Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS30
MultiStage: No
DXCat Label: Injury, Open Wound, or Blunt Trauma: Lower Extremity Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Superficial injury or contusion of the lower
extremity not penetrating beyond the
subcutaneous tissue
Incision or stab wound of the lower extremity not penetrating beyond the subcutaneous tissue
[operative/pathology report
DX 9160, 9162, 9164, 9166, 9168,
9170, 9172, 9174, 9176, 9178,
92400-9249, 9596-9597;
1.02 Avulsion wound of the lower extremity not
penetrating beyond the subcutaneous
tissue
Avulsion wound of the lower extremity not penetrating beyond the subcutaneous tissue
[operative/pathology report]
1.03 with infection Stage 1.01-1.02
AND infected wound [wound culture reports growth of pathologic organism(s)]
DX 8900, 8910, 8920, 8930, 8940;
DX 8901, 8911, 8921, 8931, 8941,
9161, 9163, 9165, 9167, 9169,
9171, 9173, 9175, 9177, 9179;
STAGE 1.01-1.02 + DX 04042;
1.04 with cellulitis Stage 1.01-1.03
AND cellulitis:
AND involvement of lower extremity
2.01 Open wound of the lower extremity
extending into the deep fascia or crush
injury of the lower extremity
Open wound or trauma of the lower extremity extending into the deep fascia [operative/pathology
report]
OR crush injury of the lower extremity
2.02 with abscess formation Stage 1.01-2.01
AND abscess formation [operative/pathology report]
2.03 with laceration of muscles or tendons Stage 1.01-2.02
AND laceration of muscle tissue
OR laceration of tendons
2.04 with injury or laceration of the nerves of
the lower extremity
Stage 1.01-2.03
AND sciatic nerve laceration or trauma [operative/pathology report]
OR femoral nerve laceration or trauma [operative/pathology report]
OR tibial nerve laceration or trauma [operative/pathology report]
OR peroneal nerve laceration or trauma [operative/pathology report]
OR sural nerve laceration or trauma [operative/pathology report]
OR plantar nerve laceration or trauma [operative/pathology report]
OR saphenous nerve laceration or trauma [operative/pathology report]
STAGE 1.01-1.03 + (DX 6826,
6827);
DX 92800-9289;
STAGE 1.01-1.04 + (DX 33811,
33821);
NO;
DX 8902, 8912, 8922, 8932, 8942;
DX 9560-9565, 9568, 9569;
Thursday, January 07, 2010 9:22:39 AM
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