Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES04
MultiStage: No
DXCat Label: Byssinosis Specificity: A
Etiology: Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Early byssinosis History of current employment in areas with cotton, flax and hemp dust
DX 504;
AND history of dyspnea recurring on return to work after ≥ 48hour exposure free period
OR Forced expiratory volume in 1 second (FEV1) diminished from baseline
within 8 hours of return to work after 48 hour exposure free period
[pulmonary function tests]
1.02 Symptomatic byssinosis History of current employment in areas with cotton, flax and hemp dust
AND wheezing that resolves ≥ 48 hours after cessation of exposure
OR peak expiratory flow rate improves from baseline ≥ 48 hour exposure free period
[pulmonary function tests]
AND no new infiltrates [chest x-ray report]
2.01 with chronic bronchitis Stage 1.01-1.02
AND productive cough for ≥ 3 months of the year for ≥ 2 consecutive years
2.02 with early chronic obstructive pulmonary
disease
Stage 1.01-2.01
AND COPD:
3.01 with cor pulmonale Stage 1.01-2.02
AND cor pulmonale:
3.02 with respiratory failure Stage 1.01-3.01
AND respiratory failure:
3.03 with shock Stage 1.01-3.02
AND shock:
4.00 with death Stage 2.01-3.03
AND death
References:
NO;
STAGE 1.01 + (DX 490, 4910,
4911, 49120, 49121, 49122, 4918,
4919);
STAGE 1.01-2.01 + (DX 4920,
4928, 496);
STAGE 1.01-2.02 + GROUP
COR_PULMONAL;
STAGE 1.01-3.01 + GROUP
RESP_FAIL;
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Fishwick D, Fletcher AM, Pickering CA, McL Niven R, Faragher EB. Lung function in Lancashire cotton and man made fibre spinning mill operatives. Occupational & Environmental
Medicine. 1996;53(1):46-50.
McL Niven R. Pickering CA. Byssinosis: a review. Thorax. 1996;51(6):632-7.
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
Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:1429-1437.
Stauffer JL. Lung. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:251-333.
NO;
Thursday, January 07, 2010 9:23:09 AM
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