Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: RES10
MultiStage: No
DXCat Label: Hypersensitivity Pneumonitis Specificity: A
Etiology: Immune; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Acute hypersensitivity pneumonitis or History of exposure to allergen
DX 4950-4959;
farmer's lung or bagassosis or birdfancier's
AND precipitating antibody to allergen [serology report]
lung or suberosis or malt worker's AND diffuse granulomatous interstitial pneumonitis [operative/pathology report or biopsy report
lung or mushroom worker's lung or maple or chest x-ray report]
bark-stripper's lung or other extrinsic
allergic alveolitis
AND improvement in pneumonia with cessation of allergen exposure
1.02 with subacute hypersensitivity pneumonitis Stage 1.01
AND subacute hypersensitivity pneumonitis
OR chronic time span:
symptoms or signs persists ≥ 3months/ year
AND cough
AND malaise
AND dyspnea
AND sputum production
2.01 with restrictive lung disease Stage 1.01
AND restrictive lung disease:
2.02 with diffuse interstitial fibrosis Stage 1.01-2.01
AND diffuse interstitial fibrosis [chest x-ray report]
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
NO;
NO;
STAGE 1.01 + DX 515;
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) ;
NO;
References:
Greenberger PA. Immunologic aspects of lung diseases and cystic fibrosis. JAMA. 1997;278(22):1924-30.
Hunninghake GW, Richerson HB. Hypersensitivity pneumonitis and eosinophilic pneumonias. 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; 1998:1426-1429.
Madan I. ABC of work related disorders. occupational asthma and other respiratory diseases. BMJ. 1996;313(7052):291-4.
Stauffer JL. Lung. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:251-333.
Stern RC. Hypersensitivity to inhaled materials. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics. 15th ed. Philadelphia, PA: WB
Saunders; 1996:1218.
Thursday, January 07, 2010 9:23:11 AM
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