Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: ENT09
MultiStage: No
DXCat Label: Meniere's Disease Specificity: A
Etiology: Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Recurrent fluctuating vertiginous attacks
with hearing loss and tinnitus
Vertigo
AND
AND
AND
horizontal or rotatory nystagmus
OR hearing loss at affected ear during attacks
history of recurrent vertigo with nystagmus or hearing loss
tinnitus
1.02 with increasing frequency Stage 1.01
AND increasing frequency of attacks
1.03 with bilateral involvement Stage 1.01-1.02
AND bilateral ear involvement
2.01 with residual sensorineural hearing loss Stage 1.01-1.02
AND hearing threshold for sound ≥ 30 dB in affected ear [audiometry report]
2.02 with residual sensorineural hearing loss in
both ears
References:
Stage 2.01
AND bilateral ear involvement
DX 38600-38604;
DX 38600-38604 + (DX 38900-
38905, 38908, 38920-38921);
NO;
STAGE 1.01 + DX 38906;
STAGE 1.01 + (DX 38910, 38913,
38915, 38917);
STAGE 1.01-2.01 + (DX 38911-
38912, 38914, 38916, 38918,
38922);
Jackler RK, Kaplan MJ. Ear, nose and throat. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:224-227.
Martin JB, Beal MF. Disorders of the cranial nerves. 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; 1998:796-801.
Saeed SR. Fortnightly review. Diagnosis and treatment of Meniere's disease. BMJ. 1998;316(7128):368-72.
Thursday, January 07, 2010 9:21:30 AM
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