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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: EYE34<br />

MultiStage: No<br />

DXCat Label: Strabismus Specificity: A<br />

Etiology: Congenital<br />

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

1.01 Phoria or latent strabismus Absence of double vision<br />

DX 37840-37845;<br />

AND convergent deviation from orthotropia of both eyes, esophoria<br />

OR divergent deviation from orthotropia of both eyes, exophoria<br />

OR high vertical divergence deviation from orthotropia of both eyes, hyperphoria<br />

OR low vertical divergence deviation from orthotropia of both eyes, hypophoria<br />

1.02 Periodic strabismus Periodic double vision<br />

AND intermittent horizontal or vertical deviation from orthotropia<br />

1.03 Strabismus Convergent deviation from orthotropia of both eyes, esotropia<br />

OR divergent deviation from orthotropia of both eyes, exotropia<br />

OR high vertical divergence deviation from orthotropia of both eyes, hypertropia<br />

OR low vertical divergence deviation from orthotropia of both eyes, hypotropia<br />

DX 37820-37824;<br />

DX 37800-37818, 37830-37835,<br />

37850-3789;<br />

2.01 Amblyopia Stage 1.03<br />

AND dimness of vision<br />

OR amblyopia<br />

DX 36800-36803;<br />

References:<br />

Parks MM. Eye movements and positions. In: Tasman W, Jaeger EA, eds. Duane’s Ophthalmology. Philadelphia, PA: Lippencott-Raven; 1998.<br />

Thursday, January 07, 2010 9:21:38 AM<br />

©2010 Thomson Reuters. All rights reserved.

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