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Disease staging: CliniCal anD CoDeD Criteria - HCUP

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: NEU07<br />

MultiStage: No<br />

DXCat Label: Epilepsy Specificity: A<br />

Etiology: Idiopathic<br />

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

1.01 Partial seizures with elementary Partial seizures [EEG report]<br />

DX 34550, 34560, 34570, 34580,<br />

symptomatology<br />

AND no loss of consciousness at time of seizures<br />

34590;<br />

OR no disorientation:<br />

1.02 Partial seizures with complex<br />

symptomatology<br />

Partial seizures [EEG report]<br />

AND loss of consciousness at time of seizures<br />

OR loss of “contact with environment”<br />

OR disorientation:<br />

DX 34540;<br />

2.01 Absence seizures Petit mal seizures [EEG report]<br />

OR atypical absence seizures<br />

2.02 Tonic clonic seizures Grand mal seizure [EEG report]<br />

OR tonic-clonic contraction of the muscles of the extremities<br />

OR tonic seizures<br />

OR clonic seizures<br />

OR atonic seizures<br />

OR<br />

OR<br />

myoclonic seizures<br />

infantile spasms<br />

AND loss of consciousness<br />

3.01 Status epilepticus Stage 1.01-2.02<br />

AND loss of consciousness for ≥ 24 hours<br />

AND seizures recurring < 24 hour period<br />

3.02 with respiratory failure Stage 1.02-3.01<br />

AND respiratory failure:<br />

4.00 with death Stage 1.02-3.02<br />

AND death<br />

DX 34500-34501, 3452;<br />

DX 34510;<br />

DX 34511, 3453, 34541, 34551,<br />

34561, 34571, 34581, 34591;<br />

STAGE 1.01-3.01 + GROUP<br />

RESP_FAIL;<br />

NO;<br />

References:<br />

Aminoff MJ. Epilepsy. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:921-926.<br />

Lowenstein DH. Seizures and epilepsy. 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; 1998:2311-2356.<br />

Thursday, January 07, 2010 9:22:46 AM<br />

©2010 Thomson Reuters. All rights reserved.

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