Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS07
MultiStage: No
DXCat Label: Fracture: Femur, Except Head or Neck Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Fracture of the femoral shaft without Fracture of the femoral shaft without displacement [x-ray report]
DX 73315, 73397, 82100, 82101;
displacement
OR linear fracture of the femoral shaft [x-ray report]
1.02 Simple fracture of the femoral shaft with
two bony fragments
Fracture of the femoral shaft with two bony fragments [x-ray report]
NO;
2.01 Segmental fracture of the femoral shaft Double fractures of the femoral shaft [x-ray report]
2.02 Comminuted fracture of the femoral shaft Comminuted fracture of the femoral shaft [x-ray report]
2.03 Intercondylar or supracondylar or condylar Intercondylar fracture of the femoral shaft and head [x-ray report]
or epiphyseal fracture of the femoral shaft OR supracondylar fracture of the femoral shaft and head [x-ray report]
OR condylar fracture of the femoral shaft and head [x-ray report]
OR epiphyseal fracture of the femoral shaft and head [x-ray report]
2.04 Subtrochanteric fracture of the femoral Subtrochanteric fracture of the femoral shaft [x-ray report]
shaft
2.05 Open fracture of the femoral shaft Fracture of the femoral shaft
AND laceration of the skin with exposure of bony fragments
2.06 with damage to the femoral nerve or Stage 1.01-2.05
peroneal nerve or tibial nerve or reflex AND damage to the femoral nerve [EMG/nerve conduction study report]
sympathetic dystrophy
OR damage to the peroneal nerve [EMG/nerve conduction study report]
OR damage to the tibial nerve [EMG/nerve conduction study report]
OR reflex sympathetic dystrophy
2.07 with laceration of the femoral artery or
popliteal artery or femoral vein or popliteal
vein or hemorrhage
Stage 1.01-2.06
AND laceration of the femoral artery [arteriogram report or operative/pathology report]
OR laceration of the popliteal artery [arteriogram report or operative/pathology report]
OR laceration of the femoral vein [venogram report or operative/pathology report]
OR laceration of the popliteal vein [venogram report or operative/pathology report]
OR bleeding:
NO;
NO;
DX 82120-82123, 82129;
DX 82022;
DX 82110-82111, 82130-82133,
82139, 82032;
STAGE 1.01-2.05 + (DX 33811,
33821, 9561-9563, 9565, 9568-
9569);
STAGE 1.01-2.06 + (DX 9040-
9042, 90440-90442);
3.01 with pulmonary embolism Stage 1.01-2.07
AND pulmonary embolism:
3.02 with sepsis Stage 2.03-3.01
AND sepsis:
3.03 with respiratory failure Stage 3.01
AND respiratory failure:
3.04 with shock Stage 2.05-3.03
AND shock:
4.00 with death Stage 2.06-3.04
AND death
STAGE 2.01-2.07 + GROUP
PULMEMB;
STAGE 2.05-3.01 + GROUP SEPSIS;
STAGE 3.01-3.02 + GROUP
RESP_FAIL;
STAGE 3.01-3.03 + GROUP
SHOCKA;
NO;
Thursday, January 07, 2010 9:22:33 AM
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