Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS27
MultiStage: No
DXCat Label: Injury, Chest Wall Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Closed trauma to the chest wall or closed Closed trauma to the chest wall
DX 83961, 83969, 8483, 84840-
trauma to the breast or chest wall sprain OR closed trauma to the breast
84849, 9221, 94800, 95911;
or dislocation of sternum or ribs OR sprain of sternum
OR sprain of ribs
OR closed dislocation of sternum
OR closed dislocation of ribs
1.02 Closed fracture of chest wall, ribs or Closed fracture of the chest wall without displacement [x-ray report]
sternum without displacement
OR closed fracture of rib without displacement [x-ray report]
OR closed fracture of sternum without displacement [x-ray report]
1.03 Open wound of chest wall, ribs or sternum Open wound of chest wall
OR open wound of rib
OR open wound of sterum
2.01 Open fracture or dislocation of the chest
wall or rib or sternum
2.02 Fracture of the ribs or sternum with
displacement of bone or flail chest
Fracture or dislocation of the chest wall, rib, or sternum
AND chest wall fracture with exposure of bones
OR rib fracture with exposure of bones
OR sternal fracture with exposure of bones
Fracture of the chest wall with displacement of bone [x-ray report]
OR fracture of the rib or sternum with displacement of bone [x-ray report]
OR fracture of the rib or sternum with flail chest [x-ray report]
2.03 with subcutaneous emphysema Stage 1.01-2.02
AND subcutaneous emphysema [x-ray report or physical examination]
2.04 with pneumothorax or hemothorax Stage 1.01-2.03
AND pneumothorax [x-ray report]
OR hemothorax [x-ray or thoracentesis report]
2.05 with tension pneumothorax Stage 1.01-2.04
AND tension pneumothorax [x-ray report]
2.06 with laceration of the thoracic duct Stage 1.01-2.05
AND lacerated thoracic duct [operative/pathology report]
OR chylous effusion [thoracentesis report]
2.07 with laceration of the diaphragm Stage 1.01-2.06
AND laceration of the diaphragm [operative/pathology report or endoscopy report]
2.08 with laceration of trachea, bronchi, lung or Stage 1.01-2.07
esophagus
AND laceration of the trachea [bronchoscopy report]
OR laceration of the bronchus [bronchoscopy report]
OR injury to the lung
OR laceration of the esophagus [operative/pathology report or endoscopy report]
DX 80700-80709, 8072;
DX 8750-8751, 8790-8791;
STAGE 1.01-1.02 + DX 04042;
DX 80710-80719, 8073, 83971,
83979;
DX 8074;
STAGE 1.01-2.02 + DX 9587;
DX 8600-8605;
STAGE 1.01-2.03 + (DX 33811,
33821);
STAGE 1.01-2.04 + DX 5120;
DX 86229, 86239;
DX 8620-8621;
DX 86120-86122, 86130-86132,
86221, 86231, 8744-8745;
Thursday, January 07, 2010 9:22:38 AM
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