Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF20
MultiStage: No
DXCat Label: Poliomyelitis Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 Contact with or exposure to poliomyelitis Contact with or exposure to poliomyelitis
DX V012, V730;
1.01 Abortive poliomyelitis Polio virus throat isolation [culture report]
DX 04520-04523, 04590-04593;
OR polio antibody rise [acute phase antibodies/convalescent phase antibodies > 4]
1.02 with septic meningitis Stage 1.01
DX 04500-04503;
AND virus isolation from CSF [culture report]
STAGE 1.01 + DXCAT NEU13;
OR aseptic meningitis:
2.01 Spinal poliomyelitis with monoplegia or
paraplegia
2.02 Bulbar poliomyelitis with respiratory
involvement
Stage 1.02
AND monoplegia
OR paraplegia
Stage 1.02-2.01
AND hypoxemia:
3.01 Bulbar poliomyelitis with respiratory failure Stage 1.02-2.02
AND respiratory failure:
3.02 Poliomyelitis with shock Stage 1.02-3.01
AND shock:
4.00 Poliomyelitis with death Stage 1.02-3.02
AND death
References:
DX 04510-04513;
STAGE 1.01-1.02 + DX 3442-34442;
STAGE 1.01-2.01 + GROUP
HYPOXEMIA;
STAGE 1.01-2.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Cohen JI. Enteroviruses and reoviruses. 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; 1998:1118-1123.
Patriarca PA, Foege WH, Swartz TA. Progress in polio eradication. Lancet. 1993:342(8885):1461-1464.
Shandera WX, Carlini ME. Poliomyelitis. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1244-
1246.
Thorsteinsson G. Management of postpolio syndrome. Mayo Clinic Proceedings. 1997:72(7):627-638.
NO;
Thursday, January 07, 2010 9:22:25 AM
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