Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU05
MultiStage: No
DXCat Label: Alzheimer's Disease and Other Dementias Specificity: A
Etiology: Degenerative; Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Primary degenerative dementia
Alzheimer or Picks’ Disease [neuropsychiatrist report]
DX 2900, 29010-29020, 2903,
(Alzheimer's disease or Pick's disease) OR Loss of recent memory
29040-2909, 3310-3312, 33182,
AND able to maintain employment routines
797;
AND maintains personal hygiene
AND senile plaques and neurofibrillary tangles [operative/pathology report]
OR amyloid angiopathy with lobar hemorrhage
[operative/pathology report]
OR circumscribed convolutional atrophy of the frontal and temporal
lobes [operative/pathology report]
OR diffuse Lewy body disease [operative/pathology report]
1.02 Early dementia Substantial loss of recent memory
AND slowed brain wave activity [EEG report]
OR inability to remember names
OR inability to recall new information
2.01 Midstage dementia Stage 1.01-1.02
AND become lost on > 1 occasion while driving a car
OR become lost on > 1 occasion as a pedestrian in familiar city
AND unresolved impairment of remote memory
AND unresolved aphasia
AND disorientation:
2.02 with invalidism Stage 1.01-2.01
AND difficulty feeding self
OR unable to maintain personal hygiene
OR has become lost within own dwelling
2.03 with decubitus ulcer Stage 1.01-2.02
AND decubitus ulcer
3.01 with sepsis Stage 1.01-2.03
AND sepsis:
3.02 with respiratory failure Stage 1.01-3.01
AND respiratory failure:
3.03 with coma Stage 1.01-3.02
AND coma:
3.04 with shock Stage 1.01-3.03
AND shock:
4.00 with death Stage 1.01-3.04
AND death
STAGE 1.01 + (DX 29410, 2948);
DX 29021;
STAGE 1.01-1.02 + (DX 29411,
7843 OR GROUP DISORIENT);
STAGE 1.01-2.01 + (DX 29410,
33189, 7812, 7998);
STAGE 1.01-2.02 + DXCAT SKN01;
STAGE 1.01-2.03 + GROUP SEPSIS;
STAGE 1.01-3.01 + GROUP
RESP_FAIL;
STAGE 3.01-3.02 + GROUP COMA;
STAGE 3.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:46 AM
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