Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS05
MultiStage: No
DXCat Label: Fracture: Acetabulum Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Fracture of the acetabulum without
displacement
Fracture of the acetabulum without displacement [x-ray report]
DX 8080;
1.02 with displacement of the acetabular bone Fracture of the acetabulum with displacement of acetabular bone [x-ray report]
NO;
1.03 Fracture of the dome of the acetabulum Fracture of the dome of the acetabulum [x-ray report]
NO;
1.04 Fracture of the acetabulum with central
displacement of the dome
Fracture of the acetabulum with central displacement of the dome [x-ray report]
NO;
2.01 Open fracture of the acetabulum Stage 1.01-1.04
AND laceration of the overlying skin of the acetabulum exposing fractured bone
2.02 with injury to the sciatic nerve Stage 1.01-2.01
AND weakness of the involved lower extremity
OR laceration of the sciatic nerve [operative/pathology report]
2.03 with deep vein thrombosis Stage 1.01-2.02
AND DVT:
3.01 with pulmonary emoblism Stage 1.01-2.03
AND pulmonary embolism:
3.02 with respiratory failure Stage 3.01
AND respiratory failure:
3.03 with shock Stage 2.01-3.02
AND shock:
4.00 with death Stage 2.01-3.03
AND death
References:
DX 8081;
Jaffe WL, Scott DF. Total hip arthroplasty with hydroxyapatite-coated prostheses. Journal of Bone & Joint Surgery - American Volume. 1996;78(12):1918-34.
STAGE 1.01-2.01 + (DX 33811,
33821, 9560);
STAGE 1.01-2.02 + (DXCAT CVS22
OR GROUP DVT);
STAGE 2.01-2.03 + GROUP
PULMEMB;
STAGE 3.01 + GROUP RESP_FAIL;
STAGE 3.01-3.02 + GROUP
SHOCKA;
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.
NO;
Thursday, January 07, 2010 9:22:32 AM
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