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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: ENT17<br />

MultiStage: No<br />

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

Etiology: Neoplasm<br />

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

2.02 Malignant neoplasms of the sinuses with Stage 1.01-2.03<br />

STAGE 0.00-2.01 + DX 1973;<br />

extension to ethmoid sinuses or sphenoid<br />

sinuses or nasopharynx or pterygoid or<br />

AND tumor with extension to anterior ethmoid sinus(es) [operative/pathology report or<br />

CT Scan or MRI report]<br />

cribriform plate or base of the skull<br />

OR with extension to pterygoid muscle<br />

[operative/pathology report or CT Scan or MRI report]<br />

OR with extension to cribriform plate<br />

[operative/pathology report or CT Scan or MRI report]<br />

OR with extension to posterior ethmoid sinus(es)<br />

[operative/pathology report or CT Scan or MRI report]<br />

OR with extension to sphenoid sinus(es)<br />

[operative/pathology report or CT Scan or MRI report]<br />

OR with extension to nasopharynx<br />

[operative/pathology report or CT Scan or MRI report]<br />

OR with extension to pterygoid plates<br />

[operative/pathology report or CT Scan or MRI report]<br />

OR with extension to base of the skull<br />

[operative/pathology report or CT Scan or MRI report]<br />

2.03 Malignant neoplasms of the sinuses with<br />

lymph node involvement<br />

Stage 2.02-2.04<br />

AND lymph node metastasis [operative/pathology report or CT Scan or MRI report]<br />

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

STAGE 0.00-2.02 + DX 1960;<br />

3.01 Malignant neoplasms of the sinuses with<br />

distant metastasis<br />

4.00 Malignant neoplasms of the sinuses with<br />

death<br />

Stage 1.01-2.05<br />

AND extension of tumor beyond the confines of the skull [operative/pathology report or<br />

CT Scan or MRI report]<br />

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

Stage 1.01-3.01<br />

AND death<br />

STAGE 0.00-2.03 + (DX 1961-<br />

1972, 1974-1983, 1986-1991,<br />

78951, 20970-20979);<br />

NO;<br />

References:<br />

Franchi A, Gallo O, Santucci M. Pathologic quiz case 1. Necrotizing sialometaplasia obscuring recurrent well-differentiated squamous cell carcinoma of the maxillary sinus. Archives<br />

of Otolaryngology -- Head & Neck Surgery. 1995;121(5):584-86<br />

Jackler RK, Kaplan MJ. Ear, nose and throat. In: Tierney Jr LM, McPhee SJ Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange;<br />

1998:234-235.<br />

Vokes EE. Head and neck cancer. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo, DL, eds. Harrison’s Principles of Internal<br />

Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:549-552.<br />

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

©2010 Thomson Reuters. All rights reserved.

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