Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE18
MultiStage: No
DXCat Label: Injury: Eyes, Radiation Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Radiation keratitis History of ocular radiation exposure
(DX 37020-37024, 37050-37059,
AND reduced tear film
3708-3709) + (DX E9260-E9261,
OR rose-bengal staining [slit lamp report]
E9263-E9269);
2.01 Radiation cataracts History of radiation exposure
AND posterior subcapsular cataract develops ≥ 1 month post-exposure [slit lamp or direct
ophthalmoscopy report]
2.02 Radiation retinopathy History of radiation exposure
AND retinal hemorrhages develop ≥ 1 month post-exposure [direct ophthalmoscopy report]
OR cotton wool spots develop ≥ 1 month post-exposure [direct ophthalmoscopy report]
OR microaneurysms develop ≥ 1 month post-exposure [direct ophthalmoscopy report]
OR exudates develop ≥ 1 month post-exposure [direct ophthalmoscopy report]
OR retinal neovascularization [direct ophthalmoscopy report]
DX 36646;
STAGE 1.01-2.01 + (DX 36210-
36218, 36229);
2.03 Radiation optic neuropathy History of radiation exposure
AND optic disk edema develops ≥ 1 month post-exposure [direct ophthalmoscopy report]
OR optic disk pallor develops ≥ 1 month post-exposure
[direct ophthalmoscopy report]
STAGE 1.01-2.02 + (DX 33811,
33821, 37700-37703, 37715,
37734, 37739);
References:
Augsburger JJ. Radiation neuropathy. In: Clinical Decisions in Medical Retinal Disease. Tasman, W, ed. St. Louis, MO: Mosby; 1994.
Brown GC, Shields JA, Sanborn G, et al. Radiation optic neuropathy. Ophthalmology. 1982;(89)1489-1493.
Thursday, January 07, 2010 9:21:36 AM
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