Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE29
MultiStage: No
DXCat Label: Orbital Infection Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Preseptal cellulitis or chalazion or Lid area of cellulitis
DX 37300-3732, 37610-37613,
belpharitis or hordeolum
OR chalazion
37630-37631, 37633;
OR blepharitis
OR hordeolum
1.02 Advanced preseptal cellulitis Stage 1.01
STAGE 1.01 + (GROUP FEVER OR
AND fever:
GROUP LEUKOCYTOSIS) ;
OR leukocytosis:
2.01 Orbital cellulitis Orbital cellulitis
AND proptosis
AND reduced ocular motility
AND sinusitis
2.02 Orbital cellulitis with subperiosteal abscess Stage 2.01
AND subperiosteal abscess [CT scan of head report]
OR abscess [culture reports growth of pathologic organism(s)]
AND sinusitis
2.03 Orbital cellulitis with orbital abscess Stage 2.01-2.02
AND orbital abscess [CT scan of head report or ultrasound of orbit report or MRI of head report]
3.01 Orbital cellulitis with meningitis Stage 2.01-2.03
AND meningitis:
3.02 Orbital cellulitis with sepsis Stage 1.02-3.01
AND sepsis:
3.03 Orbital cellulitis with coma Stage 1.02-3.02
AND coma:
3.04 Orbital cellulitis with shock Stage 2.01-3.03
AND shock:
4.00 Orbital cellulitis with death Stage 2.01-3.04
AND death
References:
Krohel GB, Krauss HR, Winnick J. Orbital abcess, presentation, diagnosis, therapy, and equalae. Ophthalmology. 1982;(89)492-498.
Watters EC, Wallar PH, Hiles DA, Michaels RH. Acute orbital cellulitis. Arch Ophthalmoly. 1976;(94)785-788.
DX 37600-37601, 37604, 37613,
3734-3735;
DX 37602;
STAGE 2.01 + (DX 4739, 73008);
DX 37603;
STAGE 1.01-2.02 + DXCAT NEU13;
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + (GROUP
COMA);
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:38 AM
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