Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE12
MultiStage: No
DXCat Label: Fungal Infection of the Eye Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Peripheral fungal keratitis Peripheral corneal ulcer
DX 37005;
AND fungal infection [corneal culture reports growth of fungi(us)]
2.01 Central fungal keratitis Central corneal ulcer
STAGE 1.01 + (DX 37003, 37004,
OR hypopyon
37114);
OR satellite lesions
OR immune ring
AND fungal infection [corneal culture reports growth of fungi(us)]
2.02 Fungal keratitis with glaucoma or corneal Stage 1.01-2.01
perforation
AND corneal perforation
OR intraocular pressure ≥ 21 mmHg tonometry report]
2.03 End-stage fungal keratitis Stage 1.01-2.02
AND vision limited to light perception
OR corneal scar
OR cataract
AND shrunken globe
2.04 Fungal endophthalmitis White retinal infiltrates
AND vitreous fungal infection [vitreous culture reports growth of fungi(us)]
OR fungemia:
STAGE 1.01-2.01 + DXCAT EYE13;
STAGE 1.01-2.02 + DXCAT EYE01;
STAGE 1.01-2.02 + (DX 36040-
36041, 37100);
STAGE 1.01-2.03 + GROUP
FUNGEMIA;
STAGE 1.01-2.03 + (DX 36000-
36001, 36003, 36011, 36013,
36019);
2.05 Fungal endophthalmitis with retinitis or Stage 2.04
vitreitis
AND corrected vision ≤ 20/70
OR retinitis [ophthalmoscopy report]
OR vitreitis [ophthalmoscopy report]
2.06 Fungal endophthalmitis with vision loss Stage 2.04-2.05
AND vision < 20/400
OR retinal detachment [ophthalmoscopy report]
OR retinal infarction [ophthalmoscopy report]
OR optic nerve atrophy [ophthalmoscopy report]
OR cataract formation [ophthalmoscopy report]
STAGE 1.01-2.04 + DX 36320;
STAGE 1.01-2.05 + DXCAT EYE07;
STAGE 1.01-2.05 + (DX 36284,
37710, 37712, 37715, 36901-3699);
References:
Clarkson JG, Green WR. Endogenous fungal endophthalmitis. In: Duane TD, Jaeger EA, eds. Clinical Ophthalmology. Philadelphia, PA: Harper & Row; 1979:(3)11.
Jones DB. Fungal infections. In: Duane TD, Jaeger EA, eds. Clinical Ophthalmology. Philadelphia, PA: Harper & Row; 1976:(4)21.
Thursday, January 07, 2010 9:21:35 AM
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