Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS12
MultiStage: No
DXCat Label: Fracture: Radial Head and Neck Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Fracture of the head and neck of the
radius, without displacement
Fracture of the head and neck of the radius without displacement [x-ray report]
DX 81305, 81306;
1.02 Fracture of the head and neck of the
radius, with displacement involving ≥1/3
of the articular surfaces
Fracture of the head and neck of the radius with displacement involving ≥ 1/3 of the articular
surfaces
[x-ray report]
NO;
1.03 Fracture of the head and neck of the
radius, with comminution
Comminuted fracture of the head and neck of the radius [x-ray report]
NO;
2.01 Open fracture of the head and neck of the
radius
2.02 with osteomyelitis Stage 2.01
AND osteomyelitis:
2.03 with gangrene Stage 2.01-2.02
AND gangrene
3.01 with sepsis Stage 2.01-2.03
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
Fracture of the head and neck of the radius
AND laceration of the skin with exposure of the fractured or dislocated bones
DX 81315, 81316;
STAGE 2.01 + (DX 33811, 33821
OR GROUP OSTEOMYELIT);
STAGE 2.01-2.02 + DX 7854;
STAGE 2.01-2.03 + GROUP SEPSIS;
STAGE 2.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Dowling J. Musculoskeletal disease: staged for rapid comprehension. Year Book Medical Publishers Inc. 1985:217-218.
Fitch RD, Speer KP. Fractures and dislocations: fractures and dislocations of the shoulder, arm, and forearm. In: Sabiston DC, ed. Sabiston Textbook of Surgery. 15th ed.
Philadelphia, PA: WB Saunders; 1998:1408-1414.
Thursday, January 07, 2010 9:22:34 AM
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