Volume 30, Number 6—June 2024
Synopsis
Electronic Health Record–Based Algorithm for Monitoring Respiratory Virus–Like Illness
Noelle M. Cocoros
, Karen Eberhardt, Vu-Thuy Nguyen, Catherine M. Brown, Alfred DeMaria, Lawrence C. Madoff, Liisa M. Randall, and Michael Klompas
, Karen Eberhardt, Vu-Thuy Nguyen, Catherine M. Brown, Alfred DeMaria, Lawrence C. Madoff, Liisa M. Randall, and Michael Klompas
Table 2
ICD-10 diagnosis codes that met the positive predictive value threshold for confirmed respiratory viral illnesses and are included in the RAVIOLI algorithm for monitoring respiratory virus–like illness*
| Virus | ICD-10 codes† | Description |
|---|---|---|
| Adenovirus | A08.2 | Adenoviral enteritis |
| B34.0 | Adenovirus infection, unspecified | |
| B97.0 | Adenovirus as the cause of diseases classified elsewhere | |
| J12.0 |
Adenoviral pneumonia |
|
| Non–SARS-CoV-2 coronavirus |
B34.2 |
Coronavirus infection, unspecified |
| SARS-CoV-2 | B34.2 | Coronavirus infection, unspecified |
| B97.29 | Other coronavirus as the cause of diseases classified elsewhere | |
| J12.82 | Pneumonia associated with coronavirus disease 2019 | |
| J12.89 | Other viral pneumonia | |
| J80 | Acute respiratory distress syndrome | |
| R05.1 | Acute cough | |
| R48.1 | Agnosia | |
| U07.1 |
COVID-19 |
|
| Human metapneumovirus | B97.81 | Human metapneumovirus as the cause of diseases classified elsewhere |
| J12.3 | Human metapneumovirus pneumonia | |
| J21.1 |
Acute bronchiolitis associated with human metapneumovirus |
|
| Influenza | J09.X1 | Influenza from identified novel influenza A virus with pneumonia |
| J09.X2 | Influenza associated with identified novel influenza A virus with other respiratory manifestations | |
| J10.00 | Influenza associated with other identified influenza virus with unspecified type of pneumonia | |
| J10.1 | Influenza associated with other identified influenza virus with other respiratory manifestations | |
| J11.00 | Influenza associated with unidentified influenza virus with unspecified type of pneumonia | |
| J11.1 |
Influenza associated with unidentified influenza virus with other respiratory manifestations |
|
| Parainfluenza | B33.8 | Other specified viral diseases |
| B34.8 | Other viral infections of unspecified site | |
| J20.4 |
Acute bronchitis associated with parainfluenza virus |
|
| Rhinovirus and enterovirus | B34.0 | Adenovirus infection, unspecified |
| B34.8 | Other viral infections of unspecified site | |
| B97.10 | Unspecified enterovirus as the cause of diseases classified elsewhere | |
| J20.6 | Acute bronchitis associated with rhinovirus | |
| J45.902 |
Unspecified asthma with status asthmaticus |
|
| Respiratory syncytial virus | B97.4 | Respiratory syncytial virus as the cause of diseases classified elsewhere |
| J12.1 | Respiratory syncytial virus pneumonia | |
| J20.5 | Acute bronchitis associated with respiratory syncytial virus | |
| J21.0 |
Acute bronchiolitis associated with respiratory syncytial virus |
|
| Any respiratory viral test (nonspecific) |
J21.8 | Acute bronchiolitis associated with other specified organisms |
| R06.03 | Acute respiratory distress | |
| P81.9 | Disturbance of temperature regulation of newborn, unspecified | |
| J12.9 | Viral pneumonia, unspecified | |
| R50.81 | Fever manifesting with conditions classified elsewhere | |
| J96.90 | Respiratory failure, unspecified, unspecified whether with hypoxia or hypercapnia | |
| R05.9 | Cough, unspecified | |
| J96.91 | Respiratory failure, unspecified with hypoxia | |
| J96.92 | Respiratory failure, unspecified with hypercapnia | |
| R57.9 | Shock, unspecified |
*Respiratory virus-like illness is defined as a clinical encounter with a positive laboratory test result for a respiratory virus listed in Table 1; 1 of the ICD-10 diagnosis codes listed in this table; or a measured fever >100°F. ICD-10, International Classification of Diseases, 10th Revision. †All of the diagnosis codes in the table had a positive predictive value ≥10% PPV for either any positive respiratory virus laboratory test or 1 of the virus-specific positive tests.
Page created: April 11, 2024
Page updated: May 22, 2024
Page reviewed: May 22, 2024
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