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John H. Chi, Heather J. Fullerton and Nalin Gupta

from the definition of these two codes. For comparison, spina bifida without hydrocephalus (coded 741.9) was also queried. Deaths from hydrocephalus related to congenital toxoplasmosis (771.2), syphilis (090.49), and tuberculosis (013.8) have separate ICD-9 codes and were excluded from the analysis. Our definition of “childhood” included the neonatal period (the 1st month of life) to an age of 20 years. Individuals were classified into one of four ethnic groups according to the 1977 ethnicity classification system of the NCHS: 5 white, black, American Indian or

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Yakov Gologorsky, John J. Knightly, Yi Lu, John H. Chi and Michael W. Groff

complex ICD-10 system. TABLE 3: The ICD-9-CM codes for which fusion is generally indicated and which one should be chosen as the primary code Broad Indication Category ICD-9-CM Group or Code(s) Description tumor 140–239 all neoplasms 733.1, 733.10, 733.13 pathological Fx infection of spinal column 015.0 tuberculosis of vertebral column (Pott disease) 324.1 intraspinal abscess 730 osteomyelitis Fx/trauma 805 Fx of vertebral column w/o mention of spinal cord injury

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Yakov Gologorsky, John J. Knightly, John H. Chi and Michael W. Groff

Broad Indication Category ICD-9-CM Group or Code(s) Description tumor 140–239 all neoplasms 733.1, 733.10, 733.13 pathological fracture infection of spinal column 015.0 tuberculosis of vertebral column (Pott's disease) 324.1 intraspinal abscess 730 osteomyelitis fracture/trauma 805 fracture of vertebral column w/o mention of spinal cord injury 806 fracture of vertebral column w/ spinal cord injury 839 vertebral dislocations instability 724.6 disorders of sacrum, including