Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY11
MultiStage: No
DXCat Label: Drug Abuse, Dependence, Overdose: Opioid Specificity: A
Etiology:
Psychogenic; Toxicologic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Opioid abuse Opioid use which meets DSM -IV criteria for abuse [psychiatrist report]:
DX 30550-30553;
OR history of use
AND failure to fulfill major role obligations
OR recurrent use in physically dangerous situations
OR recurrent opioid related legal problems
OR continued use despite social or interpersonal use-related problems
1.02 Opioid dependence Stage 1.01
AND opioid use which meets DSM-IV criteria for dependence
(3 or more criteria in a 12 months period) [psychiatrist report]:
tolerance
OR withdrawal
OR increased use
OR desire or efforts to decrease use
OR increased time spent obtaining opioids
OR reduced social or occupational activities
OR recurrent use despite negative physical
OR psychological or social effects
DX 30400-30403, 30470-30473;
2.01 with cellulitis Stage 1.01-1.02
AND cellulitis:
2.02 with pulmonary complications Stage 1.01-2.01
AND pulmonary fibrosis [chest x-ray report]
OR COPD:
OR pneumonia:
2.03 with osteomyelitis Stage 1.01-2.02
AND osteomyelitis:
3.01 with endocarditis Stage 1.01-2.03
AND endocarditis:
3.02 with sepsis Stage 1.01-3.01
AND sepsis:
3.03 with respiratory failure Stage 1.01-3.02
AND respiratory failure:
3.04 with coma Stage 1.01-3.03
AND coma:
3.05 with shock Stage 1.01-3.04
AND shock:
STAGE 1.01-1.02 + GROUP
CELLULITIS;
STAGE 1.01-2.01 + (GROUP COPD
OR GROUP PNEUMONIA );
STAGE 1.01-2.02 + GROUP
OSTEOMYELIT;
STAGE 1.01-2.03 + GROUP
ENDOCARDITIS;
STAGE 1.01-3.01 + GROUP SEPSIS;
STAGE 1.01-3.02 + GROUP
RESP_FAIL;
STAGE 1.01-3.03 + GROUP COMA;
STAGE 1.01-3.04 + GROUP
SHOCKA;
Thursday, January 07, 2010 9:23:07 AM
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