Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF10
MultiStage: No
DXCat Label: Herpes Simplex Infections Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Oral herpes simplex or cutaneous Grouped papulovesiculopustular lesions on erythematous base of mucocutaneous areas
DX 05440-05441, 0546, 05473,
infections or primary herpes simplex or AND Tzanck smear test (dermatology report)
05479-0549, 05881-05882, 05889;
recurrent herpes simplex
OR herpes simplex [Virus isolation tissue culture or immunofluorescent test
or complement fixation test or PCR detection of HSV DNA]
1.02
1.03
Genital herpes simplex infections
Herpetic keratitis
Herpes simplex genitalis [Virus isolation tissue culture or immunofluorescent test or complement
fixation test or PCR detection of HSV DNA]
Herpetic keratitis
DX 05410-05419;
DX 05442-05443;
OR green dendritic ulcers [fluorescein staining of eye]
1.04 with erythema multiforme Stage 1.01-1.03
STAGE 1.01-1.03 + DX 6951;
AND symmetrical erythematous pruritic dermatitis
DX 05810-05812;
AND macules
OR papules
OR bullae
OR purpura
OR target-like or annular lesions
2.01 Exzema herpeticum Stage 1.01-1.04
AND multiple centrally umblicated erythematous papules vesicles and pustules with crusting
AND atopic dermatitis
OR seborrheic dermatitis
OR Darier’s disease
2.02 with Bell's Palsy or paresthesia or
hypesthesia
2.03 with iridocyclitis or urethral strictures or
labial fusion or prostatitis or cystitis
Stage 1.01-2.01
AND Bell’s Palsy
OR paresthesia
OR hypesthesia
Stage 1.01-2.02
AND urethral strictures
OR labial fusion
OR prostate tenderness
OR pyuria:
OR dysuria
AND clear discharge
OR iridocyclitis [ophthalmology report]
DX 0540;
STAGE 1.01-2.01 + (DX 3510,
7820);
DX 05444;
STAGE 1.01-2.02 + (DX 5954,
59800, 5988-5989, 6014, 6232);
Thursday, January 07, 2010 9:22:23 AM
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