Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY04
MultiStage: No
DXCat Label: Depression Specificity: A
Etiology: Genetic (or hereditary); Psychogenic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Adjustment disorder with depresssed Depressed mood
DX 29625-29626, 3090, 30928,
mood (loss of interest or pleasure in usual OR loss of interest or pleasure
3099, 3131;
activities)
AND life stress situation occurring within 3 months prior to onset
AND distress in excess of expected degree
OR significant social or occupational or academic dysfunction
1.02 Depression with loss of interest or pleasure
in usual activities
Depressed Mood
OR loss of interest or pleasure
AND absence of life stress situation
OR life stress situation occurred ≥ 3 months ago
AND at least two (but < 5) of the following, while depressed:
poor appetite and weight loss
OR over eating and weight gain
OR insomnia
OR hypersomnia
OR low energy or fatigue
OR low self esteem
OR poor concentration or difficulty making decisions
OR feelings of hopelessness
DX 3004, 3091, 311;
1.03 Depression with substance abuse Stage 1.01- 1.02
AND drug abuse
OR alcohol abuse
STAGE 1.01-1.02 + (DX 30300-
30503, 30520-30593);
Thursday, January 07, 2010 9:23:05 AM
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