Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU15
MultiStage: No
DXCat Label: Mental Retardation Specificity: A
Etiology: Congenital; Genetic (or hereditary); Toxicologic; Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Borderline mental retardation Wechsler I.Q. ≥ 70
DX 319;
AND ≤ 85
1.02 Mild Wechsler I.Q. ≥ 55
DX 317;
AND ≤ 69
2.01 Moderate Wechsler I.Q. ≥ 40
AND ≤ 54
2.02 Severe Wechsler I.Q. ≥ 25
AND ≤ 39
2.03 Profound Wechsler I.Q. < 25
3.01 with vegetative existence Stage 1.01-2.03
AND complete inability to provide self-care
References:
DX 3180;
DX 3181;
DX 3182;
STAGE 1.01-2.03 + DX 78003;
Balshaw ML. Mental retardation. Pediatric Clinics of North America. 1993;40:507-521.
Camp BW, Kozleski EB. Developmental disorders/mental retardation. In: Hay WW, Groosthius JR, Hayward AR, Levin MJ, eds. Current Pediatric Diagnosis and Treatment. 13th
ed. Stamford, CT: Appleton & Lange; 1997:103-106.
Palmer FB, Capute AJ. Mental retardation. Pediatrics in Review. 1994;15:473-479.
Shonkoff JP. Mental retardation. In: Behrman RE, Kliegman RM, Arvin AM, Nelson WE, eds. Nelson Textbook of Pediatrics, 15th ed. Philadelphia, PA: WB Saunders; 1996:128-
131.
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