Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES23
MultiStage: No
DXCat Label: Respiratory Syncytial Virus Infections Specificity: A
Etiology: Infection, Viral
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Coryza, or acute nasopharyngitis, or Nasal congestion and discharge
DX 0796;
common cold
AND malaise
DX 0796 + DX 460;
AND infection by respiratory syntitial virus [tissue culture isolation report or immunofluorescent
or enzyme immunoassay for direct detection of viral antigen]
1.02 with conjunctivitis Stage 1.01
AND inflammation of the conjunctiva
1.03 with pharyngitis Stage 1.01-1.02
AND sore throat
AND inflammation of the pharynx
1.04 with bronchitis Stage 1.01-1.03
AND productive cough
1.05 with bronchiolitis Stage 1.01-1.04
AND prolonged expiratory phase with wheezing on PE
AND hyperexpansion and increased peribronchial markings [chest x-ray report]
1.06 with bronchopneumonia Stage 1.01-1.05
AND bronchopneumonia [chest x-ray report
1.07 with pneumonia Stage 1.01-1.06
AND pneumonia:
2.01 with hypoxemia Stage 1.01-1.07
AND hypoxemia:
3.01 with respiratory failure Stage 1.01-2.02
AND respiratory failure:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 1.07-3.02
AND death
References:
STAGE 1.01 + (DX 37200, 37202,
37203, 37204, 37205, 37220-
37230, 37233, 37239);
STAGE 1.01-1.02 + DX 462;
STAGE 1.01-1.03 + (DX 4660,
4911);
DX 46611;
STAGE 1.01-1.05 + DX 485;
DX 4801;
STAGE 1.01-1.07 + GROUP
HYPOXEMIA;
STAGE 1.01-2.01 + GROUP
RESP_FAIL;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Hayden FG, Gwaltney Jr JM. Viral infections. In: Murray JF, Nadel JA, eds. Textbook of Respiratory Medicine. Vol. 1, 2nd ed. Philadelphia, PA: WB Saunders; 1988:977-1035.
McIntosh K. Respiratory syncytial virus. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders;
1996:904-906.
Orenstein. Bronchiolitis. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB Saunders; 1996:1211-1213.
NO;
Thursday, January 07, 2010 9:23:14 AM
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