Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: INF30
MultiStage: No
DXCat Label: Varicella (Chickenpox) Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Varicella Pruritic generalized vesicular rash with an erythematous base and centripetal distribution
DX 0528-0529;
OR Varicella [Tzanck test OR skin biopsy (pathology report OR isolation of virus from lesions
[tissue culture report]
OR acute phase H. zoster antibodies/convalescent phase H. zoster antibodies >4.0 [serology
report]
1.02 with orchitis Stage 1.01
AND scrotal tenderness
1.03 with arthritis Stage 1.01-1.02
AND limited range of motion of joints
AND arthralgia
AND swelling of joints
1.04 with neuralgia Stage 1.03
AND neuralgia
1.05 with conjunctivitis or keratitis Stage 1.1-1.4
AND varicella keratitis [ophthalmology report]
OR conjunctivitis
2.01 with pneumonia Stage 1.1-1.5
AND new parenchymal infiltrate (chest x-ray report)
2.02 with hepatitis Stage 1.01-2.01
AND hepatitis:
2.03 with thrombocytopenia Stage 1.01-1.03
AND 2.01-2.02
AND thrombocytopenia:
3.01 with myocarditis Stage 1.01-1.03
AND 2.01-2.03
AND myocarditis:
3.02 with renal failure Stage 1.01-3.01
AND renal failure:
DX 0527;
STAGE 1.01-1.02 + GROUP
ARTHR_SEPTIC;
STAGE 1.01-1.03 + DX 05310-
05319;
STAGE 1.01-1.04 + DX 05320-
05329;
DX 0521;
STAGE 1.01-2.01 + DXCAT HEP04
OR DXCAT HEP05 OR DXCAT
HEP06 OR DXCAT HEP07 OR
DXCAT HEP08 OR DXCAT HEP09;
STAGE 1.01-2.02 + GROUP
THRMBCYTPEN;
STAGE 1.01-2.03 + (DX 4220,
42290, 42292, 42299) ;
STAGE 1.01-3.01 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
Thursday, January 07, 2010 9:22:28 AM
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