Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: SKN05
MultiStage: No
DXCat Label: Infections of Skin and Subcutaneous Tissue Specificity: A
Etiology: Infection, Bacterial
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Impetigo contagiosa Vesiculopustule formation with honey colored crust (dermatology report)
(DX 684, 68100-6829) + NOT
AND subcorneal pustule (pathology report)
(GROUP C_SECT OR DX 66971,
AND Staphylococuss species and Streptococcus species (laboratory report)
9540-9549);
AND cellulitis:
1.02 Superficial folliculitis small pustules, pierced by hairs (dermatology report)
AND subcorneal pustule in the opening of hair follicle (pathology report)
AND Staphylococcus spp. and Streptococcus spp. isolation (laboratory report)
2.01 Erysipelas (superficial cellulitis) Well demarcated, indurated and dusky red lesion with advancing palpable border (dermatology
report)
AND marked edema of dermis, diffusely infiltrated with neutrophills and dilatation of
capillaries and lymphatatics (pathology report)
AND Streptococcal isolation (laboratory report)
2.02 Deep folliculitis or acute deep folliculitis or Deep, tender, warm, and erythematous swelling of hair follicle (dermatology report)
furunculosis or carbunculosis or chronic
deep folliculitis
AND peri-follicular necrosis and abscess formation with neutrophil, lymphoid cell, histiocyte,
and plasma cell infiltration (pathology report)
2.03 Necrotizing fasciitis Ill-defined erythema, progression to painless ulceration and necrosis along fascial planes
(dermatology report)
AND acute or chronic inflammation of dermis with necrosis in subcutaneous fat, fascia and
muscle (pathology report)
AND Staphylococcus sp. and Streptococcus spp. isolation (laboratory report)
DX 7048;
DX 035;
DX 6800-6809;
DX 72886 + NOT (GROUP C_SECT
OR DX 66971);
3.01 with sepsis Stage 2.03
AND sepsis:
3.02 with shock Stage 2.03-3.01
AND shock:
4.00 with death Stage 2.03-3.02
AND death
STAGE 1.01-2.03 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Berger TG. Skin & appendages. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:111-180.
Bisno AL, Stevens DL. Streptococcal infections of skin and soft tissues. N Engl J Med. 1996;334(4):240-5.
Hill MD, Karsh J. Invasive soft tissue infections with streptococcus pneumoniae in patients with systemic lupus erythematosus: case report and review of the literature. Arthritis &
Rheumatism. 1997;40(9):1716-9.
Lucas S. Bacterial disease. In: Elder D, Elenitsas R, Jaworsky C, Johnson B Jr. eds. Lever’s Histopathology of the skin. 8th ed. Philadelphia, PA: Lippincott-Raven; 1997:457-502.
Stevens DL. Infections of the skin, muscle, and soft tissues. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison’s
Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998-827-831.
Thursday, January 07, 2010 9:23:18 AM
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