Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU22
MultiStage: No
DXCat Label: Injury: Spine and Spinal Cord: Thoracic Specificity: A
Etiology:
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Sprain of thoracic back Thoracic back pain
DX 8471;
1.02 Spinal cord concussion Thoracic spinal cord concussion
1.03 Dislocations(s) or fracture(s) of the Fracture(s) or dislocation(s) of vertebrae [CT or MRI or spine x-ray report]
vertebrae without injury to the cord
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
DX 95210-95219, 9531, 9534;
DX 8052, 83921;
DX 8091, 8053, 83931;
STAGE 1.02-2.01 + (DX 34200-
34292, 34430-3445) ;
DX 80620-80639;
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 2.03-2.08
AND osteomyelitis:
2.10 with deep vein thrombosis Stage 2.03-2.09
AND DVT:
2.11 with quadriplegia Stage 2.01-2.10
AND quadriplegia
3.01 with pulmonary embolism or fat embolism Stage 2.01-2.11
AND pulmonary embolism:
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 1.01-2.09 + (GROUP DVT
OR DX 33811, 33821) ;
STAGE 1.01-2.10 + (DX 34400-
34404, 34409);
STAGE 1.01-2.11 + GROUP
PULMEMB;
Thursday, January 07, 2010 9:22:51 AM
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