Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NUT01
MultiStage: No
DXCat Label: Beriberi, Thiamine Deficiency Specificity: A
Etiology: Nutritional
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Thiamine deficiency Urinary thiamine excretion ≤ 50 ug/24 hours [urine chemistry report]
DX 2650, 2651;
AND serum pyruvate ≥ 1 mg/dl [chemistry report]
OR thiamine deficiency [RBC transketolase assay report]
AND bilateral lower extremity paresthesias
OR loss of bilateral patellar reflexes
OR loss of vibratory sense on bilateral lower extremities
OR loss of bilateral lower extremity position sense
1.02 with toxic amblyopia Stage 1.01
AND central scotomas
AND visual acuity ≤ 20/50 [Snellen test report]
1.03 with nystagmus or ophthalmoplegia Stage 1.01-1.02
AND gaze evoked nystagmus
OR ophthalmoplegia
2.01 with peripheral edema Stage 1.01-1.03
AND bilateral lower extremity edema
2.02 with pleural effusion Stage 1.01-2.01
AND pleural effusion [thoracentesis report or chest x-ray report]
3.01 with Wernicke-Korsakoff syndrome Stage 1.03
AND confabulation
AND disorientation:
AND ataxia
3.02 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.03 with coma Stage 1.01-3.02
AND coma:
4.00 with death Stage 2.01-3.03
AND death
References:
STAGE 1.01 + (DX 37734, 36841);
STAGE 1.01-1.02 + (DX 37950,
3789);
STAGE 1.01-1.03 + DX 7823;
STAGE 1.01-2.01 + DX 51189-5119;
STAGE 1.01-2.02 + DX 2940;
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
STAGE 1.01-3.02 + GROUP COMA;
Baron RB. Nutrition. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1150-1180.
Kopelman MD. The Korsakoff syndrome. British Journal of Psychiatry. 1995;166(2):154-73.
Wilson JD. Vitamin deficiency and excess. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison’s Principles of
Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:480-489.
NO;
Thursday, January 07, 2010 9:22:52 AM
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