Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS08
MultiStage: No
DXCat Label: Fracture: Femur, Head or Neck Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Stable fracture of the head or neck of the Stress fracture of the head or neck of the femur [x-ray report]
DX 73314, 73396, 82000-82003,
femur
OR impact fracture of the head or neck of the femur [x-ray report]
82009, 82020-82021 , 8208;
OR linear fracture of the head or neck of the femur [x-ray report]
OR intertrochanteric fracture of the femur [x-ray report]
OR transcervical fracture of the femur [x-ray report]
2.01 Unstable fractures of the head or neck of
the femur
2.02 Open fracture of the head or neck of the
femur
2.03 Fracture of the head or neck of the femur
with avascular necrosis
2.04 with deep vein thrombosis Stage 1.01-2.03
AND DVT:
3.01 with pulmonary embolism Stage 2.01-2.04
AND pulmonary embolism:
3.02 with respiratory failure Stage 3.01
AND respiratory failure:
3.03 with shock Stage 2.02-3.02
AND shock:
4.00 with death Stage 2.02-3.03
AND death
Displaced fracture of the head or neck of the femur [x-ray report]
OR comminuted fracture of the head or neck of the femur [x-ray report]
Fracture of the head or neck of the femur
AND exposure of the fractured bone through a skin laceration
Fracture of the head or neck of the femur
AND avascular necrosis of the head or neck of the femur [operative/pathology report or x-ray
report]
NO;
DX 82010-82013, 82019, 82030-
82031, 8209;
STAGE 1.01-2.02 + DX 73342;
STAGE 1.01-2.03 + (DX 33811,
33821 OR DXCAT CVS22 OR
GROUP DVT);
STAGE 2.01-2.04 + GROUP
PULMEMB;
STAGE 3.01 + GROUP RESP_FAIL;
STAGE 3.01-3.02 + GROUP
SHOCKA;
NO;
References:
Hughes LO, Beaty JH. Fractures of the head and neck of the femur in children. Journal of Bone & Joint Surgery - American Volume. 1994;76(2):283-92.
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 9:22:33 AM
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