Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY14
MultiStage: No
DXCat Label: Eating disorders: Bulimia Nervosa Specificity: A
Etiology: Psychogenic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Bulimia nervosa Recurrent episodes of binge eating as defined in DSM-IV
DX 30751;
AND recurrent inappropriate efforts to prevent weight gain (laxatives, diuretics, enemas, fasting,
excessive exercise)
AND binge eating and weight control efforts both occur ≥ twice weekly for three months
1.02 with self induced vomiting Stage 1.01
AND self induced vomiting as a significant method to control weight
DX 30754;
STAGE 1.01 + (DX 3064, 5362,
78703-78704);
2.01 with fluid and electrolyte disturbances Stage 1.01 - 1.02
AND hypokalemia:
OR hypernatremia:
OR dehydration:
OR alkalosis:
2.02 with cardiac arrhythmia Stage 1.01 - 2.01
AND cardiac arrhythmias:
2.03 with esophageal tears Stage 1.01 - 2.02
AND esophageal tear [operative/pathology report]
2.04 with gastric rupture Stage 1.01 - 2.03
AND gastric rupture [operative/pathology report]
3.01 with shock Stage 1.01 - 2.04
AND shock:
4.00 with death Stage 1.01 - 3.01
AND Death
STAGE 1.01-1.02 + (GROUP
HYPOKALEMIA OR GROUP
HYPR_NATREM OR GROUP
DEHYDRATION OR GROUP
ALKALOSIS);
STAGE 1.01-2.01 + GROUP
ARHTHYM_CARD;
STAGE 1.01-2.02 + (DX 5304,
86222);
STAGE 1.01-2.03 + DX 8630;
STAGE 1.01-2.04 + GROUP
SHOCKA;
NO;
References:
American Psychiatric Association. Diagnotic and Statistical Manual of Mental Disorders. 4th ed. American Psychiatric Association. 1994:545-550.
Berkow R, Beers MH, eds. In. Merck Manual. 17th ed. Rahway, NJ: Merck & Co., Inc.; 1999:1597–1598.
Garfinkle PE. Eating disorders. In: Kaplan HI, Sadock BJ, eds. Comprehensive Textbook of Psychiatry. 6th ed. Baltimore, MD: Williams & Wilkins; 1995:1361–1371.
Thursday, January 07, 2010 9:23:08 AM
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