Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS20
MultiStage: No
DXCat Label: Fracture, Dislocation, or Sprain: Hip or Pelvis Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
2.06 with rupture of large pelvic veins Stage 1.02-2.05
AND venous hemorrhage [pelvic venography report or operative/pathology report]
2.07 with injury to uterus or ovaries or colonic
perforation or neurological injury or
urological injury
Stage 1.02-2.06
AND trauma to uterus [contrast hysterography or operative/pathology or CT scan report]
OR trauma to ovaries [contrast hysterography or operative/pathology report]
OR colonic perforation [contrast GI series report or operative/pathology report]
OR fracture of vertebrae in the spinal column [myelogram, CT scan, x-ray or
operative/pathology report]
OR laceration of urinary bladder [operative/pathology report]
OR ureters [operative/pathology report]
OR urethra [operative/pathology report]
STAGE 1.02-2.05 + (DX 90231-
90239, 90242, 90252, 90254,
90256, 90282);
STAGE 1.02-2.06 + (DX 86340-
86346, 86349, 86350-86356,
86359, 8670-8679);
2.08 with rupture of major pelvic arteries Stage 1.02-2.07
AND arterial hemorrhage [arteriogram report or operative/pathology report]
STAGE 1.02-2.07 + (DX 90220-
90229, 90240-90241, 90249,
90250-90251, 90253, 90255,
90259, 90281, 90287, 90289);
3.01 with pulmonary embolism Stage 1.02-2.08
AND pulmonary embolism:
3.02 with respiratory failure Stage 3.01
AND respiratory failure:
3.03 with shock Stage 1.02-3.02
AND shock:
4.00 with death Stage 1.02-3.03
AND death
STAGE 1.02-2.08 + GROUP
PULMEMB;
STAGE 1.02-3.01 + GROUP
RESP_FAIL;
STAGE 1.02-3.02 + GROUP
SHOCKA;
NO;
References:
Dowling J. Musculoskeletal disease: Staged for Rapid Comprehension. Year Book Medical Publishers Inc. 1985:135 139.
Hellmann DB. Arthritis & musculoskeletal disorders. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:774-824.
Koraitim MM. Pelvic fracture urethral injuries: evaluation of various methods of management. Journal of Urology. 1996;156(4):1288-91.
Resnick NM. Geriatric medicine. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of Internal Medicine.
14th ed. New York, NY: McGraw-Hill; 1998:37-46.
Thursday, January 07, 2010 9:22:37 AM
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