Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE09
MultiStage: No
DXCat Label: Endophthalmitis Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
2.01 Endophthalmitis Conjunctival injection
DX 36000-36019;
AND anterior chamber reaction [slit lamp or ophthalmoscopy report]
AND vitreous reaction [slit lamp or ophthalmoscopy report]
AND vitreous infection [culture reports growth of pathologic organism(s)]
2.02 with vision loss Stage 2.01
STAGE 2.01 + (DX 36920, 36923-
AND visual acuity ≤ 20/70
3693, 36970-3699);
AND hazy retinal details
2.03 with marked vision loss Stage 2.01-2.02
STAGE 2.01-2.02 + (DX 36900-
AND vision ≤ 20/400
36914, 36916-36918, 36921-
AND dense vitreous opacifications
36922, 3694, 36960-36969);
OR diffuse conjunctival injection
AND corneal edema
AND hypopyon
2.04 with retinal detachment or retinal infarction
or optic nerve atrophy
2.05 with shrunken globe Stage 2.01
AND shrunken globe
References:
Stage 2.01-2.03
AND retinal detachment [ophthalmoscopy report]
OR retinal infarction [ophthalmoscopy report]
OR optic nerve atrophy [ophthalmoscopy report]
Forster RK. Endophthalmitis. In: Duane TD, Jaeger EA, eds. Clinical Ophthalmology. Philadelphia, PA: Harper & Row; 1987:(4)24.
STAGE 2.01-2.03 + (DX 36100-
36107, 36181-3619, 36284, 37710-
37712, 37715);
STAGE 2.01-2.04 + (DX 36040,
36041);
Thursday, January 07, 2010 9:21:35 AM
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