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
2.05 with trauma to blood vessels of the lower Stage 2.01-2.04
DX 9040-9043, 90440-90442,
extremity
AND laceration or trauma of the femoral artery [operative/pathology report]
90450-90454, 9046-9049;
OR laceration or trauma of the femoral vein [operative/pathology report]
OR laceration or trauma of the popliteal artery [operative/pathology report]
OR laceration or trauma of the popliteal vein [operative/pathology report]
OR laceration or trauma of the iliac artery [operative/pathology report]
OR laceration or trauma of the iliac vein [operative/pathology report]
OR laceration or trauma of the tibial artery [operative/pathology report]
OR laceration or trauma of the saphenous vein [operative/pathology report]
2.06 Traumatic amputation involving the lower
extremity
Amputation of the lower extremity [operative/pathology report]
2.07 with osteomyelitis Stage 1.03-2.06
AND osteomyelitis:
2.08 with gangrene Stage 1.03-2.07
AND gangrene
3.01 with sepsis Stage 1.03-2.08
AND sepsis:
3.02 with shock Stage 1.03-3.01
AND shock:
4.00 with death Stage 1.03-3.02
AND death
DX 8970-8977, 8950-8951, 8960-
8963;
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
SHOCKA);
NO;
References:
Bowyer GW, Rossiter ND. Management of gunshot wounds of the limbs. Journal of Bone & Joint Surgery - British Volume. 1997;79(6):1031-6.
Cooper C. The crippling consequences of fractures and their impact on quality of life. American Journal of Medicine. 1997;103(2A):12S-17S.
Jurkovich GJ, Carrico CJ. Trauma: management of the acutely injured patient. In: Sabiston DC, ed. Sabiston Textbook of Surgery. 15th ed. Philadelphia, PA: WB Saunders;
1998:296-340.
Thursday, January 07, 2010 9:22:39 AM
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