Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU08
MultiStage: No
DXCat Label: Guillain-Barre Syndrome Specificity: A
Etiology: Idiopathic; Infection
Stage Description Diagnostic findings ICD-9-CM Codes
2.01 Guillain-Barre syndrome Guillain-Barre syndrome
DX 3570;
OR progression of paresis or paresthesia ceases ≤ 4 weeks
AND progressive symmetric paresis within 6 weeks of a viral infection or
vaccination or surgical procedure
OR progressing symmetric paresthesias of lower extremities within 6
weeks of a viral infection or vaccination or surgical procedure
OR nerve conduction slowing or block [EMG report]
CSF proteins > 50 mg/dl
STAGE 2.01 + (DX 3441, 34430-
2.02 with ascending paralysis Stage 2.01
AND CSF lymphocytes < 50/mm 3
AND progressing weakness leading to monoplegia or paraplegia within 6 weeks
AND no cerebral infarction [CT scan report or MRI report]
34432 OR DX 34440-3445 + NOT
(DX 430, 431, 4320-4329, 43301,
43311, 43321, 43331, 43381,
43391, 43401, 43411, 43491));
2.03 with cranial nerve palsy Stage 2.01-2.02
AND cranial nerve palsy:
3.01 with arrhythmias or bundle branch block Stage 2.01-2.03
AND arrhythmias:
OR bundle branch block:
STAGE 2.01-2.02 + (GROUP
CRAN_NRV_PAL OR GROUP
BLINDNESS);
STAGE 2.01-2.03 + DXCAT CVS06;
STAGE 2.01-2.03 + (DX 4260,
42610, 42611, 42613, 4262-42654,
4269);
3.02 with respiratory failure Stage 2.01-3.01
AND respiratory failure:
3.03 with shock Stage 2.01-3.02
AND shock:
4.00 with death Stage 2.01-3.03
AND death
STAGE 2.01-3.01 + GROUP
RESP_FAIL;
STAGE 2.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:46 AM
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