Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY09
MultiStage: No
DXCat Label: Drug Abuse, Dependence, Overdose: Cocaine Specificity: A
Etiology: Psychogenic; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
2.02 with hallucinations or psychosis Stage 1.01 - 2.01
STAGE 1.01-2.01 + (DX 29212,
AND no history of schizophrenia prior to cocaine abuse
29281-29289);
AND no history of bipolar illness prior to cocaine abuse
AND visual hallucinations
OR auditory hallucinations
OR psychosis
2.03 with suicidal ideation Stage 1.01-2.02
AND suicidal ideation
3.01 with suicide attempt Stage 1.01-2.03
AND Suicide attempt
OR self-inflicted injuries
AND loss of consciousness
OR self-inflicted injury penetrating the pleural space
[chest x-ray report]
OR self-inflicted injury lacerating any artery
[operative/pathology report]
OR self-inflicted injury lacerating any nerve
[operative/pathology report]
OR self-inflicted injury penetrating the peritoneal space
[operative/pathology report]
OR fracture of the spinal column [x-ray report]
OR fracture of the tibia or fibula [x-ray report]
OR fracture of the femur [x-ray report]
STAGE 1.01-2.02 + (DX 3009,
V6284);
STAGE 1.01-2.03 + DX E9500-
E9589;
3.02 with seizures Stage 1.01-3.01
AND seizures [EEG report or physical examination]
3.03 with myocardial infarction Stage 1.01-3.02
AND acute myocardial infarction:
3.04 with cerebrovascular accident Stage 1.01-3.03
AND intracranial hemorrhage [CT scan report or MRI report]
OR intracranial infarction [CT scan report or MRI report]
3.05 with respiratory failure Stage 1.01-3.04
AND respiratory failure:
3.06 with shock Stage 2.01-3.05
AND shock:
STAGE 1.01-3.01 + DX 78031-
78039;
STAGE 1.01-3.02 + GROUP AMI;
STAGE 1.01-3.03 + (DX 430-4329,
43301, 43311, 43321, 43331,
43381, 43391, 43401, 43411,
43491, 436);
STAGE 1.01-3.04 + GROUP
RESP_FAIL;
STAGE 1.01-3.05 + GROUP
SHOCKA;
Thursday, January 07, 2010 9:23:06 AM
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