Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MUS42
MultiStage: No
DXCat Label: Scoliosis of the Thoracic Spine Specificity: A
Etiology: Congenital; Degenerative; Idiopathic
Stage Description Diagnostic findings ICD-9-CM Codes
1.07 Infantile and juvenile scoliosis Scoliosis ≥ 30 degrees [spine x-ray report or MRI report or CT scan report or physical examination] DX 73731-73732;
AND infantile scoliosis present from birth to three years of age
OR juvenile scoliosis present from four to ten years of age
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 thoracic spine of ≥ 30
degrees and < 50 degrees
2.02 Scoliosis of the thoracic spine of ≥ 50
degrees
Scoliosis of the thoracic spine of ≥ 30 degrees and < 50 degrees [x-ray report]
Scoliosis of the thoracic spine of ≥ 50 degrees [x-ray report]
OR kyphoscoliosis [x-ray report]
2.03 with cauda equina syndrome Stage 1.01-2.02
AND cauda equina syndrome:
2.04 with hypoxemia Stage 1.01-2.03
AND hypoxemia:
3.01 with cor pulmonale Stage 1.01-2.04
AND cor pulmonale:
3.02 with shock Stage 2.04-3.01
AND shock:
4.00 with death Stage 2.04-3.02
AND death
NO;
NO;
NO;
STAGE 1.01-1.07 + DX 34460;
STAGE 1.01-2.03 + GROUP
HYPOXEMIA;
STAGE 1.01-2.04 + GROUP
COR_PULMONAL;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:22:42 AM
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