Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS15
MultiStage: No
DXCat Label: Fracture: Tibia Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Fracture of the tibial tuberosity Fracture of the tibial tuberosity [x-ray report]
DX 73316, 73393, 82300, 82302,
82340, 82342, 82380, 82382;
1.02 Fracture of the tibial eminence Fracture of the tibial eminence [x-ray report]
1.03 Fracture of the lateral tibial condyles Fracture of the lateral tibial condyles [x-ray report]
1.04 Fracture of the medial tibial condyles Fracture of the medial tibial condyles [x-ray report]
1.05 Linear fracture of the tibia without Linear fracture of the tibia without displacement [x-ray report]
displacement
1.06 Linear fracture of the tibia with
Linear fracture of the tibia with displacement [x-ray report]
displacement
2.01 Fracture of the lateral and medial tibial
condyles
Stage 1.03
AND Stage 1.04
2.02 Comminuted fractures of the tibia Comminuted fracture of the tibia
2.03 Segmental fracture of the tibial shaft Segmental or double fracture of the tibial shaft [x-ray report]
2.04 Compound fracture of the tibia Fracture of the tibia
AND laceration of the skin with exposure of the fractured bones
2.05 with compartment syndrome or vascular or Stage 1.01-2.04
neurologic complications
AND compartment syndrome [physical examination or compartment pressure ≥ 30 mmHg]
OR loss of pedal pulses
OR paresthesia of the lower extremity
OR Volkmann’s compartment ischemia
2.06 with crush injuries to soft tissue Stage 1.01-2.05
AND crush injury to soft tissues
NO;
NO;
NO;
NO;
NO;
NO;
NO;
DX 82320, 82322;
DX 82310, 82312, 82330, 82332,
82390, 82392;
STAGE 1.01-2.04 + (DX 33811,
33821, 7820, 7859, 9586, 9588);
STAGE 1.01-2.05 + (DX 92810,
92811, 92821, 9288, 9289);
2.07 with osteomyelitis Stage 2.04-2.06
AND osteomyelitis:
2.08 with gangrene Stage 2.04-2.07
AND gangrene of the tibia [operative/pathology report]
3.01 with sepsis Stage 2.04-2.08
AND sepsis:
3.02 with shock Stage 2.04-3.01
AND shock:
4.00 with death Stage 2.04-3.02
AND death
STAGE 2.01-2.06 + GROUP
OSTEOMYELIT;
STAGE 2.01-2.07 + DX 7854;
STAGE 2.01-2.08 + GROUP SEPSIS;
STAGE 2.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:35 AM
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