Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU12
MultiStage: No
DXCat Label: Injury: Spine and Spinal Cord: Cervical Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Sprain of cervical back Cervical back pain
DX 8470;
1.02 Spinal cord concussion Spinal cord concussion
DX 95200-95209, 9530;
1.03 Dislocations(s) or fracture(s) of the
vertebrae without injury to the cord
Fracture(s) or dislocation(s) of vertebrae [CT or MRI or spine x-ray report]
DX 80500-80508, 83900-83908;
2.01 Open fracture or dislocation of vertebrae
without injury to the cord
2.02 Trauma to spine and spinal cord with
paresis
Stage 1.02
AND open fracture
Stage 1.02-2.01
AND quadriparesis
OR paraparesis
OR monoparesis
OR hemiparesis
2.03 with monoplegia or cauda equina Stage 2.02
syndrome or conus medullaris syndrome AND monoplegia
OR cauda equina syndrome:
2.04 with paraplegia or hemiplegia Stage 2.02
AND paraplegia
OR hemiplegia
2.05 with segmental sensory loss Stage 2.02
AND sensory loss distributed to a spinal segment [neurological exam report]
2.06 with Brown-Sequard Syndrome Stage 2.02
AND Brown-Sequard Syndrome [neurological exam report]
2.07 with cellulitis Stage 2.01-2.06
AND cellulitis:
2.08 with urinary tract infections Stage 2.03-2.07
AND UTI:
2.09 with osteomyelitis Stage 2.01-2.08
AND osteomyelitis:
2.10 with deep vein thrombosis Stage 2.01-2.09
AND DVT:
2.11 with quadriplegia Stage 2.01-2.10
AND quadriplegia
DX 80510-80518, 83910-83918;
STAGE 1.02-2.01 + (DX 34200-
34292, 34430-3445) ;
DX 80600;
STAGE 1.01-2.02 + (DX 34460,
34461);
STAGE 2.02 + (DX 34200-34292,
3441);
STAGE 1.01-2.01 + DX 7820;
STAGE 2.02-2.03 + DX 7820;
STAGE 1.01-2.06 + DX 68100-6829;
STAGE 1.01-2.07 + DXCAT GUS10;
STAGE 1.01-2.08 + GROUP
OSTEOMYELIT;
STAGE 1.01-2.10 + (GROUP DVT
OR DX 33811, 33821) ;
STAGE 1.01-2.10 + (DX 34400-
34404, 34409);
DX 80601-80609, 80610-80619,
95200-95209;
3.01 with pulmonary embolism or fat embolism Stage 2.01-2.11
AND pulmonary embolism:
STAGE 1.01-2.11 + GROUP
PULMEMB;
Thursday, January 07, 2010 9:22:48 AM
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