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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: PSY02<br />

MultiStage: No<br />

DXCat Label: Bipolar Disorder - Major Depressive Episode Specificity: A<br />

Etiology: Genetic (or hereditary); Psychogenic<br />

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

3.01 with suicidal attempt Stage 1.01 - 2.03<br />

STAGE 1.01-2.03 + DX E9500-<br />

AND Suicide attempt<br />

E9589;<br />

OR self-inflicted injuries<br />

AND loss of consciousness<br />

OR self-inflicted injury penetrating the pleural space<br />

[chest x-ray report]<br />

OR self-inflicted injury lacerating any artery<br />

[operative/pathology report]<br />

OR self-inflicted injury lacerating any nerve<br />

[operative/pathology report]<br />

OR self-inflicted injury penetrating the peritoneal space<br />

[operative/pathology report]<br />

OR fracture of the spinal column [x-ray report]<br />

OR fracture of the tibia or fibula [x-ray report]<br />

OR fracture of the femur [x-ray report]<br />

3.02 with renal failure Stage 3.01<br />

AND renal failure:<br />

3.03 with intracranial injury Stage 3.01-3.02<br />

AND intracranial injury [CT scan report or MRI report]<br />

3.04 with respiratory failure Stage 3.01-3.03<br />

AND respiratory failure:<br />

3.05 with coma Stage 3.01-3.04<br />

AND coma:<br />

3.06 with shock Stage 3.03-3.05<br />

AND shock:<br />

4.00 with death Stage 3.06<br />

AND death<br />

STAGE 1.01-3.01 + (GROUP<br />

REN_FAIL_ACU OR GROUP<br />

REN_FAIL_CHR);<br />

STAGE 1.01-3.02 + DX 8500-8509;<br />

STAGE 3.01-3.03 + GROUP<br />

RESP_FAIL;<br />

STAGE 3.01-3.04 + GROUP COMA;<br />

STAGE 3.01-3.05 + GROUP<br />

SHOCKA;<br />

NO;<br />

References:<br />

Akiskal HS. Mood disorders: clinical features. In Kaplan HI, Sadock BJ. eds., Comprehensive Textbook of Psychiatry. 6th ed. Baltimore, MD: Williams & Wilkins; 1995:1123-1152.<br />

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. American Psychiatric Association. 1994:317–391.<br />

Thursday, January 07, 2010 9:23:04 AM<br />

©2010 Thomson Reuters. All rights reserved.

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