Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN23
MultiStage: No
DXCat Label: Neoplasm, Malignant: Ovaries Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of ovarian carcinoma
DX V1043;
1.01 Ovarian carcinoma limited to one ovary Carcinoma limited to one ovary and intact capsule [operative/pathology report]
DX 1830;
with intact ovarian capsule
OR International Federation of Gynecology and Obstetrics Stage IA
1.02 Limited to both ovaries with intact ovarian
capsule
1.03 with ascites or malignant cells in peritoneal
washings or rupture of ovarian capsule or
spilling or external surface of ovary with
carcinoma
Stage 1.01
AND carcinoma limited to both ovaries and intact capsule [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IB
Stage 1.01-1.02
AND ovarian carcinoma with ascites or malignant cells in peritoneal washings or rupture of
ovarian capsule or spilling or external surface of ovary with carcinoma
[operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IC[report]
NO;
NO;
2.01 with extension to the uterus or fallopian Stage 1.01-1.03
tubes
AND ovarian carcinoma growth or metastasis to the uterus or fallopian tubes
[operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIA
2.02 with extension to other pelvic structures Stage 1.01-2.01
AND ovarian carcinoma involving the parametrium [operative/pathology report]
OR ovarian carcinoma involving the rectum [operative/pathology report]
OR ovarian carcinoma involving the urinary bladder [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIB
2.03 with pelvic extension and ascites Stage 2.01-2.02
AND ascites [operative/pathology report]
OR ovarian carcinoma cells in pelvic washings [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIC
3.01 with peritoneal micro-metastasis Stage 1.01-2.03
AND ovarian carcinoma with peritoneal microscopic metastasis lymph nodes
[operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIIA
3.02 with visible peritoneal/abdominal Stage 1.01-3.01
metastasis < 2cm in greatest dimension AND ovarian carcinoma with a visible peritoneal/abdominal metastasis < 2cm in greatest
dimension [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIIB
3.03 with visible peritoneal/abdominal Stage 1.01-3.02
metastasis =2cm in dimension and/or AND ovarian carcinoma with visible peritoneal/abdominal metastasis > or = 2cm in dimension
pelvic/abdominal lymph nodes
and/or pelvic/abdominal lymph nodes [operative/pathology report]
OR International Federation of Gynecology and Obstetrics Stage IIC
STAGE 0.00-1.01 + DX 19882;
STAGE 0.00-2.01 + (DX 3383,
1986, 1980);
STAGE 0.00-2.02 + (DX 7895-
78959, 1976, 78951);
NO;
NO;
STAGE 0.00-2.03 + (DX 1962,
1966);
Thursday, January 07, 2010 9:21:59 AM
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