Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE06
MultiStage: No
DXCat Label: Dacryostenosis or Dacryocystitis Specificity: A
Etiology:
Congenital; Degenerative; Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Dacryostenosis Dacryostenosis [operative/pathology report]
DX 37556, 74365;
OR chronic overflow of tears, epiphora
AND history of chronic conjunctivitis
OR history of chronic nasal infections
OR history of nasal trauma or surgery
AND reflux of material from lacrimal puncta
1.02 Acute dacryocystitis Infection of lacrimal sac [Gram stain report or culture reports growth of pathologic organism(s)]
OR redness around lacrimal sac
AND edema around lacrimal sac
AND pain or tenderness around sac
AND reflux of material from lacrimal puncta
1.03 Chronic or recurrent dacryocystitis History of previous dacryocystitis
AND redness around lacrimal sac
AND edema around lacrimal sac
AND reflux of material from lacrimal puncta
1.04 Canaliculitis Infection of canalicular system [Gram stain report]
OR redness of canaliculus
AND pain/tenderness around canaliculus
AND reflux of material from lacrimal puncta
2.01 with cellulitis of the face Stage 1.02-1.03
AND cellulitis of the face
OR area of redness, induration, tenderness and heat with indistinct borders
3.01 with cellulitis of the face and sepsis Stage 2.01
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.1-3.2
AND death
DX 37530, 37532-37533;
DX 37542-37543;
DX 37531, 37541;
STAGE 1.01-1.04 + (DX 37313,
6820);
STAGE 1.01-2.01 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
McCord Jr CD. The lacrimal drainage system. In: Duane TD, ed. Clinical Ophthalmology. Revised ed., Philadelphia, PA: JB Lippincott Co.; 1988:(4)13:6,14-15.
Thursday, January 07, 2010 9:21:35 AM
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