Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GIS27
MultiStage: No
DXCat Label: Neoplasm, Malignant: Colon and Rectum Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of colon or rectal carcinoma
DX V1005-V1006;
1.01 Colon or rectal carcinoma in situ or limited Colorectal carcinoma limited to mucosa and submucosa
DX 2303-2306, 79676;
to the mucosa and submucosa
AND carcinoma in situ
OR American Joint Committee on Cancer Stage 0
OR Duke's classification for colorectal cancer Stage A [operative/pathology report]
2.01 Colon or rectal carcinoma extending to
muscularis or serosa
2.02 with localized peritonitis or intra-abdominal
abscess or extending to the subserosa or
nonperitoneal tissue
Colorectal carcinoma limited to muscularis or serosa
AND Duke's classification for colorectal cancer Stage B1 [operative/pathology report]
OR American Joint Committee on Cancer Stage 1
Stage 1.01-2.01
AND localized peritonitis [operative/pathology report]
OR intra-abdominal abscess [operative/pathology report or sonogram report
or CT scan report]
OR Duke's classification for colorectal cancer Stage B2 [operative/pathology report]
OR American Joint Committee on Cancer Stage 2
DX 1530-1548, 20910-20917;
DX 1530-1548 + DX 28522;
DX 20910-20917 + DX 28522;
STAGE 0.00-1.01 + DX 28522;
STAGE 1.01-2.01 + (DX 5672-
5679, 3383);
2.03 with acute bleeding Stage 1.01-3.01
AND bleeding:
2.04 with intestinal obstruction Stage 1.01-2.03
AND intestinal obstruction [KUB x-ray reports small or large bowel obstruction]
2.05 with intususception or volvulus Stage 1.01-2.04
AND intussusception or volvulus [operative/pathology report]
2.06 with fistula formation Stage 1.01-2.05
AND enteroenteric fistula [barium enema report or UGI series report]
OR enterovesical fistula [barium enema report or urinalysis reports fecaluria]
OR enterovaginal fistula [barium enema report or feces and flatus per vagina]
OR enterocutaneous fistula [barium enema report or feces and flatus per sinus tract]
2.07 with gross perforation and peritonitis Stage 1.01-2.06
AND free air within peritoneal cavity [KUB x-ray report or chest x-ray report]
OR perforation of bowel [barium enema or chest x-ray report]
OR peritonitis [perative/pathology report or peritoneal fluid culture reports growth
of pathologic organism(s
3.01 extending to regional lymph nodes Colorectal carcinoma limited to lymph nodes draining the colon and rectum
AND Duke's classification for colorectal cancer Stage C [operative/pathology report]
OR American Joint Committee on Cancer Stage 3
STAGE 1.01-2.02 + DX 5780-5789;
STAGE 1.01-2.03 + (DX 5373,
5609);
STAGE 1.01-2.04 + (DX 5602 OR
DXCAT GIS22);
STAGE 1.01-2.05 + (DX 5651,
56981, 5961, 6191);
STAGE 1.01-2.06 + DX 56983;
STAGE 0.00-2.07 + (DX 1962,
1966);
Thursday, January 07, 2010 9:21:46 AM
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