Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS22
MultiStage: No
DXCat Label: Fracture, Dislocation, or Sprain: Wrist or Hand or Fingers Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Sprain or closed dislocation of wrist, hand, Sprain of wrist
DX 71823-71824, 71833-71834,
or fingers
OR sprain of hand
71873-71874, 71883-71884, 71893-
OR sprain of fingers
71894, 83300-83309, 83400-
OR dislocation of wrist [x-ray report]
83402, 84200-84209, 84210-84219;
OR dislocation of hand [x-ray report]
OR dislocation of fingers [x-ray report]
1.02 Closed fracture of phalanx or phalanges Closed fracture of one or more phalanges [x-ray report]
1.03 Closed fracture of metacarpal bone(s) Closed fracture of metacarpal bone(s) [x-ray report]
1.04 Fracture of the carpal bone(s) without Fracture of the carpal bones without displacement [x-ray report]
displacement
1.05 Fracture of the carpal bone(s) with Fracture of the carpal bone(s) with proximal pole fracture [x-ray report]
proximal pole fracture
1.06 Fracture of the carpal navicular waist Fracture of the carpal navicular waist [x-ray report]
1.07 Fracture of the carpal bone(s) with lunate
bone subluxation or dislocation
Stage 1.04-1.06
AND fracture of the carpal bone(s) with lunate bone subluxation or dislocation [x-ray report]
2.01 Open phalangeal dislocation or fracture Fracture or dislocation of phalanges
AND laceration of the skin with exposure of the dislocated or fractured bone(s)
2.02 Open dislocation or fracture of metacarpal
bone(s)
Fracture or dislocation of metacarpals
AND laceration of the skin with exposure of the dislocated or fractured bone(s)
2.03 Open fracture of the carpal bone(s) Fracture or dislocation of carpals
AND laceration of the skin with exposure of the fractured or dislocated bone(s)
2.04 Fracture of the carpal bone(s) with Fracture of carpals
damage to the median nerve
AND median nerve palsy
2.05 with osteomyelitis Stage 2.01-2.04
AND osteomyelitis:
3.01 with sepsis Stage 2.01-2.05
AND sepsis:
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
DX 81600-81603;
DX 81500-81509;
DX 81400-81409;
NO;
NO;
STAGE 1.04 + DX 83302;
DX 81610-81613, 83410-83412;
DX 83310-83319, 81510-81519;
DX 81410-81419;
STAGE 1.04-2.03 + (DX 33811,
33821, 3542, 9552);
STAGE 2.01-2.04 + GROUP
OSTEOMYELIT;
STAGE 2.01-2.05 + GROUP SEPSIS;
STAGE 2.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:37 AM
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