mass [CT scan or sonogram report]
OR renal coccidioidomycosis [operative/pathology report]
3.01 with meningitis Coccidioides titer > 1:16 in CSF [ CSF serology report]
OR coccidioidomycosis [IgM or IgG CSF serology report shows ≥ 4 fold increase in titer from
baseline
AND meningitis:
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with respiratory failure Stage 1.01-3.02
AND respiratory failure:
3.04 with shock Stage 1.01-3.03
AND shock:
STAGE 1.01-2.05 + DX 5909;
DX 1142;
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Thursday, January 07, 2010 9:22:21 AM
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