Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF16
MultiStage: No
DXCat Label: Lyme disease (Erythema chronicum migrans) Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of Erythema chronicum migrans History of previous Erythema chronicum migrans
NO;
AND previous tick bite
AND identification of tick (laboratory report)
1.01 Erythema chronicum migrans Bull’s eye skin eruption [dermatology report or pathology report or laboratory report or ELISA
indirect immunofluorescent or Western blot test]
2.01 with fever Stage 0.00-1.01
AND fever:
2.02 with lymphadenopathy Stage 0.00-2.01
AND lymphadenopathy
2.03 with arthralgia Stage 0.00-2.02
AND arthralgia
2.04 with hepatosplenomegaly Stage 0.00-2.03
AND hepatosplenomegaly [liver/spleen scan report or MRI report or CT scan report or
sonography report]
3.01 with myocarditis Stage 0.00-2.04
AND myocarditis:
3.02 with meningitis Stage 0.00-3.01
AND meningitis:
3.03 with coma Stage 0.00-3.02
AND coma:
4.00 with death Stage 0.00-3.03
AND death
References:
DX 08881;
STAGE 1.01 + GROUP FEVER;
STAGE 1.01-2.01 + (DX 2891-
2893, 683, 7856);
STAGE 1.01-2.02 + DX 71950-
71959;
STAGE 1.01-2.03 + (DX 5718,
7891-7892);
STAGE 1.01-2.04 + (DX 4220,
42290-42292, 42299);
STAGE 1.01-3.01 + (DX 3207,
32089-3209);
STAGE 1.01-3.02 + GROUP COMA;
Hay RJ, Adriaans BM. Bacterial infections. In: Champion RH, Burton JL, Burns DA, Breathnach SM. Rook/Winkinson/Ebing. Textbook of Dermatology. 6th ed. Oxford: Blackwell
Science Ltd., 1998:1160-1162.
Schuttelaar MLA, Laeijendecker R, Heinhuis RJ, Joost TV. Erythema multiforme and persistent erythema as early cutaneous manifestations of Lyme disease. J Am Acad Dermatol.
1997; (37):873-875.
NO;
Thursday, January 07, 2010 9:22:25 AM
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