Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN20
MultiStage: No
DXCat Label: Neoplasm, Malignant: Cervix Uteri Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of cervical carcinoma
DX V1041;
1.01 Minimal cervical dysplasia Dysplastic cells involve lower one-third of the cervical epithelium
[operative/pathology/cytology report]
DX 6221-62211, 79503;
OR Stage CIN I
OR Low grade squamous intraepithelial lesion
1.02 Severe cervical dysplasia Dysplastic cells involve lower two-thirds of the cervical epithelium
[operative/pathology/cytology report]
DX 62212;
OR Stage CIN II
OR Low grade squamous intraepithelial lesion
1.03 Carcinoma in situ or intraepithelial
carcinoma
Dysplastic cells or carcinoma cells involve the full thickness of the cervical epithelium
[operative/pathology/cytology report]
OR International Federation of Gynecology and Obstetrics Stage 0
OR CIN III
OR High risk squamous intraepithelial lesion
DX 2331, 79504, 79506;
1.04 Microinvasive carcinoma or minimal
stromal invasion
Atypical cells or dysplastic cells or carcinoma cells involve the basement membrane and/or minimal
stromal (< 7mm horizontally and < 5mm vertically) invasion [operative/pathology/cytology report]
OR International Federation of Gynecology and Obstetrics Stage IA
DX 1800-1809;
2.01 Macroscopic cervical carcinoma < 4cm Stage 1.04
confined to the cervix
AND Macroscopic carcinoma confined to the cervix < 4cm in size [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IB1
2.02 Macroscopic cervical carcinoma ≥ 4cm Stage 1.04-2.01
confined to the cervix
AND Macroscopic carcinoma ≥ 4cm in size confined to the cervix [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IB2
2.03 with extension to upper third of vagina Stage 1.04-2.02
AND Cervical carcinoma with extension to upper third of vagina [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIA
2.04 with parametrial involvement Stage 1.04-2.03
AND Cervical carcinoma with parametrial involvement [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIB
3.01 involves lower third of the vagina Stage 1.04-2.04
AND Cervical carcinoma involves lower third of vagina [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIIA
NO;
NO;
STAGE 0.00 + DX 19882;
STAGE 1.03-1.04 + DX 19882;
STAGE 0.00 + DX 1986;
STAGE 1.03-2.03 + DX 1986;
NO;
Thursday, January 07, 2010 9:21:58 AM
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