Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES11
MultiStage: No
DXCat Label: Influenza Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Influenza Influenza [tissue culture reports isolation of influenza virus or convalescent versus acute antibody
titer shows ≥ four fold increase]
DX 4878, 488-4881;
(DX 4878 OR DX 488-4881 +
AND epidemic coryza
GROUP FEVER);
OR fever:
AND malaise
AND productive cough
AND myalgia
1.02 with acute sinusitis or otitis media or
purulent bronchitis
Stage 1.01
AND acute sinusitis
OR otitis media
OR purulent bronchitis
DX 4871;
STAGE 1.01 + (DXCAT ENT18 OR
DXCAT ENT21 OR DX 4660, 4911);
2.01 with pneumonia Stage 1.01-1.02
AND pneumonia:
2.02 with rhabdomyolysis Stage 1.01-2.01
AND rhabdomyolysis:
3.01 with Reye's syndrome Stage 1.01-2.02
AND hypoglycemia:
AND hyperammonemia:
AND coagulation defect:
OR jaundice:
3.02 with aseptic meningitis Stage 1.01-2.03
AND aseptic meningitis:
3.03 with respiratory failure Stage 1.01-3.01
AND respiratory failure:
3.04 with coma Stage 1.01-3.03
AND coma:
3.05 with shock Stage 1.01-3.03
AND shock:
4.00 with death Stage 1.03-3.05
AND death
DX 4870;
STAGE 1.01-2.01 + GROUP
RHABDOMYO;
STAGE 1.01-2.02 + (GROUP
REYE_S OR DXCAT END08) ;
STAGE 1.01-2.02 + (GROUP
HYPR_AMMON OR GROUP
COAG_DEFECT);
STAGE 1.01-2.02 + DX 7824;
STAGE 1.01-3.01 + DXCAT NEU13;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + GROUP COMA;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:23:11 AM
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