Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY05
MultiStage: Yes
DXCat Label: Drug Abuse, Dependence, Intoxication: Alcohol Specificity: A
Etiology:
Genetic (or hereditary); Psychogenic; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Alcohol abuse Alcohol use which meets DSM-IV criteria for abuse [psychiatrist report]
history of use
DX 30500-30503;
AND failure to fulfill major role obligations
OR recurrent alcohol use in physically dangerous situations
OR recurrent alcohol related legal problems
OR continued alcohol use despite social or interpersonal use related problems
1.02 Alcohol dependence 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 30390-30393, 29182;
2.01 Alcohol intoxication Stage 1.01 - 1.02
AND recent ingestion of alcohol
AND 1 (or more) of the following during of after use:
slurred speech
OR incoordination
OR unsteady gait
OR nystagmus
OR impaired attention or memory
OR stupor or coma
DX 2914, 30300-30303;
2.02 Alcoholism with hepatomegaly or alcoholic
polyneuropathy or chronic pancreatitis
Stage 1.01-1.02
AND hepatomegaly:
OR hepatitis:
OR coagulation defect:
OR polyneuropathy [EMG report]
OR chronic pancreatitis
DX 3575, 5710-5711, 5713;
STAGE 1.01-2.01 + (DX 5771 OR
GROUP COAG_DEFECT);
Thursday, January 07, 2010 9:23:05 AM
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