Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS09
MultiStage: No
DXCat Label: Fracture: Fibula Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Linear fracture of the fibula without
displacement
Linear fracture of the fibula without displacement [x-ray report]
DX 82301, 82321, 82341, 82381;
1.02 Linear fracture of the fibula with
displacement
Linear fracture of the fibula with displacement [x-ray report]
NO;
1.03 Comminuted fractures of the fibula Comminuted fracture of the head or shaft of the fibula [x-ray report]
NO;
1.04 Segmental fracture of the fibular shaft Segmental or double fracture of the fibular shaft [x-ray report]
NO;
2.01 Compound fracture of the fibula Fracture of the fibula
DX 82311, 82331, 82391;
AND laceration of the skin with exposure of the fractured bones
2.02 with compartment syndrome or vascular or Stage 1.01-2.01
STAGE 1.01-2.01 + (DX 33811,
neurologic complications
AND compartment syndrome [physical examination or compartment pressure ≥ 30 mmHg] 33821, 7820, 7859, 9586, 9588);
OR loss of pedal pulses
OR paresthesia of the lower extremity
OR Volkmann’s compartment ischemia
2.03 with crush injuries to soft tissue Stage 1.01-2.02
AND crush injury to soft tissues
STAGE 1.01-2.02 + (DX 92810,
92811, 92821, 9288, 9289);
2.04 with osteomyelitis Stage 2.01-2.03
AND osteomyelitis:
2.05 with gangrene Stage 2.01-2.04
AND gangrene of the fibula [operative/pathology report]
3.01 with sepsis Stage 2.01-2.05
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
STAGE 2.01-2.03 + GROUP
OSTEOMYELIT;
STAGE 2.01-2.04 + DX 7854;
STAGE 2.01-2.05 + GROUP SEPSIS;
STAGE 2.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Lawless MW, Laughlin RT, Wright DG, Lemmon GW, Rigano WC. Massive pelvis injuries treated with amputations: case reports and literature review. Journal of Trauma.
1997;42(6):1169-75.
Levin LS, Garrett WE Jr. Fractures and dislocations: fractures of the tibia, fibula, ankle, and foot. In: Sabiston DC, ed. Sabiston Textbook of Surgery. 15th ed. Philadelphia, PA:
WB Saunders; 1998:1444-1451.
Thursday, January 07, 2010 9:22:33 AM
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