Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: PSY80
MultiStage: No
DXCat Label: Schizophrenia Specificity: A
Etiology: Genetic (or hereditary); Psychogenic
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Schizophrenia - Residual Type Schizophrenia which has met DSM-IV criteria at some time in the past [psychiatrist report]
DX 29560-29565;
AND absence of prominent psychotic symptoms
AND presence of negative symptoms. (Affective flattening, poverty of speech, avolition,
anhedonia)
OR major symptoms present in mild form (odd beliefs, unusual perceptions)
1.02 Schizophreniform Disorder A condition meeting DSM-IV criteria for Schizophrenia, but lasting > 1 month and < 6 months
1.03 Schizophrenia Schizophrenia which meets DSM-IV criteria [psychiatrist report]
AND two (or more) of the following symptoms
delusions
OR hallucinations
OR disorganized speech
OR grossly disorganized or catatonic behavior
OR negative symptoms
AND symptoms present for at least 6 months
DX 29540-29545;
DX 29500-29505, 29510-29515,
29530-29535, 29550-29555, 29570-
29595;
2.01 Schizophrenia, Moderate Stage 1.03
AND unable to maintain employment
OR unable to maintain household
OR unable to care for self
OR unable to maintain prior level of relationships
OR history of threats of bodily injury to self of others
2.02 Severe Schizophrenia Stage 2.01
AND attempted physical injury to others
OR catatonic excitement
OR catatonia
2.03 with history of assault or murder conviction Stage 2.01-2.02
AND inflicted physical injury to individuals
OR convicted of murder
NO;
DX 29520-29525;
STAGE 1.01-2.02 + DX V625;
Thursday, January 07, 2010 9:23:08 AM
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