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Volume 5, Number 6—December 1999
Research

Supplementing Tuberculosis Surveillance with Automated Data from Health Maintenance Organizations

Deborah S. Yokoe*Comments to Author , Girish S. Subramanyan*, Edward Nardell†, Sharon Sharnprapai†, Eugene McCray‡, and Richard Platt*§
Author affiliations: *Brigham and Women's Hospital, Boston, Massachusetts, USA; †Massachusetts Department of Public Health, Jamaica Plain, Massachusetts, USA; ‡Centers for Disease Control and Prevention, Atlanta, Georgia, USA; and §Harvard Medical School, Harvard Pilgrim Health Care, Boston, Massachusetts, USA

Main Article

Table 1

Components of the health maintenance organization-based screening criteria for tuberculosis (TB)

Code type Code Description of code
Antituberculosis drugs
Pharmacy dispensing Isoniazid
Pharmacy dispensing Ethambutol
Pharmacy dispensing Rifampin
Pharmacy dispensing Pyrazinamide
Pharmacy dispensing Streptomycin
Pharmacy dispensing Para-aminosalicyclic acid (PAS)
Pharmacy dispensing Kanamycin
Pharmacy dispensing Capreomycin
Pharmacy dispensing Cycloserine
Pharmacy dispensing Ethionamide
Microbiology codes
CPTa 87015 Concentration (any type) for parasites, ova, or tubercle bacillus (TB, AFB)
CPT 87116 Culture, tubercle, or other acid-fast bacilli; any source, isolation only
CPT 87117 Culture, tubercle, or other acid-fast bacilli; concentration plus isolation
CPT 87118 Culture, mycobacteria, definite identification of each organism
CPT 87190 Sensitivity studies, antibiotic; tubercle bacillus (TB, AFB), each drug
CPT 87206 Smear, primary source, with interpretation; fluorescent or acid-fast stain for
bacteria, fungi, or cell types
ICD-9b procedure 90.4 Microscopy examination of sputum
ICD-9 procedure 90.41 Bacterial smear
ICD-9 procedure 90.42 Culture
ICD-9 procedure 90.43 Culture and sensitivity
ICD-9 procedure 90.49 Other microscopic examination
COSTARc TB234 AFB smear
COSTAR TB850 AFB culture and sensitivity
Radiology code
CPT 71010 Chest, single view, frontal
CPT 71020 Chest, two views, frontal and lateral
CPT 71021 Chest with apical lordotic procedure
CPT 71030 Chest, complete, minimum of four views
CPT 71250 CT, thorax, without contrast
CPT 71260 CT, thorax, with contrast
CPT 71270 CT, thorax, without contrast, followed by contrast
CPT 71550 MRId chest
CPT 71555 MRI chest (excluding myocardium)
ICD-9 procedure 87.44 Chest X-ray
COSTAR TR027 Chest, PAe only
COSTAR TR028 Chest X-ray
COSTAR TR029 Chest, PA, and last with fluoroscopy
COSTAR TR032 Chest, fluoroscopy
COSTAR TR178 MRI-chest
COSTAR TR184 CATf scan-chest
COSTAR TR236 Chest, PA, and lateral
COSTAR TR237 Chest-PA, lateral, both obliques
COSTAR TR238 Chest-four views
COSTAR TR240 Chest-special views
PPDg status
COSTAR DG249 Positive PPD
COSTAR DA129 Tuberculin conversion
Diagnosis codes for TB
COSTAR DR185 TB
COSTAR DG250 Pulmonary TB
COSTAR DG251 Active TB
ICD-9 diagnosis 010.0 Primary TB infection
010.1
010.8
ICD-9 diagnosis 011.0 Pulmonary TB
011.1
011.2
011.3
011.5
011.6
011.8
011.9,
011.90-011.96
ICD-9 diagnosis 012.0 Other respiratory TB
012.1
012.2
ICD-9 diagnosis 013.0 TB of meninges and central nervous system
013.1
013.2
013.3
013.4
013.5
ICD-9 diagnosis 015.0 TB of bones and joints
015.7
015.8
015.9
ICD-9 diagnosis 016.0 TB of genitourinary system
016.3
ICD-9 diagnosis 017.2 TB of peripheral lymph nodes
ICD-9 diagnosis 018.0 Miliary TB
018.8
018.9
ICD-9 diagnosis 795.3 Sputum positive only
Bronchoscopy and biopsy
ICD-9 procedure 33.22-33.24 Diagnostic procedures on lung and bronchus
33.26-33.28 Biopsy of lymphatic structure
40.11

aCPT, current procedures terminology.
bICD9, International Classification of Diseases, 9th revision.
cCOSTAR, coding system used for the automated ambulatory-patient medical records (10).
dMRI, magnetic resonance imaging.
ePA, posteroanterior.
fCAT, computer-assisted tomography.
gPPD, purified protein derivative of tuberculin.

Main Article

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