Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS31
MultiStage: No
DXCat Label: Injury, Open Wound, or Blunt Trauma: Upper Extremity Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Superficial injury or contusion of the upper
extremity not penetrating beyond the
subcutaneous tissue
Incision or stab wound of the upper extremity not penetrating beyond the subcutaneous tissue
[operative/pathology report]
DX 9120, 9122, 9124, 9126, 9128,
9130, 9132, 9134, 9136, 9138,
9140, 9142, 9144, 9146, 9148,
9150, 9152, 9154, 9156, 9158,
92300-9239, 9592-9595;
1.02 Avulsion would of the upper extremity not
penetrating beyond the subcutaneous
tissue
Avulsion wound of the upper 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 88000-88009, 88100-88102,
8820, 8830, 8840;
DX 88010-88013, 88019, 88110-
88112, 8821, 8831, 8841, 9121,
9123, 9125, 9127, 9129, 9131,
9133, 9135, 9137, 9139, 9141,
9143, 9145, 9147, 9149, 9151,
9153, 9155, 9157, 9159 ;
STAGE 1.01-1.02 + DX 04042;
1.04 with cellulitis Stage 1.01-1.03
AND cellulitis:
AND involvement of extremity
2.01 Open wound of the upper extremity
extending into the deep fascia or crush
injury of upper extremity
Open wound of the upper extremity extending into the deep fascia [operative/pathology report]
OR crush injury of upper extremity
STAGE 1.01-1.03 + (DX 6823,
6824);
DX 92700-92703, 92709-9279;
STAGE 1.01-1.04 + (DX 33811,
33821);
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 trauma to the upper extremity nerves Stage 1.01-2.03
AND axillary nerve laceration or trauma [operative/pathology report]
OR radial nerve laceration or trauma [operative/pathology report]
OR median nerve laceration or trauma [operative/pathology report]
OR ulnar nerve laceration or trauma [operative/pathology report]
NO;
DX 88020-88023, 88029, 88120-
88122, 8822, 8832, 8842;
DX 9550-9559;
Thursday, January 07, 2010 9:22:39 AM
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