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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: GYN20<br />

MultiStage: No<br />

DXCat Label: Neoplasm, Malignant: Cervix Uteri Specificity: A<br />

Etiology: Neoplasm<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

3.02 with extension to the pelvic wall or renal Stage 1.04-2.04<br />

STAGE 0.00 + (DX 3383, 1976,<br />

involvement<br />

AND Cervical carcinoma extending to the pelvic wall [operative/pathology report]<br />

1980);<br />

OR hydronephrosis [intravenous pyelography or CT scan or nuclear renogram or sonography] STAGE 1.03-2.04 + (DX 3383,<br />

OR nonfunctioning kidney [intravenous pyelography or nuclear renogram<br />

1976, 1980);<br />

OR International Federation of Gynecology and Obstetrics Stage IIIB<br />

3.03 with involvement of the bladder or rectum Cervical carcinoma with extension into the urinary bladder [operative/pathology report]<br />

OR cervical carcinoma with extension into the rectum [operative/pathology report]<br />

OR International Federation of Gynecology and Obstetrics Stage IVA<br />

STAGE 0.00 + (DX 1975, 1981);<br />

STAGE 1.03-3.02 + (DX 1975,<br />

1981);<br />

3.04 with distant organ involvement Cervical carcinoma involves abdominal lymph nodes above the renal arteries [operative/pathology<br />

report]<br />

OR cervical carcinoma involves the liver [operative/pathology report]<br />

OR cervical carcinoma involves the large or small intestines [operative/pathology report]<br />

OR cervical carcinoma with growth beyond the peritoneal cavity [operative/pathology report]<br />

OR International Federation of Gynecology and Obstetrics Stage IVB<br />

STAGE 0.00 + (DX 1960-1974,<br />

1977-1978, 1982-1985 , 1987,<br />

19881, 19889-1991, 78951);<br />

STAGE 1.03-3.03 + (DX 1960-<br />

1974, 1977-1978 , 1982-1985,<br />

1987, 19881, 19889-1991, 78951,<br />

20970-20979);<br />

4.00 with death Stage 1.03-3.04<br />

AND death<br />

NO;<br />

References:<br />

American College of Obstetricians and Gynecologists. Classification and <strong>staging</strong> of gynecologic malignancies. ACOG Technical Bulletin 155. Washington, DC: ACOG 1991.<br />

Elkas JC, Farias-Eisner R, Berek JS. Cervix, Vulva, and Vagina. In: Abeloff: Clinical Oncology, 2nd ed., Churchill Livingstone, Inc; 2000: 1946-1966<br />

MacKay HT. Gynecology. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:691-724.<br />

Sheets EE. The Cervix. In: Ryan: Kistner's Gynecology & Women's Health, 7th ed., Mosby, Inc; 1999: 100-118.<br />

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<br />

Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:605-611.<br />

Thursday, January 07, 2010 9:21:58 AM<br />

©2010 Thomson Reuters. All rights reserved.

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