Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF08
MultiStage: No
DXCat Label: Cryptococcosis Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Cryptcoccal infection Cryptococcal antigen ≥ 1:8 [serology report]
DX 1175;
OR Cryptococcal fungemia [blood culture report]
1.02 Cryptococcal dermatitides Stage 1.01
NO;
AND skin pustules or skin ulcers of cryptococcosis [skin culture reports growth of Cryptococcus
neoformans]
2.01 Cryptococcal pneumonia S1.01-1.02
AND new infiltrate [chest x-ray report]
AND sputum culture reports growth of Cryptococcus neoformans [sputum culture report]
2.02 Cryptococcal urinary tract infection Urine infected with > 100,000 cfu/ml of Cryptococcus neoformans growth [culture from freshly
voided ‘clean catch’ urine]
AND pyuria:
2.03 Cryptococcal osteomyelitis or
Stage 1.01-2.02
endophthalmitis or hepatitis or endocarditis AND Cryptococcal osteomyelitis [bone culture report]
or pericarditis or pyelonephritis
OR Cryptococcal endophthalmitis [eye culture report]
OR Cryptococcal hepatitis [liver biopsy report]
OR endocarditis:
OR pericarditis:
OR urine infected with >100,000 cfu/ml of Cryptococcus neoformans growth [culture
from freshly voided ‘clean catch’ urine]
AND pyuria:
AND costovertebral tenderness
OR kidney punch positive
STAGE 1.01 + DX 4847;
STAGE 1.01-2.01 + DXCAT GUS10;
STAGE 1.01-2.02 + (DX 4200,
42090, 42099, 36000-36002,
59000-5909 OR GROUP
ENDOCARDITIS OR DXCAT HEP04
OR DXCAT HEP05 OR DXCAT
HEP06 OR DXCAT HEP07 OR
DXCAT HEP08 OR DXCAT HEP09
OR DXCAT MUS25 OR GROUP
HEPATITIS);
3.01 Cryptococcal meningitis Cryptococcal meningitis [India ink stain of CSF or latex agglutination test of CSF]
3.02 Cryptococcal encephalitis Stage 1.01-3.01
AND involvement of the cerebral hemispheres with infarction or granulomas [CT scan report or
MRI report]
3.03 with sepsis Stage 1.01-3.02
AND sepsis:
3.04 with coma Stage 1.01-3.03
AND coma:
3.05 with shock Stage 1.01-3.05
AND shock:
4.00 with death Stage 1.01-3.05
AND death
STAGE 1.01-2.03 + (DX 3210,
3218);
DX 3210;
STAGE 1.01-3.01 + (DX 3234,
3236-3239);
STAGE 1.01-3.02 + GROUP SEPSIS;
STAGE 1.01-3.03 + GROUP COMA;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:22 AM
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