Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU16
MultiStage: No
DXCat Label: Multiple Sclerosis Specificity: A
Etiology:
Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Relapsing-remitting multiple sclerosis Relapsing-remitting multiple sclerosis [MRI report]
DX 340;
OR oligoclonal bands in CSF
OR myelin basic protein elevated in CSF
OR sheathing of the retinal veins
AND involvement of two or more areas of the CNS by history and examination:
optic neuritis [ophthalmologist’s report]
OR abnormal visual evoked response [neurology report]
OR diplopia [ophthalmologist’s report]
OR extremity weakness
OR parasthesias
OR hypesthesias
OR incontinence
OR ataxia
AND two separate episodes ≥ 24 hours apart, one month from initial onset
2.01 with optic atrophy Stage 1.01
AND pale white disc [ophthalmoscopy report]
2.02 with vision limited to light perception Stage 1.01-2.01
AND blindness:
AND intact light perception
2.03 with memory loss or impaired attention or Stage 1.01-2.02
problem-solving difficulties or slowed AND memory loss
information processing
OR impaired attention
OR problem-solving difficulties
OR slowed information processing
2.04 Secondary progressive multiple sclerosis Secondary progressive multiple sclerosis
2.05 Primary progressive multiple sclerosis Primary progressive multiple sclerosis
2.06 Progressive-relapsing multiple sclerosis Progressive-relapsing multiple sclerosis
2.07 with decubitus ulcer Stage 1.01-2.06
AND decubitus ulcer
2.08 with pneumonia Stage 1.01-2.07
AND pneumonia:
STAGE 1.01 + (DX 37710, 37711,
37715);
STAGE 1.01-2.01 + GROUP
BLINDNESS;
STAGE 1.01-2.02 + DX 7809;
NO;
NO;
NO;
STAGE 1.01-2.03 + DXCAT SKN01;
STAGE 1.01-2.07 + (DXCAT RES15
OR DXCAT RES16 OR DXCAT
RES17 OR DXCAT RES12 OR
DXCAT RES19) ;
Thursday, January 07, 2010 9:22:49 AM
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