Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS21
MultiStage: No
DXCat Label: Fracture, Dislocation, or Sprain: Humerus (Head) or Shoulder Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
2.04 Open fracture of the head or neck of Displaced fracture of the head or neck of the humerus
NO;
humerus with displacement of fragments
or segment
AND laceration of the skin with exposure of the fractured bone(s)
2.05 with injury to the axillary artery or vein Stage 1.05-2.04
AND injury to the axillary artery [angiogram report]
OR injury to the axillary vein [venography report]
2.06 with injury to the brachial plexus or axillary Stage 1.05-2.05
nerve
AND ulnar nerve palsy
OR radial nerve palsy
OR median nerve palsy
OR paralysis of the deltoid muscle
2.07 with osteomyelitis Stage 2.01-2.06
AND osteomyelitis:
2.08 with gangrene Stage 2.01-2.07
AND gangrene of the upper limb [operative/pathology report]
3.01 with sepsis Stage 2.01-2.08
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
References:
STAGE 1.01-2.03 + DX 90300-
90302;
STAGE 1.01-2.05 + (DX 33811,
33821, 9534, 9550);
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) ;
Bernstein J, Adler LM, Blank JE. Dalsey RM, Williams GR, Iannotti JP. Evaluation of the Neer system of classification of proximal humeral fractures with computerized tomographic
scans and plain radiographs. Journal of Bone & Joint Surgery - American Volume. 1996;78(9):1371-5.
Dowling J. Musculoskeletal disease: staged for rapid comprehension. Year Book Medical Publishers Inc. 1985:198-199.
Kontakis GM, Galanakis IA, Steriopoulos KA. Dislocation of the shoulder and ipsilateral fracture of the humeral shaft: case reports and literature review. Journal of Trauma.
1995;39(5):990-2.
Ogawa K, Ui M. Humeral shaft fracture sustained during arm wrestling: report on 30 cases and review of the literature. Journal of Trauma. 1997;42(2):243-6.
Swamy G, Schemitsch EH. Humeral head fracture dislocation: case report and review of the literature. Journal of Trauma. 1998;44(2):377-80.
NO;
Thursday, January 07, 2010 9:22:37 AM
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