Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS16
MultiStage: No
DXCat Label: Fracture or Dislocation: Patella Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Patellofemoral dislocation Patellar instability
DX 8363;
OR hemarthrosis
AND localized tenderness over patellar retinaculum
1.02 Chronic patellofemoral dislocation Stage 1.01
DX 71836;
AND history of recurrent patellofemoral dislocation
1.03 Transverse fracture of the patella Transverse fracture of the patella [x-ray report]
DX 8220;
1.04 Comminuted fracture of the patella Comminuted fracture of the patella [x-ray report]
NO;
2.01 Open fracture or dislocation of the patella Fracture or dislocation of the patella
DX 8221, 8364;
AND laceration of the underlying skin with exposure of the fractured bones
References:
Dandy DJ. Chronic patellofemoral instability. Journal of Bone & Joint Surgery - British Volume. 1996;78(2):328-35.
Vail TP, McCollum DE. Fractures and dislocations: fractures of the pelvis, femur, and knee. In: Sabiston DC, ed. Sabiston Textbook of Surgery. 15th ed. Philadelphia, PA: WB
Saunders; 1998:1432-1443.
Thursday, January 07, 2010 9:22:35 AM
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