Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS04
MultiStage: No
DXCat Label: Eosinophilia Myalgia Syndrome Specificity: A
Etiology: Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Eosinophilia Myalgia Syndrome Eosinophilia Myalgia Syndrome
DX 7105, 725;
OR eosinophilia:
DX 2883 + DX 5183;
AND eosinophilia persists ≥ 6mo.
AND eosinophilic infiltration of heart [operative/pathology report]
OR eosinophilic infiltration of liver [operative/pathology report]
OR eosinophilic infiltration of spleen [operative/pathology report]
OR eosinophilic infiltration of lungs [operative/pathology report]
2.01 with peripheral neuropathy Stage 1.01
AND peripheral neuropathy [EMG report]
2.02 with deep vein thrombosis Stage 1.01-2.01
AND DVT:
2.03 with cardiac conduction abnormalities Stage 1.01-2.02
AND cardiac conduction abnormalities:
2.04 with aspiration pneumonia Stage 1.01-2.03
AND aspiration pneumonia
3.01 with pulmonary embolism Stage 2.02-2.04
AND pulmonary embolism:
3.02 with sepsis Stage 2.04-3.01
AND sepsis:
3.03 with respiratory failure Stage 2.02-3.02
AND respiratory failure:
3.04 with shock Stage 2.01-.3.03
AND shock:
4.00 with death Stage 2.01-3.04
AND death
STAGE 1.01 + (DX 33811, 33821,
3569, 3577);
STAGE 1.01-2.01 + GROUP DVT;
STAGE 1.01-2.02 + GROUP
COND_BBBS;
STAGE 1.01-2.03 + DX 5070;
STAGE 2.02-2.04 + GROUP
PULMEMB;
STAGE 2.04-3.01 + GROUP SEPSIS;
STAGE 2.02-3.02 + GROUP
RESP_FAIL;
STAGE 2.02-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Hellmann DB. Arthritis & musculoskeletal disorders. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton &
Lange; 1998:774-824.
Hertzman PA, Clauw DJ, Kaufman LD, et al. The eosinophilia-myalgia syndrome: status of 205 patients and results of treatment 2 years after onset. Annals of Internal Medicine.
1995;122(11):851-5.
Sullivan EA, Kamb ML, Jones JL et al. The natural history of eosinophilia-myalgia syndrome in a tryptophan-exposed cohort in South Carolina. Archives of Internal Medicine.
1996;156(9):973-9.
Thursday, January 07, 2010 9:22:32 AM
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