Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS14
MultiStage: No
DXCat Label: Fracture: Radius, Lower End Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Fracture of the lower end of the radius Fracture of the lower end of the radius with minimal displacement [x-ray report]
DX 73312, 81340-81342, 81344-
with minimal displacement
OR ‘reversed’ Colles’ fracture [x-ray report]
81345;
OR linear fracture not involving articular surfaces [x-ray report]
OR linear fracture without involving the radiocarpal joints [x-ray report]
OR Colles’ fracture [x-ray report]
1.02 Comminuted fracture of the lower end of
the radius
1.03 Comminuted fracture of the lower end of
the radius, running into the joint surfaces
Comminuted fracture of the lower end of the radius [x-ray report]
Comminuted fracture of the lower end of the radius running into the joint surfaces [x-ray report]
NO;
NO;
1.04 Fracture of the lower end of the radius,
with anterior subluxation of the carpus
Fracture of the lower end of the radius with anterior subluxation of the carpus [x-ray report]
2.01 Open fracture of the lower end of the Fracture of the lower end of the radius
radius
AND laceration of the skin with exposure of the fractured or dislocated bones
2.02 Fracture of the lower end of the radius, Stage 1.01-2.01
with entrapment neuropathy
AND median nerve palsy
OR ulnar nerve palsy
2.03 with reflex sympathetic dystrophy Stage 1.01-2.02
AND reflex sympathetic dystrophy
OR shoulder-hand syndrome
OR Sudeck’s atrophy
OR hyperesthesia
AND skin pallor
AND trophic changes distal to fracture site
2.04 with tendon rupture Stage 1.01-2.03
AND rupture of the extensor pollicis longus [physical examination or operative/pathology report]
OR rupture of flexor tendons [physical examination or operative/pathology report]
2.05 with Volkmann's ischemic contracture Stage 1.01-2.04
AND Volkmann’s ischemic contracture
2.06 with osteomyelitis Stage 2.01-2.05
AND osteomyelitis:
2.07 with gangrene Stage 2.01-2.06
AND gangrene
3.01 with sepsis Stage 2.01-2.07
AND sepsis:
STAGE 1.01 + (DX 83300, 83302);
DX 81350-81352, 81354;
STAGE 1.01-2.01 + (DX 33811,
33821, 3540, 3542);
STAGE 1.01-2.02 + (DX 33721,
3379, 7820);
STAGE 1.01-2.03 + (DX 84200-
84202, 84209);
STAGE 1.01-2.04 + DX 9586;
STAGE 2.01-2.05 + GROUP
OSTEOMYELIT;
STAGE 2.01-2.06 + DX 7854;
STAGE 2.01-2.07 + GROUP SEPSIS;
Thursday, January 07, 2010 9:22:35 AM
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