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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: RES01<br />

MultiStage: No<br />

DXCat Label: Asbestosis Specificity: A<br />

Etiology: Toxicologic<br />

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

1.01 Asymptomatic pulmonary asbestosis History of exposure to asbestos dust > 10 years<br />

DX 501;<br />

AND small irregular or linear lung opacities consistent with asbestosis [chest x-ray report<br />

or CT scan report]<br />

OR pleural plaques [chest x-ray report or CT Scan report]<br />

OR pleural thickening [chest x-ray report or CT Scan report]<br />

1.02 with symptomatic pulmonary fibrosis Stage 1.01<br />

AND COPD:<br />

OR<br />

pulmonary fibrosis [chest x-ray report]<br />

2.01 with progressive pulmonary fibrosis Stage 1.01<br />

AND forced expiratory volume in 1 second (FEV1) ≤ 60% of predicted value<br />

[pulmonary function tests]<br />

3.01 with cor pulmonale Stage 1.01-2.01<br />

AND cor pulmonale:<br />

3.02 with respiratory failure Stage 1.01-3.01<br />

AND respiratory failure:<br />

3.03 with shock Stage 1.01-3.02<br />

AND shock:<br />

4.00 with death Stage 1.02-3.03<br />

AND death<br />

References:<br />

STAGE 1.01 + GROUP COPD;<br />

STAGE 1.01 + (DX 515, 5163);<br />

NO;<br />

STAGE 1.01-1.02 + GROUP<br />

COR_PULMONAL;<br />

STAGE 1.01-3.01 + GROUP<br />

RESP_FAIL;<br />

STAGE 1.01-3.02 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<br />

Madan I. ABC of work related disorders. occupational asthma and other respiratory diseases. BMJ. 1996;313(7052):291-4.<br />

Rudd RM. New developments in asbestos-related pleural disease. Thorax. 1996;51(2):210-6.<br />

Speizer FE. Environmental lung diseases. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of Internal<br />

Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:1429-1437.<br />

Stauffer JL. Lung. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:251-333.<br />

Wagner GR. Asbestosis and silicosis. Lancet. 1997;349(9061):1311-5.<br />

NO;<br />

Thursday, January 07, 2010 9:23:09 AM<br />

©2010 Thomson Reuters. All rights reserved.

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