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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: END07<br />

MultiStage: No<br />

DXCat Label: Hyperthyroidism Specificity: A<br />

Etiology: Immune; Metabolic<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

1.01 Primary Hyperthyroidism Hyperthyroidism, primary:<br />

DX 24200, 24210, 24220, 24230,<br />

24240, 24280, 24290, 7753;<br />

1.02 Secondary Hyperthyroidism Hyperthyroidism[nuclear thyroid scan]<br />

AND free thyroxine index ≥ normal [chemistry report]<br />

OR serum free T3 (triiodothyronine) ≥ normal [chemistry report]<br />

OR serum total T4 (thyroxine) ≥ normal [chemistry report]<br />

OR serum free T4 ≥ normal [chemistry report]<br />

AND TSH ≥ normal [chemistry report]<br />

AND pituitary tumor [CT scan or operative/pathology report]<br />

2.01 with infiltrating dermopathy Stage 1.01<br />

AND diffuse thyromegaly<br />

AND pretibial erythematous pruritic skin lesion<br />

OR increased skin collagen and glycosaminoglycans [biopsy report]<br />

2.02 with infiltrating ophthalmopathy Stage 1.01-2.01<br />

AND exophthalmos<br />

OR diplopia<br />

OR lymphocytic infiltration of extraocular muscles [CT scan report or echography<br />

report]<br />

OR increased retro-orbital tissue [CT scan or ultrasound report]<br />

OR lid lag<br />

OR gaze limitation<br />

OR conjunctival edema<br />

OR corneal exposure<br />

2.03 with compressive optic neuropathy Stage 1.01-2.02<br />

AND vision ≤ 20/70<br />

AND central scotomas<br />

AND reduced color sensation<br />

AND relative afferent pupillary defect<br />

2.04 with atrial fibrillation Stage 1.01-2.03<br />

AND atrial fibrillation [EKG report]<br />

3.01 with thyroid storm Stage 1.01-2.04<br />

AND temperature ≥ 102 o F orally or 102.5 o F rectally<br />

AND disorientation:<br />

NO;<br />

NO;<br />

STAGE 1.01 + (DX 3682, 37122,<br />

37273, 3739, 37441 , 37863);<br />

DX 37621;<br />

STAGE 1.01-2.02 + (DX 36841,<br />

36851-36855, 36859, 36900-<br />

36925, 3694, 36960-3699);<br />

DX 37622;<br />

STAGE 1.01-2.03 + (GROUP<br />

ARHTHYM_AFIB OR GROUP<br />

ARHTHYM_AFLU);<br />

DX 24201, 24211, 24221, 24231,<br />

24241, 24281, 24291;<br />

Thursday, January 07, 2010 9:21:25 AM<br />

©2010 Thomson Reuters. All rights reserved.

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