Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF23
MultiStage: No
DXCat Label: Rheumatic Fever Specificity: A
Etiology: Immune; Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Rheumatic fever with migratory polyarthritis History of B-hemolytic streptococcal infection
DX 390;
AND arthritis:
AND ASO titer ≥ 250 u/l [chemistry report]
OR antihyaluronidase titer ≥ 1000 u/l [ chemistry report]
OR anti-DNAse B titer elevated [chemistry report]
OR fever:
OR migratory polyarthralgia
OR PR interval ≥ 0.21 seconds [EKG report]
OR ESR ≥ 15 mm/hr. [hematology report]
1.02 with erythema marginatum or
History of B-hemolytic streptococcal infection
STAGE 1.01 + (DX 6950, 7822 OR
subcutaneous nodules
AND erythema marginatum
GROUP FEVER);
OR subcutaneous nodules
AND ASO titer ≥ 250 u/l [chemistry report]
OR antihyaluronidase titer ≥ 1000 u/l [chemistry report]
OR anti-DNAse B titer elevated [chemistry report]
OR fever:
OR migratory polyarthralgia
OR PR interval ≥ 0.21 seconds [EKG report]
OR ESR ≥ 15 mm/hr. [hematology report]
1.03 with Sydenham's chorea History of B-hemolytic streptococcal infection
AND Sydenham’s chore
AND ASO titer ≥ 250 u/l [chemistry report]
OR antihyaluronidase titer ≥ 1000 u/l [chemistry report]
OR anti-DNAse B titer elevated [chemistry report]
OR fever:
OR migratory polyarthralgia
OR PR interval ≥ 0.21 seconds [EKG report]
OR ESR ≥ 15 mm/hr. [hematology report]
DX 3929;
2.01 with carditis Stage 1.01-1.03
AND rheumatic myocarditis [myocardial biopsy reports Aschoff’s lesion]
OR myocarditis:
OR pericarditis:
DX 3910, 3912-3920, 393, 3980-
39890, 39899;
Thursday, January 07, 2010 9:22:26 AM
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