Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS38
MultiStage: No
DXCat Label: Osteoporosis Specificity: A
Etiology: Degenerative; Genetic (or hereditary); Metabolic; Nutritional
Stage Description Diagnostic findings ICD-9-CM Codes
1.01
1.02
2.01
Osteopenia
Osteoporosis
Osteoporosis with fracture of the lumbar
osteopenia: [bone density analysis, DEXA scan, reports ≤ 2.5 standard deviation below standard
adult mean value]
osteoporosis: [bone density analysis, DEXA scan, reports > 2.5 standard deviation below
standard adult mean value]
Stage 1.02
NO;
DX 73300-73303, 73309;
STAGE 1.02 + DX 73310-73319;
vertebra or hip or extremities
AND compression fracture of the lumbar vertebra [x-ray report]
OR compression fracture of the hip [x-ray report]
OR fracture of the extremities [x-ray report]
2.02 Osteoporosis with fracture of the thoracic
vertebra
2.03 Osteoporosis with fracture of the cervical
vertebra
3.01 with renal failure Stage 1.02-2.03
AND renal failure:
3.02 with shock Stage 1.02-3.01
AND shock:
4.00 with death Stage 1.02-3.02
AND death
References:
Stage 1.02-2.01
AND compression fracture of the thoracic vertebra [x-ray report]
Stage 1.02-2.02
AND compression fracture of the cervical vertebra [x-ray report]
NO;
NO;
STAGE 1.01-2.01 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Deal CL. Osteoporosis: prevention, diagnosis and management. American Journal of Medicine. 1997:102(1A): 35S-39S.
Fitzgerald PA. Endocrinology. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:1031-1095.
Krane SM, Holick MF. Metabolic bone disease. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of
Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:2247-2259.
Wasnich RD. Epidemiology of osteoporosis. In: Favus MJ ed. Primer on the Metabolic Bone Diseases and Disorders of Mineral Metabolism. 3rd ed. Philadelphia, PA. Lippincott-
Raven; 1996:249-251.
NO;
Thursday, January 07, 2010 9:22:41 AM
©2010 Thomson Reuters. All rights reserved.