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Table 1 Osteoporosis-related fracture case definitions

From: Osteoporosis-related fracture case definitions for population-based administrative data

Case def # of DX & Data source DX codes MR versus any DX Service codes Fracture-free period (months)
Hip      
H1 1H ICD-9: 820‒821;
ICD-10: S72.0-S72.2
MR No 0
H2 1H ICD-9: 820;
ICD-10: S72.0-S72.2
MR No 0
H3 1H same as H2 MR No 6
H4 1H same as H2 MR No 12
H5 1H same as H2 Any No 0
H6 1H same as H2 Any No 6
H7 1H same as H2 Any No 12
H8 1H same as H2 MR Yes 0
H9 1H same as H2 MR Yes 6
H10 1H same as H2 MR Yes 12
H11 1H same as H2 Any Yes 0
H12 1H same as H2 Any Yes 6
H13 1H same as H2 Any Yes 12
Wrist      
W1 1H or 1 P ICD-9: 813;
ICD-10:S52
Any Yes 0
W2 1H or 1 P same as W1 Any Yes 6
W3 1H or 1 P same as W1 Any No 6
W4 1H or
(2+ P in 90days)
same as W1 Any Yes 6
W5 1H or
(2+ P in 90days)
same as W1 Any No 6
W6 1H or
(2+ P in 90days)
same as W1 MR Yes 6
W7 1H or
(2+ P in 90days)
same as W1 MR No 6
Humerus      
U1 1H or 1 P ICD-9: 812;
ICD-10:S42.2
MR No 0
U2 1H or 1 P same as U1 MR No 6
U3 1H or 1 P same as U1 Any No 0
U4 1H or 1 P same as U1 Any No 6
U5 1H or
(2+ P in 90days)
same as U1 MR No 6
U6 1H or
(2+ P in 90days)
same as U1 Any No 6
U7 1H or
(2+ P in 90days)
same as U1 Any No 12
Clinical vertebral      
V1 1H ICD-9: 805;
ICD-10: S22.0, S22.1, S32.0
MR No 0
V2 1H same as V1 Any No 0
V3 1H or 1 P same as V1 MR Yes 0
V4 1H or 1 P same as V1 Any No 0
V5 1H or 1 P same as V1 Any No 12
V6 1H or 1 P same as V1 MR No 12
V7 1H or
(2+ P in 90days)
same as V1 MR No 12
V8 1H or
(2+ P in 90days)
same as V1 MR No 12
  1. Note: DX=diagnosis; H=hospital record; P=physician billing claim; MR=most responsible or primary diagnosis in hospital records; A listing of the service codes used for incident fracture ascertainment is provided in the Appendix.