Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: TRA06
MultiStage: No
DXCat Label: Injury, Open Wound, or Blunt Trauma: Abdomen or Trunk Specificity: A
Etiology: Trauma
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Superficial trauma or contusion of the back
or abdomen not penetrating beyond the
subcutaneous tissue
1.02 Avulsion wound of the back or abdomen
not penetrating beyond the subcutaneous
tissue
Open wound of the back or abdomen not penetrating beyond the subcutaneous tissue
[operative/pathology report]
Avulsion wound of the back or abdomen not penetrating beyond the subcutaneous tissue
[operative/pathology report]
1.03 with infection Stage 1.01-1.02
AND infected wound [wound culture reports growth of pathologic organism(s)]
DX 9110, 9112, 9114, 9116, 9118,
9222, 92231-92233, 9591, 95912-
95919;
DX 8760, 8770, 8792, 8794, 8796;
DX 8761, 8771, 8793, 8795, 8797,
9111, 9113, 9115, 9117, 9119;
STAGE 1.01-1.02 + DX 04042;
1.04 with cellulitis Stage 1.01-1.03
AND cellulitis:
2.01 Open wound of the back or abdomen
extending into the deep fascia or crush
injury
Laceration or stab wound of the back or abdomen extending into the deep fascia
[operative/pathology report]
OR crush injury to the back or abdomen
2.02 with abscess formation Stage 1.01-2.01
AND abscess formation [operative/pathology report]
2.03 with gangrene Stage 1.01-2.02
AND gangrene
2.04 with trauma or laceration of internal organs Stage 2.01-2.03
AND laceration or trauma of the liver [operative/pathology report]
OR laceration or trauma of the spleen [operative/pathology report]
OR laceration or trauma of the pancreas [operative/pathology report]
OR laceration or trauma of the small intestines [operative/pathology report]
OR laceration or trauma of the stomach [operative/pathology report]
OR laceration or trauma of the large intestines [operative/pathology report]
OR laceration or trauma of the gallbladder [operative/pathology report]
2.05 with peritonitis Stage 2.01-2.04
AND peritonitis [operative/pathology report]
2.06 with retroperitoneal hemorrhage Stage 2.01-2.05
AND retroperitoneal hemorrhage [operative/pathology report]
2.07 with laceration of the abdominal aorta or Stage 2.01-2.06
laceration of the inferior vena cava or iliac AND laceration of the abdominal aorta [operative/pathology report]
vessels
OR laceration of the inferior vena cava [operative/pathology report]
OR laceration of the iliac arteries [operative/pathology report]
OR laceration of the iliac veins [operative/pathology report]
STAGE 1.01-1.03 + DX 6822;
DX 92611, 92619, 9540-9549;
STAGE 1.04 + STAGE 2.01;
STAGE 2.01 + DX 6822;
STAGE 1.01-2.02 + DX 7854;
DX 8630-86519, 8674-8679, 86800-
86819, 8690-8691 ;
STAGE 1.01-2.04 + (DX 33811,
33821, 5672-5679, 56983);
STAGE 1.01-2.05 + DX 4590;
STAGE 1.01-2.06 + DX 9020;
DX 9011, 9013, 90181-9019,
90210-9029;
Thursday, January 07, 2010 9:23:21 AM
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