Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS11
MultiStage: No
DXCat Label: Fracture: Humerus (Supracondylar) Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Supracondylar fracture of the humerus
without displacement
Supracondylar fracture of the humerus without displacement [x-ray report]
DX 81240-81244, 81249;
1.02 Supracondylar fracture of the humerus
with displacement
Supracondylar fracture of the humerus with displacement [x-ray report]
NO;
1.03 Supracondylar fracture of the humerus
with cubitus varus deformity
1.04 Supracondylar fracture of the humerus
with intercondylar displacement
2.01 Open supracondylar fracture of the
humerus
2.02 with injury to the radial nerve or ulnar
nerve or medial nerve
Supracondylar fracture of the humerus with cubitus varus deformity or gunstock deformity [x-ray
report]
Supracondylar fracture of the humerus with intercondylar displacement [x-ray report]
OR supracondylar T-fracture of the humerus [x-ray report]
Supracondylar fracture of the humerus
AND laceration of the skin with exposure of the fractured or dislocated bones
Supracondylar fracture of the humerus
AND radial nerve palsy
OR ulnar nerve palsy
OR median nerve palsy
2.03 with Volkmann's ischemic contracture Stage 1.01-2.02
AND Volkmann’s ischemic contracture
OR severe pain in hand and fingers
AND tissue pallor
AND inability to extend fingers
2.04 with osteomyelitis Stage 2.01-2.03
AND osteomyelitis:
2.05 with gangrene Stage 2.01-2.04
AND gangrene
3.01 with sepsis Stage 2.01-2.04
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
NO;
NO;
DX 81250-81259;
STAGE 1.01-2.01 + (DX 33811,
33821, 3541-3543, 9551-9553);
STAGE 1.01-2.02 + DX 9586;
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;
Thursday, January 07, 2010 9:22:34 AM
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