Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES07
MultiStage: No
DXCat Label: Croup Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Croupy cough or acute
History of upper respiratory tract infection
DX 4644;
laryngotracheobronchitis
OR parainfluenza virus infection [respiratory culture]
((DX 7862, 46420) + (AGE 10 OR
OR Hemophilus influenza infection [respiratory culture report]
AGE 0-9));
OR influenza A virus infection [respiratory culture]
OR pertussis
AND 'barking' raspy cough of croup
OR subglottic narrowing [anteroposterior neck x-ray report]
AND prolonged inspiration
1.02 with hoarseness Stage 1.01
AND hoarseness
1.03 with inspiratory stridor AND inspiratory stridor
STAGE 1.01 + (DX 78449, 78442-
78444);
STAGE 1.01-1.02 + DX 7861;
DX 46421 + (AGE 10 OR AGE 0-9);
2.01 Pneumonia with croup Stage 1.01
AND pneumonia:
2.02 with pneumothorax or subcutaneous
emphysema
3.01 with hypoxemia Stage 1.01-2.01
AND hypoxemia:
3.02 with respiratory failure Stage 1.01-3.01
AND respiratory failure:
3.03 with shock Stage 1.01-3.02
AND shock:
4.00 with death Stage 1.01-3.03
AND death
Stage 1.01-2.01
AND pneumothorax [chest x-ray report]
OR subcutaneous emphysema [chest x-ray report]
STAGE 1.01-1.03 + (DXCAT RES15
OR DXCAT RES16 OR DXCAT
RES17 OR DXCAT RES19);
STAGE 1.01-2.01 + (DX 5120,
5128, 5181);
STAGE 1.01-2.02 + GROUP
HYPOXEMIA;
STAGE 1.01-3.01 + GROUP
RESP_FAIL;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Durand M, Joseph M, Baker AS. Infections of the upper respiratory tract. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo, DL, eds.
Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:179-185.
Macdonald WB, Geelhoed GC. Management of childhood croup. Thorax. 1997;52(9):757-9.
Thursday, January 07, 2010 9:23:10 AM
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