Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: EYE26
MultiStage: No
DXCat Label: Neoplasm, Malignant: Retinoblastoma Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of retinoblastoma
NO;
1.01 Retinoblastoma Retinal tumor with telangiectatic vessels [ophthalmoscopy report]
DX 1905;
AND retinal calcifications [CT scan of orbit report]
OR retinoblastoma [operative/pathology report]
2.01 Retinoblastoma with reduced vision Stage 1.01
AND vision < 20/70
OR vitreous seeding [ophthalmoscopy report]
OR vitreous hemorrhage [ophthalmoscopy report]
OR intraocular pressure ≥ 21 mmHg [tonometer report]
OR retinal detachment [ophthalmoscopy report]
2.02 Retinoblastoma with extension to the optic
nerve
Stage 1.01-2.01
AND retinoblastoma of the optic nerve [operative/pathology report]
3.01 Retinoblastoma with metastasis Stage 1.01-2.02
AND meningeal tumor [CT scan report or operative/pathology report]
OR brain metastasis [CT scan report]
OR lymph node retinoblastoma [operative/pathology report]
3.02 with shock Stage 3.01
AND shock:
4.00 with death Stage 3.01-3.02
AND death
References:
Ellsworth RM. Retinoblastoma. In: Duane TD, Jaeger EA, eds. Clinical Ophthalmology. Philadelphia, PA: Harper & Row; 1979:(3)35.
STAGE 1.01 + DXCAT EYE07;
STAGE 1.01 + (DX 36901-36918,
36921-3699, 37923);
STAGE 1.01-2.01 + DX 3383;
STAGE 1.01-2.01 + (DX 1960-
1991, 78951, 20970-20979);
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:37 AM
©2010 Thomson Reuters. All rights reserved.