Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU04
MultiStage: No
DXCat Label: Cerebrovascular Disease Specificity: A
Etiology: Degenerative; Genetic (or hereditary)
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Cerebral atherosclerosis or cerebral Cerebral atherosclerosis [CT scan or MRI report or cranial angiography report]
DX 436, 4370-4371, 4373-4374,
aneurysm or vascular malformation OR cerebral or precerebral aneurysm
[CT scan or MRI report or cranial angiography report]
4378-4379, 74781;
OR vascular malformation [CT scan or MRI report or cranial angiography report]
OR carotid artery dissection[CT scan or MRI report or cranial angiography report]
OR vertebral artery dissection [CT scan or MRI report or cranial angiography report]
OR fibromuscular dysplasia [CT scan or MRI report or cranial angiography report]
2.01 Transient ischemic attack or occlusion or
stenosis of precerebral arteries
No new infarct [CT scan report]
AND acute paralysis resolving in ≤ 24 hours
OR acute inability to communicate verbally resolving in ≤ 24 hours
OR > 50% occlusion or stenosis of precerebral arteries
[CT scan or MRI report or cranial angiography report]
OR (the following new findings occur and persist ≤ 24h):
cranial nerve palsy:
DX 43300, 43310, 43320, 43330,
43380, 43390, 43400, 43410,
43490, 4350-4359, 4377;
3.01 Intracranial hemorrhage or intracranial
infarction or nonpyogenic thrombosis of
intracranial venous sinus or Moyamoya
disease
3.02 Cerebrovascular accident with cranial
nerve involvement
3.03 Cerebrovascular accident with cerebellar or
pyramidal tract signs
3.04 Cerebrovascular accident with hemiparesis
or hemiplegia
Intracranial infarction [CT scan or MRI report]
OR intracranial hemorrhage [CT scan or MRI report]
OR nonpyogenic thrombosis of intracranial sinus [angiography report]
OR Moyamoya disease [angiography report]
Stage 3.01
AND (the following new findings occur and persist beyond 3 days after therapy):
cranial nerve palsy:
Stage 3.01-3.02
AND acute loss of balance unresolved ≥ 24 hours
OR acute nystagmus unresolved ≥ 24 hours
OR acute spasticity unresolved ≥ 24 hours
OR acute poor finger-to-nose or heel-to-shin tests unresolved ≥ 24 hours
Stage 3.01-3.03
AND acute hemiparesis unresolved ≥ 24 hours
OR acute hemiplegia unresolved ≥ 24 hours
3.05 Cerebrovascular accident with quadriplegia Stage 3.01-3.04
AND acute quadriplegia unresolved ≥ 24 hours
3.06 with sepsis Stage 3.01-3.05
AND sepsis:
DX 430, 431, 4320-4329, 43301,
43311, 43321, 43331, 43381,
43391, 43401, 43411, 43491, 4375-
4376, 44321;
STAGE 3.01 + (GROUP
CRAN_NRV_PAL OR GROUP
BLINDNESS);
DX 4380-43819, 4386-4389;
STAGE 3.01-3.02 + (DX 37950,
7804, 7810, 7812, 7813, 7817);
STAGE 3.01-3.03 + (DX 34200-
34202, 34210-34282, 34290-
34292);
DX 43820-43853;
STAGE 3.01-3.04 + (DX 34400-
34409);
STAGE 3.01-3.05 + GROUP SEPSIS;
Thursday, January 07, 2010 9:22:46 AM
©2010 Thomson Reuters. All rights reserved.