Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN17
MultiStage: No
DXCat Label: Neoplasm, Benign: Ovary Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Follicle cysts or corpus luteum cysts Follicle cysts [operative/pathology report]
DX 6200-6201;
OR corpus luteum cysts [operative/pathology report]
1.02 Dermoid cysts Dermoid cysts [operative/pathology report or pelvic x-ray report or pelvic sonogram report]
DX 220;
1.03 Serous cystic tumors Serous tumors [operative/pathology report]
NO;
Endometrioid tumors [operative/pathology report]
OR mucinous cystic tumors [operative/pathology report]
1.04 Endometrioid tumors or mucinous cystic
tumors
1.05 Benign ovarian tumors and abdominal
distention or symptoms of pressure on
surrounding organs
1.06 Benign ovarian tumors and torsion of the
ovaries
Stage 1.01-1.04
AND abdominal distention
OR nausea
OR vomiting
OR diffuse abdominal pain
Stage 1.01-1.05
AND abdominal distention
OR nausea
OR vomiting
OR diffuse abdominal pain
DX 2362 OR (DX 2395 + FEMALE);
STAGE 1.01-1.04 + (DX 3383,
78701-78704, 7873, 78900-78909,
7897);
STAGE 1.01-1.05 + DX 6205;
2.01 Benign ovarian tumors with rupture Stage 1.01-1.06
AND ruptured benign tumor [operative/pathology report or sonogram report]
2.02 Benign ovarian tumors with peritonitis Stage 1.01-2.01
AND peritonitis [operative/pathology report]
3.01 Benign ovarian tumors with sepsis Stage 2.01-2.02
AND sepsis:
3.02 Benign ovarian tumors with shock Stage 2.01-3.01
AND shock:
4.00 Benign ovarian tumors with death Stage 2.01-3.02
AND death
STAGE 1.01-1.06 + DX 6208;
STAGE 1.01-2.01 + (DX 5670-
5679, 6145, 6147-6149 );
STAGE 1.01-2.02 + GROUP SEPSIS;
STAGE 1.01-3.01 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
References:
Crombleholme WR. Obstetrics. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:724-748.
Jones III HW. Ovarian cysts and tumors. In: Jones III HW, Wentz AC, Burnett LS, eds. Novak’s Textbook of Gynecology. 11th ed. Baltimore, MD: Williams & Wilkins; 1988:782-
791.
MacKay HT. Gynecology. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:691-724.
Young RC. Gynecologic malignancies. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of Internal
Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:605-611.
Thursday, January 07, 2010 9:21:57 AM
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