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
2.03 with gastritis or anemia Stage 1.01-2.02
DX 53530-53531;
AND gastritis [endoscopy report]
STAGE 1.01-2.02 + (DX 2859,
OR anemia:
2875, 7863);
STAGE 1.01-2.02 + (GROUP
ANEM_DEF_B12 OR GROUP
ANEM_DEF_FE OR GROUP
ANEM_DEF_FOL OR GROUP
ANEM_DEF_OTH OR GROUP
ANEM_OTH_CHR OR GROUP
ANEM_OTH_UN);
2.04 with acute pancreatitis Stage 1.01-2.03
AND pancreatitis:
2.05 with cirrhosis Stage 1.01-2.04
AND cirrhosis [sonogram report or liver biopsy report]
3.01 with Wernicke-Korsakoff's syndrome Stage 1.01-2.05
AND ophthalmoplegia
OR Korsakoff’s psychosis
OR confabulation
3.02 with cardiomegaly or congestive heart Stage 1.01-3.01
failure
AND alcoholic cardiomyopathy [operative pathology report or echocardiogram report]
OR congestive heart failure:
3.03 Delirium tremens Stage 1.1-3.2
AND history of alcohol abstinence for ≥ 24 hours
AND seizure disorder [physical examination or EEG report]
OR visual hallucinations
OR auditory hallucinations
OR nausea and vomiting
OR insomnia
3.04 with coma Stage 1.01-3.03
AND coma:
3.05 with shock Stage 1.01-3.04
AND shock:
4.00 with death Stage 2.01-3.05
AND death
STAGE 1.01-2.03 + DX 5770;
DX 5712;
STAGE 1.01-2.04 + (DX 2760-
2769, 7948);
DX 2911-2913, 2915-2919;
STAGE 1.01-2.05 + (DX 37852,
37855-37856, 3789);
DX 4255;
STAGE 1.01-3.01 + GROUP
CHF__NON_HTN;
DX 2910;
STAGE 1.01-3.03 + GROUP COMA;
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:23:05 AM
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