Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: DEN04
MultiStage: No
DXCat Label: Gingival and Periodontal Disease Specificity: A
Etiology: Infection
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Gingivitis Gingivitis
DX 5230-52325;
OR band or erythematous, inflamed gum tissue surrounding neck of teeth
AND edematous swelling of interdental papillae
AND bleeding on minimal injury
1.02 Herpetic gingivostomatitis Herpetic gingivostomatitis
DX 0542;
1.03 Periodontitis Stage 1.01
DX 5233-52333, 5234-52342,
AND destruction of the supporting osseous tissue of teeth [dental x-ray report]
5235, 5236, 5238, 5239;
1.04 Periodontitis with abscess formation Stage 1.01-1.03
NO;
AND abscess formation on gums
1.05 Vincent's angina or trench mouth Acutely painful and bleeding gums
DX 101;
AND fetid breath
AND ulcerations limited to marginal gingivae and interdental papillae
AND gums bleed on slight pressure
AND interdental grayish membrane
AND fusospirochete bacillus [gram stain report]
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.
Sheiham A. The future of preventive dentistry. BMJ. 1994;309(6949):214-5.
Thursday, January 07, 2010 9:21:22 AM
©2010 Thomson Reuters. All rights reserved.