Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU20
MultiStage: No
DXCat Label: Parkinson's Disease Specificity: A
Etiology: Degenerative; Idiopathic; Infection; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Parkinson's disease ‘Pill rolling’ resting tremors involving a single upper extremity
DX 3320, 3321;
1.02 with rigidity or tremor involving both lower Resting tremor involving both arms
STAGE 1.01 + (DX 7810, 7813);
or upper extremities
OR Resting tremor involving both legs
OR rigidity involving both arms
OR rigidity involving both legs
OR hemilateral rigidity
1.03 with bradykinesia Stage 1.01-1.02
AND slowness of movement
OR shuffling gait
OR difficulty initiating movement
OR akinesia
OR masklike facies
STAGE 1.01-1.02 + DX 78199;
2.01 with gait disturbances Stage 1.01-1.03
AND festination, tendency to quicken steps or run when initiating walking
OR retropulsion, tendency to fall backwards with shift in patient’s center of gravity
OR propulsion, tendency to fall forwards with shift in patient’s center of gravity
OR loss of postural reflexes
2.02 with impairment of dexterity Stage 1.01-2.01
AND loss of capacity to use hands
2.03 with midstage dementia Stage 1.01-2.02
AND dementia:
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
2.04 with decubitus ulcer Stage 1.01-2.03
AND decubitus ulcer
2.05 with pneumonia Stage 1.01-2.04
AND pneumonia:
3.01 with sepsis Stage 1.01-2.05
AND sepsis:
3.02 with shock Stage 1.01-3.01
AND shock:
STAGE 1.01-1.03 + DX 7812;
NO;
STAGE 1.01-2.01 + (DX 29410,
29411, 2948, 7843 OR GROUP
DISORIENT OR GROUP DEMENTIA);
STAGE 1.01-2.03 + DXCAT SKN01;
STAGE 1.01-2.04 + (DXCAT RES15
OR DXCAT RES16 OR DXCAT
RES17 OR DXCAT RES12 OR
DXCAT RES19) ;
STAGE 1.01-2.05 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Thursday, January 07, 2010 9:22:50 AM
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