Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU13
MultiStage: No
DXCat Label: Meningitis, Encephalitis, and Myelitis: Viral Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Viral meningitis or aseptic meningitis Viral meningitis [virus isolated from CSF tissue cultures or CSF virus specific antibody titers with
convalescent/acute phase serum > 4.0
GROUP MENING__VIR OR DX 3229;
OR aseptic meningitis:
2.01 Viral meningoencephalitis Stage 1.01
AND lethargy
OR delirium
OR seizures
OR encephalopathy:
2.02 with acute cerebellar ataxia Stage 1.01-2.01
AND acute cerebellar ataxia
2.03 with cranial nerve involvement Stage 1.01-2.02
AND [the following new findings occur and persist beyond 3 days after therapy]:
cranial nerve palsy:
2.04 with acute hemiplegia Stage 1.01-2.03
AND acute hemiplegia
2.05 with viral pneumonia Stage 1.01-2.04
AND new infiltrate [chest x-ray report]
AND infected sputum [microbiology gram stain report]
AND no pathologic bacterial organisms in sputum [microbiology report]
2.06 with aspiration pneumonia Stage 1.01-2.05
AND aspiration pneumonia
2.07 with syndrome of inappropriate diuretic Stage 1.01-2.06
hormone secretion
AND SIADH:
3.01 with myocarditis Stage 1.01-2.07
AND myocarditis:
DX 0460-0469, 048, 0498-0499,
0620-064, 3230-32302, 32341-
3239;
STAGE 1.01-2.01 + (DX 7813,
3334);
STAGE 1.01-2.02 + (GROUP
CRAN_NRV_PAL OR GROUP
BLINDNESS);
DX 1390;
STAGE 1.01-2.03 + (DX 34200-
34202, 34210-34282, 34290-
34292);
STAGE 1.01-2.04 + (DX 4800-
4809, 4870);
STAGE 1.01-2.05 + DX 5070;
STAGE 1.01-2.06 + GROUP SIADH;
STAGE 1.01-2.07 + (DX 4220,
42290, 42292, 42299, 4290);
3.02 with myelitis Stage 1.01-3.01
AND asymmetric flaccid paralysis of any limb
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 coma Stage 1.01-3.04
AND coma:
STAGE 1.01-3.01 + (DX 3442,
34430-34432, 34440-3445);
STAGE 1.01-3.02 + GROUP SEPSIS;
STAGE 1.01-3.03 + GROUP
RESP_FAIL;
STAGE 1.01-3.04 + GROUP COMA;
Thursday, January 07, 2010 9:22:48 AM
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