Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF27
MultiStage: No
DXCat Label: Syphilis: Acquired Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Primary syphilis Chancre at point of initial contact
DX 0910-0912, 0920, 0929, 096-
AND spirochetes in wound or lymph nodes [immunofluorescense or hemaglutination antibody or
dark field or microscopy report]
0979;
OR FTA test ≥ 1:4 dilutions [serology report]
2.01 Secondary syphilis Maculopapular skin rash
OR mucocutaneous lesions
OR generalized lymphadenopathy
AND FTA test ≥ 1:4 dilutions [serology report]
2.02 Secondary syphilis with uveitis Stage 2.01
AND uveitis
2.03 Asymptomatic neurosyphilis Stage 1.01-2.02
AND FTA of spinal fluid ≥ 1:4 dilutions [serology report]
2.04 Syphilis with visceral crisis Stage 1.01-2.03
AND paroxysms of pain in abdomen
OR paroxysms of pain in rectum
OR paroxysms of pain in bladder
2.05 Tertiary syphilis or syphilis involving the
liver or spleen or kidney or joints or bones
Stage 1.01-2.04
AND mass lesion in liver demonstrates syphilis [biopsy report]
OR mass lesion in spleen demonstrates syphilis [biopsy report]
OR syphilis glomerulitis [biopsy report]
OR arthritis:
OR osteomyelitis:
DX 0913-0914, 0917, 09182-0919;
DX 09150-09152;
DX 0943, 09489-0949;
DX 09169;
DX 09161-09162, 0950-0959;
3.01 Cardiovascular syphilis Stage 1.01-2.05
AND aortitis [operative/pathology report]
OR thoracic aneurysm [operative/pathology report]
OR myocarditis:
OR aortic insufficiency [echocardiogram report]
3.02 Syphilitic meningitis Meningitis
AND FTA of spinal fluid ≥ 1:4 dilutions [serology report]
3.03 Meningovascular syphilis Stage 1.01-3.02
AND tabes dorsalis
OR locomotor ataxia
OR dementia paralytica
OR generalized paresis
OR disorientation:
DX 0930-0939;
DX 09181, 0942;
DX 0940-0941, 09481-09487;
Thursday, January 07, 2010 9:22:27 AM
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