Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: SKN04
MultiStage: No
DXCat Label: Immunologically Mediated Blistering Skin Diseases Specificity: A
Etiology: Immune
Stage Description Diagnostic findings ICD-9-CM Codes
1.07 Pemphigus vulgaris Flaccid bullae and erosions on oral mucosa, scalp, face, stermum and groins
DX 6944;
AND Nikolsky’s sign (dermatology report)
OR suprabasal blister formation with acantholysis (pathology report)
OR Pemphigus vulgaris [direct and indirect immunofluorescent tests or antidesmoglein
I and III IgG by immuno-precipitation and immuno-absorption
assays]
1.08 Pemphigus foliaceus or fogo selvagem or
Brazilial pemphigus
Crusting superficial erosions and blistering lesions (dermatology report)
OR subcorneal blister formation with acantholysis (pathology report)
OR Pemphigus foliaceus [direct and indirect immunofluorescent tests or anti-desmoglein I IgG
by immuno-precipitation and immuno-absorption assays]
NO;
2.01 Paraneoplastic Pemphigus Mucosal bullous lesions and polymorphous cutaneous lesions (dermatology report)
AND non-Hodgkins lymphoma
OR chronic lymphocytic leukemia
OR Castleman’s disease
OR thymoma
OR spindle cell neoplasms
AND necrosis of keratinocytes, vacuolar interface dermatitis, and suprabasal acantholysis
(pathology report)
AND paraneoplastic pemphigus [direct and indirect immunofluorescent tests]
2.02 with dehydration and electrolyte imbalance Stage 1.07-2.01
AND dehydration:
AND hypernatremia
OR hypokalemia
3.01 with sepsis Stage 1.01-2.02
AND sepsis:
3.02 with shock Stage 1.01-3.01
AND shock:
4.00 with death Stage 1.01-3.02
AND death
STAGE 1.01-1.07 + (DX 7856, 1640
OR DXCAT HEM20 OR DXCAT
HEM22 OR DXCAT HEM23 OR
DXCAT HEM24 OR DXCAT HEM27);
STAGE 1.01-2.01 + (GROUP
DEHYDRATION OR GROUP
HYPR_NATREM OR GROUP
HYPOKALEMIA);
STAGE 1.01-2.02 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:23:17 AM
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