Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF18
MultiStage: No
DXCat Label: Measles or Rubeola Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 Screening exam for measles
DX V732;
1.01 Rubeola Measles antigen [immunoflourescent smear]
DX 05579-0559;
OR measles [EIA serology reports ≥ 4 increase in IgM or IgG tier]
OR Coryza
OR fever:
OR cough
OR conjunctivitis
AND multinucleated giant cells in nasal or pharyngeal and buccal secretions [gram
stain report
AND maculopapular rash
AND Koplik spots on buccal and labial mucosa
OR paramyxovirus infection in secretions from nasopharynageal,
conjunctiva, blood or urine [tissue culture report]
1.02 with keratitis Stage 1.01
AND keratitis
1.03 with otitis media History of previous measles infection
AND otitis media
1.04 with tracheolaryngobronchitis (croup) Stage 1.01-1.03
AND croup
2.01 with pneumonitis Stage 1.01-1.04
AND new infiltrate [chest x-ray report]
3.01 with acute encephalitis Stage 1.01-2.01
AND encephalitis:
3.02 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.03 with subacute sclerosing panencephalitis Stage 1.01-1.03
AND behavioral and intellectual deterioration years after the original measles infection
AND convulsions
AND EIA serology reports ≥ 4 increase in measles specific-IgM or IgG titer in serum [serology
report]
AND CSF with measles-specific IgG and IgM antibodies ≥ 1:8 and normal or slightly elevated
protein with ≥ 20 percent of total protein composed of gamma globulin
AND bursts of high voltage sharp-slow waves every 3-8 seconds followed by periods of
attenuated background [EEG report]
3.04 with respiratory failure Stage 1.01-3.03
AND respiratory failure:
DX 05571;
DX 0552;
STAGE 1.01-1.03 + DXCAT RES07;
DX 0551;
DX 0550;
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.02 + DX 0462;
STAGE 1.01-3.03 + GROUP
RESP_FAIL;
Thursday, January 07, 2010 9:22:25 AM
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