Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: ENT08
MultiStage: No
DXCat Label: Labyrinthitis Specificity: A
Etiology:
Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Labyrinthitis History of Cholesteatoma or ear surgery
DX 38630, 38632, 38634;
AND vertigo
AND hearing loss:
AND positive caloric test
1.02 Serous labyrinthitis History of otitis media
DX 38631;
AND hearing loss:
AND vertigo
1.03 Purulent labyrinthitis History of otitis media
DX 38633;
OR history of meningitis
AND hearing loss:
AND vertigo
AND tinnitis
2.01 with petrositis Stage 1.03
AND cranial nerve V pain
OR cranial nerve VI paresthesia
OR facial weakness
OR diplopia
2.02 with otic hydrocephalus Stage 1.02
AND headache
AND Cranial Nerve VI paralysis
2.03 with lateral sinus thrombosis Stage 1.01-2.03
AND headache
AND fever:
AND cranial Nerve IX deficit
AND cranical XI deficit
AND increase CSF pressure
AND tender mastoid process
3.01 with meningitis Stage 1.01-2.04
AND meningitis:
3.02 with brain abscess or encephalitis Stage 2.04-3.01
AND brain abscess or encephalitis [MRI report or CT Scan report]
AND disorientation:
3.03 with sepsis Stage 2.04-3.02
AND sepsis:
STAGE 1.01-1.03 + DX 38320-
38322;
STAGE 1.01-2.01 + DX 3314;
STAGE 1.01-2.02 + (DX 325, 37854
OR GROUP FEVER) ;
STAGE 1.01-2.03 + (GROUP
MENGIT__BACT OR GROUP
MENING__VIR);
STAGE 1.01-3.01 + (DX 3230-
3240, 3249 OR GROUP
ENCEPHALO);
STAGE 1.02-3.02 + GROUP SEPSIS;
Thursday, January 07, 2010 9:21:30 AM
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