Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: DEN02
MultiStage: No
DXCat Label: Dental Disease Specificity: A
Etiology:
Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Dental caries or tooth decay Radiolucent areas on dentin of teeth [dental x-ray report]
DX 5210-52109;
AND softened enamel or dentin by dental probing
OR thermal sensitivity
OR cold sensitivity
OR sugar sensitivity
1.02 Pulpitis Sharp, throbbing intermittent pain from tooth worsened by cold and relieved by heat
DX 5220, 5221, 5222, 5223, 5224;
1.03 Dental-alveolar abscess Stage 1.01-1.02
AND dull continuous pain
AND perforation of apical dental periosteum
AND pain on percussion of tooth
AND abscess formation [dental x-ray report]
DX 5225, 5226, 5227, 5228, 5229;
References:
Greenspan JS. Oral manifestations of disease. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo, DL, eds. Harrison’s Principles of
Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:185-190.
Thursday, January 07, 2010 9:21:21 AM
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