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Iowa Trauma Registry Inclusion Criteria for ICD-10, Study notes of Health sciences

This patient qualifies for the trauma registry because they meet diagnostic criteria, and all three ED dispositions listed qualify.

Typology: Study notes

2021/2022

Uploaded on 09/12/2022

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Iowa Trauma Registry Inclusion Criteria for ICD-10
Does the patient have a primary ICD10-CM diagnosis code of:
S00-S99 with 7th character modifiers of A, B, or C ONLY. (Injuries to specific body
parts - initial encounter)
T07 (unspecified multiple injuries)
T14 (injury of unspecified body region)
T20-T28 with 7th character modifier of A ONLY (burns by specific body parts - initial
encounter)
T30-T32 (burn by TBSA percentages)
T79.A1-T79.A9 with 7th character modifier of A ONLY (Traumatic Compartment
Syndrome - initial encounter)
Does the ICD10-CM diagnosis code begin with:
S00 (Superficial injuries of the head)
S10 (Superficial injuries of the neck)
S20 (Superficial injuries of the thorax)
S30 (Superficial injuries of the abdomen, pelvis, lower back and external genitals)
S40 (Superficial injuries of shoulder and upper arm)
S50 (Superficial injuries of elbow and forearm)
S60 (Superficial injuries of wrist, hand and fingers)
S70 (Superficial injuries of hip and thigh)
S80 (Superficial injuries of knee and lower leg)
S90 (Superficial injuries of ankle, foot and toes)
Late effect codes, which are represented using the same range of injury diagnosis codes but
with the 7th digit modifier code of D through S, are also excluded.
Yes
Was the trauma team activated? (Include all patients with
activation, not just those meeting diagnostic criteria)
Did the patient die prior to arrival, in the
emergency department, or after admission?
Was the patient transferred for trauma care to or from another hospital?
(Include patients who are transferred for evaluation but not admitted)
Was the patient admitted to the hospital
beyond the ED?
Required
No
No
No
No
No
Yes
Yes
Yes
Yes
Yes
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Iowa Trauma Registry Inclusion Criteria for ICD- 10

Does the patient have a primary ICD10-CM diagnosis code of:  S00-S99 with 7th character modifiers of A, B, or C ONLY. (Injuries to specific body parts - initial encounter)  T07 (unspecified multiple injuries)  T14 (injury of unspecified body region)  T20-T28 with 7th character modifier of A ONLY (burns by specific body parts - initial encounter)  T30-T32 (burn by TBSA percentages)  T79.A1-T79.A9 with 7th character modifier of A ONLY (Traumatic Compartment Syndrome - initial encounter) Does the ICD10-CM diagnosis code begin with:  S00 (Superficial injuries of the head)  S10 (Superficial injuries of the neck)  S20 (Superficial injuries of the thorax)  S30 (Superficial injuries of the abdomen, pelvis, lower back and external genitals)  S40 (Superficial injuries of shoulder and upper arm)  S50 (Superficial injuries of elbow and forearm)  S60 (Superficial injuries of wrist, hand and fingers)  S70 (Superficial injuries of hip and thigh)  S80 (Superficial injuries of knee and lower leg)  S90 (Superficial injuries of ankle, foot and toes) Late effect codes, which are represented using the same range of injury diagnosis codes but with the 7th digit modifier code of D through S, are also excluded.

Yes

Was the trauma team activated? (Include all patients with activation, not just those meeting diagnostic criteria) Did the patient die prior to arrival, in the emergency department, or after admission? Was the patient transferred for trauma care to or from another hospital? (Include patients who are transferred for evaluation but not admitted) Was the patient admitted to the hospital beyond the ED?

Required Not Required

No

No

No

No

No

Yes

Yes

Yes

Yes

Yes

Iowa Trauma Registry Inclusion Criteria for ICD- 10

Provided below are some examples to illustrate how this flowchart works in certain scenarios. Example 1: A patient who had a diagnosis code of S40.011A and was admitted to the hospital. This patient would not meet inclusion criteria because the diagnosis code begins with S40, which is one of the code ranges noted in the exclusion node of the flowchart. Note that all ‘S’ codes with a third character of 0 are superficial injuries, and do not meet diagnostic inclusion criteria. Example 2: A patient with a diagnosis code of S40.011A (the same as example 1) who had a trauma team activation and was not admitted or transferred, and did not die. This diagnosis code does not meet criteria, but if the trauma team is activated, the patient meets inclusion criteria regardless of the diagnosis or emergency department disposition. Example 3: A patient with a diagnosis code of S43.014A who was not admitted or transferred, and did not die. Sometimes this can mean they were discharged from the ED to home with or without services, and sometimes it means they left against medical advice. Regardless, this patient would not meet inclusion criteria due to not meeting discharge status requirements, even though it is a qualifying diagnosis code. Example 4: A patient with a diagnosis code of S43.014A (the same as example 3) who was either admitted, transferred, died, or had a trauma team activation. This patient qualifies for the trauma registry because they meet diagnostic criteria, and all three ED dispositions listed qualify. If the trauma team was activated, they would qualify regardless of diagnosis or ED disposition, as shown in example 2.