03.03.2015 Views

Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

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

DXCat Number: EYE23<br />

MultiStage: No<br />

DXCat Label: Macular Degeneration Specificity: A<br />

Etiology: Degenerative<br />

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

1.01 Macular degeneration with drusen Visual acuity ≥ 20/50<br />

DX 36250, 36255-36257;<br />

AND drusen [ophthalmoscopy report]<br />

1.02 with pigment epithelial atrophy Visual acuity ≥ 20/50<br />

NO;<br />

AND pigment epithelial atrophy [ophthalmoscopy report]<br />

2.01 with serous detachment of retinal pigment<br />

epithelium<br />

Visual acuity ≤ 20/50<br />

AND subretinal fluid or hemorrhage or exudate [ophthalmoscopy report]<br />

AND neovascularization [fluorescein angiography report]<br />

2.02 with fibrotic subretinal or disciform scar Visual acuity ≤ 10/200<br />

AND white subretinal scar [ophthalmoscopy report]<br />

2.03 with vitreous or suprachoroidal hemorrhage Visual acuity ≤ 5/200<br />

AND diffuse hemorrhage obscuring fundus [ophthalmoscopy report]<br />

References:<br />

Maguire JI, Annesly,Jr WH. Age related macular degeneration. In: Clinical Decisions in Medical Retinal <strong>Disease</strong>. Tasman, W, ed. St. Louis, MO: Mosby; 1994.<br />

STAGE 1.01 + (DX 3612, 36216,<br />

36281, 36282);<br />

DX 36251-36254;<br />

STAGE 1.01-2.01 + (DX 36330-<br />

36335);<br />

STAGE 1.01-2.02 + DX 37923;<br />

Thursday, January 07, 2010 9:21:37 AM<br />

©2010 Thomson Reuters. All rights reserved.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!