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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: EYE19<br />

MultiStage: No<br />

DXCat Label: Keratitis, Acanthamoeba Specificity: A<br />

Etiology: Infection<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

1.01 Acanthamoeba keratitis History of ocular trauma<br />

DX 3708 + NOT (DX E9260-E9261,<br />

OR history of contact lens wear<br />

E9263-E9269);<br />

AND dendriform epithelial lesions [slit lamp report]<br />

OR Acanthamoeba keratitis [calcufluor white stain or culture report]<br />

2.01 with reduced vision Stage 1.01<br />

AND corrected vision ≤ 20/70<br />

OR central infiltrate [ophthalmoscopy report]<br />

OR ring infiltrate [ophthalmoscopy report]<br />

AND conjunctival chemosis<br />

2.02 with corneal thinning or corneal perforation Stage 1.01-2.01<br />

or visual loss<br />

AND vision ≤ 20/200<br />

OR corneal thinning<br />

OR corneal perforation<br />

STAGE 1.01 + (DX 36920, 36923-<br />

36925, 3693, 36970-3699, 37120,<br />

37173);<br />

STAGE 1.01-2.01 + (DX 36901-<br />

36918, 36921-36922, 3694, 36960-<br />

36969, 37000, 37006);<br />

References:<br />

Moore MD, McCulley JP. Acanthamoeba keratitis: a growing problem in soft and hard contract lens wearers. Ophthalmology. 1987;(94)1654-1661.<br />

Thursday, January 07, 2010 9:21:36 AM<br />

©2010 Thomson Reuters. All rights reserved.

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