Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: END17
MultiStage: No
DXCat Label: Thyroiditis Specificity: A
Etiology: Immune; Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Silent thyroiditis Thyromegaly
DX 2458-2459;
AND elevated erythrocyte sedimentation rate, ESR [hematology report]
AND hyperthyroidism:
AND low thyroid uptake of radioiodine [nuclear medicine report]
1.02 Subacute thyroiditis Acute onset of neck pain or sore throat
DX 2450-2451, 2454;
AND thyromegaly
AND elevated erythrocyte sedimentation rate, ESR [hematology report]
AND hyperthyroidism:
AND low thyroid uptake of radioiodine [nuclear medicine report]
1.03 Hashimoto's thyroiditis or chronic
lymphocytic thyroiditis
Lymphocytic infiltration of the thyroid [operative/pathology report]
AND low thyroid uptake of radioiodine [nuclear medicine report]
AND thyromegaly
AND positive anti-thyroidglobin antibodies [serology report]
OR positive anti-thyroid peroxidase antibodies [serology report]
OR positive anti-thyroid microsomal antibodies [serology report]
DX 2452;
1.04 Thyroiditis with hypothyroidism Stage 1.01-1.03
OR history of thyroiditis
AND hypothyroidism:
1.05 Riedel's thyroiditis Stony hard thyromegaly
AND dysphagia
OR dyspnea
OR hoarseness
OR chronic fibrous thyroiditis [operative/pathology report]
STAGE 1.01-1.03 + DXCAT END15;
DX 2453;
References:
Fitzgerald PA. Thyroiditis. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:344-353.
Walfish PG. Thyroiditis. Current Therapy in Endocrinology & Metabolism. 1997;6:117-122.
Wartofsky L. Diseases of the thyroid. 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; 1998:2012-2035.
Thursday, January 07, 2010 9:21:28 AM
©2010 Thomson Reuters. All rights reserved.