Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE25
MultiStage: No
DXCat Label: Neoplasm, Malignant: Ocular Melanoma Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of ocular melanoma or benign Choroidal nevus [ophthalmoscopy report]
DX V1084, 2240;
choroidal nevus
OR ciliary body nevus [ophthalmoscopy report]
AND minimal elevation of mass [ophthalmoscopy report]
1.01 Ocular melanoma confined to uvea Elevated choroid mass with growth over > 1 month [ophthalmoscopy report]
OR elevated ciliary body mass with growth over > 1 month [ophthalmoscopy report]
OR serous retinal detachment
AND low internal reflectivity [A-scan echography report]
DX 1900;
2.01 Ocular melanoma penetrating Bruch's
membrane
Choroidal melanoma penetrating Bruch’s membrane [ophthalmoscopy report or echography report]
DX 1906;
2.02 with periocular extension Stage 2.01-2.02
AND extrascleral spread confined to orbit [echography or operative/pathology report or CT scan
report]
OR proptosis
2.03
3.01 with metastasis Stage 2.01-2.03
OR history of ocular melanoma
AND liver metastasis [CT scan report] or biopsy report]
OR brain metastasis [CT scan report] or MRI report]
OR lung metastasis [CT scan report] or MRI report]
3.02 with shock Stage 3.01
AND shock:
4.00 with death Stage 3.01-3.02
AND death
STAGE 0.00-2.01 + (DX 1901,
3383);
NO;
(STAGE 0.00, 2.01-2.03) + (DX
1960-1991, 78951, 20970-20979);
STAGE 1.01-3.01 + GROUP
SHOCKN;
NO;
References:
Shields JA. Tumors of the uveal tract. In: Duane TD, Jaeger EA, eds. Clinical Ophthalmology. Philadelphia, PA: Harper & Row; 1981:(4)67.
Thursday, January 07, 2010 9:21:37 AM
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