Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF11
MultiStage: No
DXCat Label: Herpes zoster Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
2.04 with cutaneous dissemination History of previous varicella infection
DX 05320;
AND diffuse Herpes zoster rash
OR diffuse vesicular rash with a red base
AND isolation of virus from lesions [virus tissue culture report or
antibody rise acute/convalescent serum ≥ 4.0 from serology
report]
OR multinucleated giant cells from lesions [Tzanck smear]
3.01 Involving the gastrointestinal or
genitourinary or respiratory tracts
Stage 1.01-2.04
AND H. zoster lesions in the gastrointestinal tract [tissue culture report or Tzanck smear report]
OR H. zoster lesions in the genitourinary tract [tissue culture report or
Tzanck smear report]
OR H. zoster lesions in the respiratory tracts [tissue culture report or
Tzanck smear report]
NO;
3.02 with aseptic meningitis and disorientation Stage 1.01-3.01
AND disorientation:
AND aseptic meningitis:
4.00 with death Stage 3.01-3.02
AND death
DX 0530;
NO;
References:
Berger TG. Skin & appendages. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:111-180.
Kost RG, Straus SE. Postherpetic neuralgia--pathogenesis, treatment, and prevention. N Engl J Med. 1996;335(1):32-42.
Richards P. Shingles in one family practice. Archives of Family Medicine. 1996;5(1):42-6.
Whitley RJ. Varicella-Zoster virus infections. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison’s Principles of
Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:1086-1089.
Thursday, January 07, 2010 9:22:23 AM
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