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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: ENT15<br />

MultiStage: No<br />

DXCat Label: Neoplasm, Malignant: Larynx, Supraglottic Specificity: A<br />

Etiology: Neoplasm<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

0.00 History of supraglottic or laryngeal<br />

carcinoma<br />

NO;<br />

1.01 Supraglottic carcinoma limited to one<br />

subsite without vocal cord fixation<br />

Dysphonia<br />

AND supraglottic carcinoma without fixation of the vocal cords [operative/pathology report or<br />

laryngoscopy report or CT scan report]<br />

OR American Joint Committee on Cancer Stage I<br />

DX 1611;<br />

2.01 More than one subsite with impaired<br />

mobility<br />

Stage 1.01<br />

AND more than one subsite with impaired mobility [operative/pathology report or laryngoscopy<br />

report or CT scan report]<br />

OR American Joint Committee on Cancer Stage II<br />

STAGE 1.01 + DX 3383;<br />

3.01 with fixation or one metastatic node of <<br />

3cm in diameter<br />

3.02 with extension beyond the larynx or<br />

multiple non-fixed metastatic nodes or one<br />

fixed metastatic node<br />

Dysphonia<br />

AND with fixation or one metastatic node of < 3 cm in diameter[operative/pathology report or<br />

laryngoscopy report or CT scan report]<br />

OR American Joint Committee on Cancer Stage III<br />

Stage 1.01-2.01<br />

AND supraglottic carcinoma with extension beyond the larynx [laryngoscopy report or CT scan<br />

report]<br />

OR supraglottic carcinoma with extension to the soft tissues of the neck [laryngoscopy<br />

report or CT scan report]<br />

OR supraglottic carcinoma with extension to the thyroid cartilage [laryngoscopy report<br />

or CT scan report]<br />

OR multiple non-fixed metastatic nodes [operative/pathology report or laryngoscopy<br />

report<br />

or CT scan report]<br />

OR one fixed metastatic node [operative/pathology report or laryngoscopy report<br />

or CT scan report]<br />

STAGE 1.01 + (DX 1960, 4785);<br />

STAGE 1.01-3.01 + DX 1973;<br />

3.03 Multiple ipsilateral nodes or contralateral<br />

nodes or any node > 6cm with nodal<br />

involvement<br />

Stage 1.01-3.02<br />

AND multiple ipsilateral nodes [operative/pathology report or laryngoscopy report or CT scan<br />

report]<br />

OR contralateral nodes [operative/pathology report or laryngoscopy report or CT scan<br />

report]<br />

OR any node > 6cm in diameter [operative/pathology report or laryngoscopy report or<br />

CT scan report]<br />

OR American Joint Committee on Cancer Stage IV<br />

NO;<br />

Thursday, January 07, 2010 9:21:32 AM<br />

©2010 Thomson Reuters. All rights reserved.

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