Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: TRA04
MultiStage: No
DXCat Label: Burns Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 First degree burn Erythema of burned area
DX 94100-94119, 94200-94205,
94209-94215, 94219, 94300-
94306, 94309-94316, 94319,
94400-94408, 94410-94418, 94500-
94506, 94509-94516, 94519, 9460-
9461, 9490-9491;
2.01 Second degree burn Blistering of burned area
OR vesicle formation of burned area
2.02 Third degree burn or late effects of burns Charred appearance of burned area
OR waxen appearance of burned area
AND burned area is anesthetic
DX 94120-94129, 94220-94225,
94229, 94320-94326, 94329,
94420-94428, 94520-94526,
94529, 9462, 9492;
DX 9065-9069, 94130-94139,
94230-94235, 94239, 94330-
94336, 94339, 94430-94438,
94530-94536, 94539, 9463, 9493;
2.03 Extensive surface area burn Stage 2.01-2.02
AND third degree burn involving 2% or greater of body surface area
OR second degree burn involving 10% or greater of body surface area
2.04 Infection of burned area(s) Stage 2.01-2.03
AND infection of burned with growth of pathologic organisms [ culture report of wound exudate]
DX 94810-94811, 94820-94899;
DX 94140-94149, 94240-94245,
94249, 94340-94346, 94349,
94440-94448, 94540-94546,
94549, 94150-94159, 94250-
94255, 94259, 94350-94356,
94359, 94450-94458, 94550-
94556, 94559, 9464, 9465, 9494,
9495 ;
2.05 with urinary tract infection Burn involving perineum [operative/pathology report]
AND UTI:
STAGE 2.01-2.04 + DXCAT GUS10;
DX 9474;
2.06 with laryngeal edema Stage 1.01-2.05
AND stridor
OR
2.07 with pneumonia Stage 1.01-2.06
AND pneumonia:
laryngeal edema [direct laryngoscopy report]
STAGE 1.01-2.05 + (DX 33811,
33821, 4786, 7861) ;
DX 9470-9471, 9478-9479;
STAGE 1.01-2.06 + DXCAT RES15;
Thursday, January 07, 2010 9:23:20 AM
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