Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: ENT16
MultiStage: No
DXCat Label: Neoplasm, Malignant: Nasopharyngeal Specificity: A
Etiology:
Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of nasopharyngeal carcinoma
NO;
1.01 confined to one site TNM Classification Stage 1
DX 1470-1473, 1479;
OR primary neoplasm localized to one anatomic site
[operative/pathology report]
OR American Joint Committee on Cancer Stage I
2.01 involving two sites TNM Classification Stage 2
OR primary neoplasm localized to two adjacent anatomic sites
[operative/pathology report]
OR American Joint Committee on Cancer Stage II
2.02 with extension into nasal cavity or TNM Classification Stage 3
oropharynx
OR primary neoplasm involves nasal cavity or oropharynx
[operative/pathology report]
OR isolated neck metastasis ≤ 3 cm. in diameter [operative/pathology report]
OR American Joint Committee on Cancer Stage III
2.03 with invasion of skull base or cranial nerve Stage 1.01-2.02
involvement
TNM Classification Stage 4
OR invasion of the skull base [operative/pathology report or CT Scan or MRI report]
OR extends beyond the confines of the nasopharynx [operative/pathology report or
CT Scan or MRI report]
OR isolated neck metastasis ≥ 3 cm. in diameter [operative/pathology report or
CT Scan or MRI report]
OR neck metastasis involving > 1 lymph node [operative/pathology report or
CT Scan or MRI report]
OR neck metastasis and fixated to surrounding soft tissue
[operative/pathology report]
OR cranial nerve palsy:
OR American Joint Committee on Cancer Stage IV
DX 1478;
STAGE 1.01-2.01 + DX 1973;
STAGE 1.01-2.02 + (DX 1960, 3383
OR GROUP CRAN_NRV_PAL OR
GROUP BLINDNESS);
3.01 with distant metastasis Stage 1.01-2.03
AND distant metastasis [operative/pathology report or CT Scan or MRI report]
3.02 with shock Stage 2.01-3.01
AND shock:
4.00 with death Stage 2.01-3.02
AND death
STAGE 1.01-2.03 + (DX 1961-
1972, 1974-1991, 78951, 20970-
20979);
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:32 AM
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