Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: SKN02
MultiStage: No
DXCat Label: Erythema Multiforme Specificity: A
Etiology: Idiopathic; Immune
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Erythema multiforme, minor Pruritic erythematous polymorphic eruptions and iris or target lesions [dermatology report or
operative/pathology report]
DX 6950, 6951-69511, 69519;
AND analysis for virus DNA suggestive of erythema multiforme
[polymerase chain reaction report]
OR Erythema annulare centrifugum [operative/pathology report]
OR erythema gyratum [operative/pathology report]
OR erythema perstans [operative/pathology report]
OR erythema figuratum perstans, pruritic papules in an erythematous and edematous base
with central clearing mostly on lower extremities [operative/pathology report]
2.01 Erythema multiforme, major Stage 1.01
AND generalized pruritic polymorphic eruptions with bulla formation [dermatology report]
AND Erythema multiforme iris (pruritic erythematous lesions with multiple concentricities
similar to a target) [operative/pathology report]
2.02 Stevens-Johnson Syndrome Stage 1.01 - 2.01
AND Erythema multiforme, major with mucosal involvement [dermatology report]
AND Stevens-Johnson syndrome [operative/pathology report]
3.01 Toxic epidermal necrolysis History of medication use
AND severe scolding like desquamation [dermatology report]
AND epidermal necrosis > 30 % body surface area [operative/pathology report]
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with shock Stage 1.01-3.02
AND shock:
4.00 with death Stage 1.01-3.03
AND death
DX 69512, 69550-69552;
DX 69513;
DX 69581, 69553-69559, 69514-
69515;
STAGE 2.02 + DX 69515;
STAGE 1.01 + (DX 9952-99529,
9779, E9300-E9499, E8500-E8589,
E9500-E9505, E9620, E9800-
E9805);
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:23:17 AM
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