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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: INF07<br />

MultiStage: No<br />

DXCat Label: Coxsackie and ECHO Infections Specificity: A<br />

Etiology: Infection, Viral<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

1.01 Exanthems caused by Coxsackie or ECHO Nonpruritic or nondesquamative or discrete rubelliform rash confined to face or neck and chest DX 0791-0792;<br />

viruses<br />

AND Coxsackie virus infection [tissue culture reports isolation of virus or convalescent versus<br />

acute serum antibody titers show ≥ 4 increase]<br />

OR ECHO virus infection [tissue culture reports isolation of virus or convalescent<br />

versus acute serum antibody titers show ≥ 4 increase]<br />

1.02 Herpangina caused by Coxsackie viruses Herpangina<br />

DX 0740;<br />

OR fever:<br />

STAGE 1.01 + GROUP FEVER;<br />

AND sore throat<br />

AND grayish papulovesicular lesions with erythematous areola on tonsillar pillars or<br />

soft palate or tonsils or uvula and tongue which may ulcerate<br />

AND Coxsackie virus infection [tissue culture reports isolation of virus or convalescent<br />

versus acute serum antibody titers show four fold increase]<br />

1.03 Lymphonodular pharyngitis caused by<br />

Coxsackie viruses<br />

Coxsackie virus infection [tissue culture reports isolation of virus or convalescent versus acute<br />

serum antibody titers show four fold increase]<br />

AND fever:<br />

AND sore throat<br />

AND raised white to yellowish pharyngeal nodules<br />

1.04 Hand-Foot-and-Mouth disease caused by Stage 1.01-1.03<br />

Coxsackie viruses<br />

AND vesicular exanthem over buccal mucosa or palate and over hands and feet<br />

AND Coxsackie virus infection [tissue culture reports isolation of virus or convalescent versus<br />

acute serum antibody titers show four fold increase]<br />

1.05 Epidemic pleurodynia or Bornholm disease Severe intermittent epigastric pain or lower anterior chest pain<br />

AND fever:<br />

AND sore throat<br />

AND malaise<br />

AND myalgia of trunk and extremities<br />

AND Coxsackie virus infection [tissue culture reports isolation of virus or convalescent versus<br />

acute serum antibody titers show four fold increase]<br />

1.06 ECHO virus gastroenteritis Diffuse abdominal pain<br />

AND bowel movements > 3 times a day<br />

AND diarrhea<br />

AND ECHO virus infection of stool [tissue culture reports isolation of virus or convalescent<br />

versus acute serum antibody titers show four fold increase]<br />

DX 0748;<br />

DX 0743;<br />

DX 0741;<br />

DX 0791 + (DX 00869, 0088);<br />

Thursday, January 07, 2010 9:22:22 AM<br />

©2010 Thomson Reuters. All rights reserved.

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