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
2.02 with valvular disease or pneumonia Stage 1.01-2.01
DX 3940-3963, 3968-3979, 5171;
AND mitral stenosis [echocardiogram report]
OR mitral insufficiency [echocardiogram report]
OR aortic stenosis [echocardiogram report]
OR aortic insufficiency [echocardiogram report]
OR tricuspid stenosis [echocardiogram report]
OR tricuspid insufficiency [echocardiogram report]
OR pulmonic stenosis [echocardiogram report]
OR pulmonic insufficiency [echocardiogram report]
3.01 with endocarditis Stage 1.01-2.02
AND endocarditis:
3.02 with congestive heart failure Stage 1.03-3.01
AND congestive heart failure:
3.03 with sepsis Stage 1.01-3.02
AND sepsis:
3.04 with respiratory failure Stage 1.01-3.03
AND respiratory failure:
3.05 with shock Stage 2.01-3.04
AND shock:
4.00 with death Stage 2.01-3.05
AND death
DX 3911;
DX 39891;
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.02 + GROUP SEPSIS;
STAGE 1.01-3.03 + GROUP
RESP_FAIL;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:26 AM
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