Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN19
MultiStage: No
DXCat Label: Neoplasm, Malignant: Breast, Female Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of carcinoma of the breast
DX V103 + FEMALE;
1.01 in situ Carcinoma of the breast in situ [operative/pathology report]
DX 2330 + FEMALE;
OR American Joint Committee on Cancer Stage 0
1.02 Malignant neoplasm of the breast of Malignant neoplasm of the breast of unspecified size or malignant cysosarcoma phyllodes DX 1740-1749 + FEMALE;
unspecified size or malignant cysosarcoma [operative/pathology report]
phyllodes
1.03 ≤ 2cm in diameter Carcinoma of the breast ≤ 2.0 cm in diameter [operative/pathology report]
AND no lymph node involved [operative/pathology report]
OR American Joint Committee on Cancer Stage 1
1.04 > 2cm and ≤ 5cm in diameter or single Carcinoma of the breast > 2 and ≤ 5.0 cm in diameter [operative/pathology report]
ipsilateral node involved
OR single ipsilateral lymph node involved [operative/pathology report]
OR American Joint Committee Stage 2a
2.01 > 5cm in diameter Carcinoma of the breast > 5.0 cm in diameter [operative/pathology report]
OR American Joint Committee Stage 2b
3.01 Nodal involvement with fixation Cancer of the breast
AND more than 1 ipsilateral node with fixation [operative/pathology report]
OR American Joint Committee Stage 3a
3.02 tumor extension to skin or tumor extension Tumor extension to skin [operative/pathology report]
to chest or internal mammary node
OR tumor extension to chest [operative/pathology report]
involvement
OR internal mammary node involvement [operative/pathology report]
OR American Joint Committee Stage 3b
3.03 with metastasis
Carcinoma of the breast involving the lungs [operative/pathology report or chest x-ray or CT scan]
OR carcinoma of the breast involving the liver [operative/pathology report or CT scan or
liver/spleen scan]
OR carcinoma of the breast involving the skeletal system [operative/pathology report or
bone scan or x-ray]
OR American Joint Committee Stage 4
NO;
STAGE 0.00-1.02 + DX 1963;
NO;
NO;
STAGE 0.00-1.04 + (DX 1961,
1970-1972, 1982);
STAGE 0.00-3.02 + (DX 3383,
1960, 1962, 1965-1966, 1968-
1969, 1973-1981, 1983-1991 ,
78951, 20970-20979);
4.00 with death Stage 1.02-3.03
AND death
NO;
Thursday, January 07, 2010 9:21:58 AM
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