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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: RES24<br />

MultiStage: No<br />

DXCat Label: Rhino, Adeno, and Corona Virus Infections Specificity: A<br />

Etiology: Infection, Viral<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

0.00 Exposure to SARS associated corona virus Added stage 5/8/06 cb<br />

DX V0182;<br />

1.01 Coryza by rhinovirus or adenovirus or Nasal congestion and discharge<br />

DX 07982;<br />

corona virus or acute nasopharyngitis or AND malaise<br />

DX 460 + NOT DX 0796;<br />

common cold<br />

AND infection by rhinovirus [tissue culture report]<br />

1.02 with conjunctivitis or keratoconjunctivitis Stage 1.01<br />

STAGE 1.01 + (DX 37200, 37202-<br />

AND inflammation of the conjunctiva<br />

37205, 37220-37230 , 37233,<br />

OR inflammation of the conjunctiva and cornea<br />

37239);<br />

1.03 with pharyngitis Stage 1.01-1.02<br />

AND sore throat<br />

AND inflammation of the pharynx<br />

1.04 with acute sinusitis or otitis media Stage 1.01-1.03<br />

AND acute sinusitis<br />

OR otitis media<br />

1.05 Bronchitis Stage 1.01-1.04<br />

AND productive cough<br />

1.06 with bronchiolitis Stage 1.01-1.05<br />

AND prolonged expiratory phase with wheezing on physical exam<br />

AND hyperexpansion and increased peribronchial markings [chest x-ray report]<br />

1.07 with bronchopneumonia Stage 1.01-1.06<br />

AND bronchopneumonia [chest x-ray report]<br />

1.08 with pneumonia Stage 1.01-1.08<br />

AND pneumonia:<br />

STAGE 1.01-1.02 + DX 462;<br />

DX 7862 + AGE 11-124;<br />

STAGE 1.01-1.03 + (DXCAT ENT18<br />

OR DXCAT ENT21);<br />

STAGE 1.01-1.04 + (DX 4660,<br />

46619, 490, 4911);<br />

DX 4660, 46619, 490;<br />

STAGE 1.01-1.05 + DX 46619;<br />

STAGE 1.01-1.06 + (DX 4801, 485);<br />

STAGE 1.01-1.07 + (DX 4808, 486);<br />

DX 4800, 4803, 4808-4809, 4838;<br />

2.01 with hypoxemia Stage 1.01-1.08<br />

AND hypoxemia:<br />

3.01 with aseptic meningitis Stage 1.01-2.01<br />

AND aseptic meningitis<br />

3.02 with respiratory failure Stage 1.01-3.01<br />

AND respiratory failure:<br />

3.03 with shock Stage 1.01-3.02<br />

AND shock:<br />

STAGE 1.01-1.08 + GROUP<br />

HYPOXEMIA;<br />

STAGE 1.01-2.01 + DXCAT NEU13;<br />

STAGE 1.01-3.01 + GROUP<br />

RESP_FAIL + NOT DX 485-486;<br />

STAGE 1.01-3.02 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) +<br />

NOT DX 485-486;<br />

Thursday, January 07, 2010 9:23:14 AM<br />

©2010 Thomson Reuters. All rights reserved.

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