Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS01
MultiStage: No
DXCat Label: Bursitis Specificity: A
Etiology: Degenerative; Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Bursitis Shoulder bursitis [x-ray report or physical examination]
DX 72610, 72612, 72619, 72630-
OR trochanteric bursitis [femoral x-ray report or physical examination]
72639, 7264, 7265, 72660-72690;
OR prepatellar bursitis [x-ray report or physical examination]
OR olecranon bursitis [x-ray report or physical examination]
OR foot bursitis [x-ray report or physical examination]
OR ischial bursitis [x-ray report or physical examination]
1.02 Acute calcareous tendonitis with bursitis Stage 1.01
AND acute calcareous tendonitis [x-ray report or physical examination of affected bursa]
1.03 Supraspinatus or tensor fascia lata Stage 1.01-1.02
tendonitis with bursitis
AND supraspinatus tendonitis [shoulder x-ray report or physical examination]
OR tendonitis of the tensor fascia lata [humerus x-ray report or physical examination]
1.04 Bursitis with bacterial infection Stage 1.01-1.03
AND infected bursa [fluid culture reports growth of pathologic organism(s)]
DX 72611, 7262;
DX 7260;
STAGE 1.01-1.03 + DX 0410-0419;
References:
Dowling J. Musculoskeletal disease: staged for rapid comprehension. Year Book Medical Publishers Inc. 1985:97-99.
Gilliland BC. Relapsing polychondritis and other arthritides. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's
Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:1951-1965.
Hellmann DB. Arthritis & musculoskeletal disorders. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:774-824.
Stell IM, Gransden WR. Simple tests for septic bursitis: comparative study. BMJ. 1998;316(7148):1877.
Thursday, January 07, 2010 9:22:32 AM
©2010 Thomson Reuters. All rights reserved.