Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS41
MultiStage: No
DXCat Label: Scoliosis of the Lumbar Spine Specificity: A
Etiology:
Congenital; Degenerative; Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.08 Adolescent idiopathic scoliosis Scoliosis ≥ 30 degrees [spine x-ray report or MRI report or CT scan report or physical examination] NO;
AND adolescent idiopathic scoliosis between ten and twenty years of age
1.09 Paralytic scoliosis Scoliosis ≥ 30 degrees [spine x-ray report or MRI report or CT scan report or physical examination] NO;
AND neuromuscular scoliosis
OR cerebral palsy
OR Friedreich’s ataxia
OR syringomyelia
OR Charcot-Marie Tooth Disease
OR spinal muscular atrophy
OR secondary to spinal cord injury
OR Duchenne’s muscular dystrophy
OR arthrogryposis
1.10 Degenerative scoliosis Scoliosis ≥ 30 degrees [spine x-ray report or MRI report or CT scan report or physical examination]
AND degenerative scoliosis
2.01 Scoliosis of the lumbar spine of ≥ 30
degrees and ≤50 degrees
2.02 Scoliosis of the lumbar spine of ≥ 50
degrees [x-ray report]
2.03 Scoliosis of the lumbar spine with cauda
equina syndrome
Scoliosis of the lumbar spine of ≥ 30 degrees and < 50 degrees [x-ray report]
Scoliosis of the lumbar spine of ≥ 50 degrees [x-ray report]
Stage 1.01-2.02
AND cauda equina syndrome:
NO;
NO;
NO;
NO;
References:
Anonymous. Screening for adolescent idiopathic scoliosis. Review article. US Preventive Services Task Force. JAMA. 1993;269(20):2667-72.
Dowling J. Musculoskeletal disease: staged for rapid comprehension. Year Book Medical Publishers Inc. 1985:97-99.
Hellmann DB. Arthritis & musculoskeletal disorders. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;
1998:774-824.
Lonstein JE. Adolescent idiopathic scoliosis. Lancet. 1994;344(8934):1407-12.
Thursday, January 07, 2010 9:22:42 AM
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