Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PED30
MultiStage: No
DXCat Label: Syphilis: Congenital Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Congenital syphilis Newborn
DX 0900-0902, 0909;
AND Maculopapular skin rash
OR mucocutaneous lesions
OR generalized lymphadenopathy
OR syphilitic pemphigus
OR snuffles
OR osteochondritis
OR osteitis
AND FTA test > 1:4 dilutions.[serology report]
OR Treponema pallidum isolated from lesions [op/path report]
2.01 Congenital syphilis with malformations or
late congenital syphilis
2.02 Congenital syphilis involving the liver or
spleen or kidney or joints or bones
Osteochondritis
OR interstitial keratitis
OR sensorineural deafness
OR Hutchinson's triad
OR Hutchinson's incisors
OR saddle nose
OR knee effusions or Clutton's joints
AND 2 years after birth FTA test > 1:4 dilutions [serology report]
OR Treponema pallidum isolated from lesions [op/path report]
Stage 2.01
AND mass lesion in liver demonstrates treponema pallidum [biopsy report]
OR mass lesion in spleen demonstrates treponema pallidum [biopsy report]
OR treponema pallidum glomerulitis [biopsy report]
OR osteomyelitis:
DX 0903, 0905, 0906, 0907;
STAGE 2.01 + GROUP
OSTEOMYELIT;
3.01 Cardiovascular congenital syphilis Stage 2.01-2.02
AND aortitis [op/path report]
OR thoracic aneurysm [op/path report]
OR myocarditis:
OR aortic insufficiency [echocardiogram report]
3.02 Congenital neurosyphilis Aseptic meningitis:
AND FTA of spinal fluid > 1:4 dilutions (serology report).
AND tabes dorsalis
OR locomotor ataxia
OR dementia paralytica
OR generalized paresis
3.03 with congestive heart failure Stage 2.01-3.02
AND congestive heart failure:
STAGE 2.01-2.02 + (DX 0930,
0931, 09322, 09382);
DX 09040-09049;
STAGE 1.01-3.02 + GROUP
CHF__HTNIVE;
Thursday, January 07, 2010 9:23:02 AM
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