Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS03
MultiStage: No
DXCat Label: Dislocation: Knee Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Partial dislocation of the knee Partial dislocation of the knee [x-ray report]
DX 71826, 71876, 71886, 83650-
83654, 83659, 83660-83669;
1.02 Complete dislocation of the knee Complete dislocation of the knee [x-ray report]
2.01 with ligamentous injuries Stage 1.01-1.02
AND ligament injuries of the knee [operative/pathology report]
2.02 with injury to the peroneal nerve Stage 1.01-2.01
AND numbness of the lower leg
OR peroneal nerve injury [EMG/nerve conduction study report]
2.03 with injury to the popliteal artery Stage 1.01-2.02
AND injury to the popliteal artery [arteriogram report]
2.04 with osteomyelitis Stage 1.01-2.03
AND osteomyelitis:
2.05 with gangrene of the lower leg Stage 1.01-2.04
AND gangrene of the lower leg [operative/pathology report]
3.01 with sepsis Stage 2.04-2.05
AND sepsis:
3.02 with shock Stage 2.04-3.01
AND shock:
4.00 with death Stage 2.04-3.02
AND death
NO;
STAGE 1.01 + (DX 33811, 33821,
8440-8442, 8448, 8449);
STAGE 1.01-2.01 + DX 9563;
STAGE 1.01-2.02 + DX 90441;
STAGE 1.01-2.03 + GROUP
OSTEOMYELIT;
STAGE 1.01-2.04 + DX 7854;
STAGE 1.01-2.05 + GROUP SEPSIS;
STAGE 1.01-3.01 + GROUP
SHOCKA;
NO;
References:
Clasby L, Young MA. Management of sports-related anterior cruciate ligament injuries. AORN Journal. 1997;66(4):609-30.
Vail TP, McCollum DE. Fractures and dislocations: fractures of the pelvis, femur, and knee. In: Sabiston DC, ed. Sabiston Textbook of Surgery. 15th ed. Philadelphia, PA: WB
Saunders; 1998:1432-1443.
Thursday, January 07, 2010 9:22:32 AM
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