Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: ENT06
MultiStage: No
DXCat Label: Hearing Loss due to Aminoglycosides Specificity: A
Etiology: Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 with minimum hearing loss History of aminoglycoside use
AND sensorineural hearing loss at 4 kHz [audiometry report]
1.02 with mild hearing loss Stage 1.01
AND sensorineural hearing loss at 2 kHz and 8 kHz [audiometry report]
1.03 with tinnitus Stage 1.01-1.02
AND tinnitus
2.01 with high frequency deafness History of aminoglycoside use
AND deaf at 4 kHz and 8 kHz [audiometry report]
2.02 with high and midrange frequency deafness Stage 2.01
AND deaf at 2 kHz [audiometry report]
2.03 with high and midrange frequency
deafness and tinnitus
References:
Stage 2.02
AND tinnitus
Minor LB. Gentamicin-induced bilateral vestibular hypofunction. JAMA. 1998;279(7):541-4, 1998.
(DX 31534, 38910-38922) + DX
E9306;
NO;
STAGE 1.01 + DX 38830-38832;
Richard A, Jacobs RA, Guglielmo BJ. Anti-infective chemotherapeutic & antibiotic agents. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis &
Treatment. Stamford, CT: Appleton & Lange; 1998:1421-1424.
Snow JB, Martin JB. Disorders of smell, taste, and hearing. 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; 1998:173-179.
NO;
NO;
NO;
Thursday, January 07, 2010 9:21:30 AM
©2010 Thomson Reuters. All rights reserved.