Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: SKN11
MultiStage: No
DXCat Label: Psoriasis Vulgaris Specificity: A
Etiology: Genetic (or hereditary); Immune
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Psoriasis vulgaris Parakeratosis, hypogranulosis, regular acanthosis, and Monroe’s abscess (pathology report) DX 6961;
OR Silvery white scaly erythematous and well demarcated lesions, which bleed if removed
AND lesions involve scalp areas
OR lesions involve elbows
OR lesions involve knees
OR lesions involve lumbosacral areas
AND fingernail involvement with pittings, onycholysis, thickening, or thinning and
yellowish discoloration (dermatology report)
1.02 Localized pustular psoriasis Macroscopic pustules on palms and soles (dermatology report and pathology report)
1.03 Generalized pustular psorasis Generalized involvement of macroscopic pustules with fever (dermatology report and pathology
report)
2.01 Distal interphalangeal joint psoriatic arthritisStage 1.01-1.03
AND distal inflammation of interphalangeal joints
AND rheumatoid factor negative [synovial fluid report]
2.02 Psoriatic oligoarthritis Stage 1.01-2.01
AND nonspecific inflammation of knee
AND nonspecific inflammation of elbows
AND nonspecific inflammation of ankles
AND nonspecific inflammation of wrists
AND rheumatoid factor negative [synovial fluid report]
2.03 Psoriatic sacroiliitis or spinal arthritis or
arthritis mutilans
2.04 with spondylitis Stage 1.01-2.03
AND spondylitis (x-ray report)
3.01 Erythrodermic psoriasis Stage 1.01-2.04
Generalized exfoliative dermatitis
AND fever:
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
Stage 1.01-2.02
AND sacroiliitis [ pelvic x-ray report]
OR severe destructive arthritis [x-ray report of affected area]
NO;
STAGE 1.01 + GROUP FEVER;
DX 6960;
STAGE 2.01 + DX 7138;
STAGE 2.01 + (DX 7202, 7210-
72191);
STAGE 2.01 + (DX 7201, 72081-
7209);
STAGE 1.01-2.04 + (DX 69589 OR
GROUP FEVER);
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:23:19 AM
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