Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY07
MultiStage: No
DXCat Label: Drug Abuse, Dependence, Overdose: Barbiturate Specificity: A
Etiology: Psychogenic; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Barbiturate abuse Barbiturate use which meets DMS-IV criteria for abuse [psychiatrist report]
DX 30540-30543;
OR History of use
AND failure to fulfill major role obligations
OR recurrent use in physically dangerous situations
OR recurrent barbiturate related legal problems
OR continued use despite related social or interpersonal use related
problems
1.02 Barbiturate dependence Stage 1.01
AND Barbiturate use which meets DSM-IV criteria for dependence [psychiatrist report]
[3 or more criteria in a 12 month period]:
Tolerance
OR withdrawal
OR increased use
OR desire or efforts to decrease use
OR increased time spent obtaining barbiturates
OR reduced social or occupational activities
OR recurrent use despite negative physical
OR psychological or social effects.
DX 30410-30413;
2.01 Barbiturate dependence with withdrawal
syndrome
Stage 1.01 - 1.02
AND two (or more) of the following on cessation of drug:
autonomic hyperactivity
OR increased hand tremor
OR insomnia
OR nausea or vomiting
OR hallucinations or illusions: visual, tactile, or auditory
OR psychomotor agitation
OR anxiety
STAGE 1.01-1.02 + (DX 2920,
29211-29212, 29281-2929, 35924);
2.02 Barbiturate dependence with electrolyte Stage 1.02 - 2.01
imbalance or dehydration
AND dehydration:
OR hypernatremia:
OR hyponatremia:
OR hypokalemia:
OR hyperkalemia:
2.03 Barbiturate intoxication Stage 1.01 - 2.02
AND barbiturate serum drug level ≥ normal [chemistry report]
OR phenobarbital level > 50 ug/ml [chemistry report]
STAGE 1.02-2.02 + (GROUP
DEHYDRATION OR GROUP
HYPR_NATREM OR GROUP
HYPONATREMIA OR GROUP
HYPOKALEMIA OR GROUP
HYPER_KALEM);
DX 9670, 9683;
STAGE 1.01-2.02 + DX 2922;
Thursday, January 07, 2010 9:23:06 AM
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