Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF14
MultiStage: No
DXCat Label: Leprosy (Hansen's disease) Specificity: A
Etiology:
Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 Screening for Hansen's disease
DX V742;
1.01 Indeterminate leprosy Hypopigmented and/or erythematous macule with or without paresthesia or anesthesia
[dermatology report]
DX 0302, 0308-0309;
AND non-specific findings of skin biopsy [pathology report
AND bacteriological findings, AFB negative [laboratory report]
AND Mitsuda reaction negative
1.02 Tuberculoid type Stage 1.01
DX 0301;
AND a few asymmetrical anesthetic annular skin lesions [dermatology report]
AND tuberculoid granulomas [pathology report]
AND bacteriological findings, AFB stain negative [laboratory report]
1.03 Borderline group (borderline tuberculoid,
borderline borderline, borderline
lepromatous)
Stage 1.01-1.02
AND multiple symmetrical and/or asymmetrical anesthetic to infiltrated lesions [dermatology
report]
AND predominance of tuberculoid granulomas or foamy macrophages infiltration [pathology
report]
AND bacteriological findings, AFB stain weakly to moderately positive [laboratory report]
DX 0303;
1.04 Lepromatous type Stage 1.01-1.03
AND multiple symmetrical skin lesions
AND leonine facies (dermatology report)
AND diffuse foamy macrophages infiltration [pathology report]
AND bacteriological findings, AFB stain strongly positive [laboratory report]
DX 0300;
2.01 Type I reaction (Downgrading or
upgrading)
OR Type II reaction (erythema nodosum
leprosum)
Type I reaction:
Stage 1.03
AND acute neuritis and/or acutely inflammed skin lesions [dermatology report]
Type II reaction:
Stage 1.03 (borderline lepromatous)
AND Stage 1.04
AND multiple painful erythematous nodules on the face and extensor surfaces with
ulceration and suppuration (dermatology report)
AND fever
AND arthralgias
AND lymphadenopathy
AND uveitis
AND neutrophil skin infiltration with vasculitis (pathology report)
STAGE 1.01-1.04 + (DX 6952,
69589-6959);
Thursday, January 07, 2010 9:22:24 AM
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