Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE33
MultiStage: No
DXCat Label: Retrobulbar Orbital Hemorrhage Specificity: A
Etiology:
Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Orbital hemorrhage Orbital hemorrhage
DX 37632;
AND normal motility
AND normal pupillary reactions
AND intraocular pressure unchanged from baseline
OR intraocular pressure ≤ 21 mmHg [tonometer report]
AND ≤ 2 mm proptosis [exophthalmometer report]
2.01 with proptosis Stage 1.01
AND ≥ 2 mm proptosis [exophthalmometer report]
2.02 Orbital hemorrhage with optic nerve Orbital hemorrhage
compression
AND vision changed from baseline
OR limitation of ocular motility
OR intraocular pressure changed from baseline
OR intraocular pressure ≥ 21 mmHg [per tonometer report]report
OR ≥ 2 mm proptosis [per exophthalmometer report]report
OR afferent pupillary defect
2.03 Blindness Blindness:
STAGE 1.01 + DX 37630;
STAGE 1.01-2.01 + (DX 33811,
33821, 37749);
STAGE 1.01-2.03 + GROUP
BLINDNESS;
References:
Deutsch TA, Feller DB. Paton and Goldberg’s Management of Ocular Injuries. 2nd ed. Philadelphia, PA: WB Saunders; 1985.
Thursday, January 07, 2010 9:21:38 AM
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