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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: GYN24<br />

MultiStage: No<br />

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

Etiology: Neoplasm<br />

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

0.00 History of carcinoma of the vagina<br />

NO;<br />

1.01 Carcinoma of the vagina in situ Carcinoma of the vagina in situ [operative/pathology report]<br />

DX 23331, 79516;<br />

OR intraepithelial carcinoma of the vagina [operative/pathology report]<br />

OR International Federation of Gynecology and Obstetrics Stage 0<br />

1.02 limited to the vaginal mucosa Carcinoma of the vagina limited to the vaginal mucosa [operative/pathology report]<br />

DX 1840;<br />

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

2.01 with involvement of the subvaginal tissue<br />

Carcinoma of the vagina with involvement of the submucosa and/or parametrial<br />

[operative/pathology report]<br />

AND carcinoma of the vagina does not extend to the pelvic wall [operative/pathology report]<br />

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

STAGE 1.02 + DX 19882;<br />

3.01 with extension to the pelvic side wall Carcinoma of the vagina with extension to the pelvic side wall [operative/pathology report]<br />

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

3.02 with extension beyond the true pelvis Carcinoma of the vagina with extension beyond the true pelvis [operative/pathology report]<br />

OR carcinoma of the vagina with extension into the rectal mucosa [operative/pathology report]<br />

OR carcinoma of the vagina with extension into the bladder mucosa [operative/pathology<br />

report]<br />

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

3.03 with shock Stage 2.01-3.02<br />

AND shock:<br />

4.00 with death Stage 2.01-3.03<br />

AND death<br />

STAGE 1.02-2.01 + DX 19889;<br />

STAGE 1.01-3.01 + (DX 3383,<br />

1960-19881, 1990-1991, 78951,<br />

20970-20979);<br />

STAGE 1.02-3.02 + (GROUP<br />

SHOCKC OR GROUP SHOCKN) ;<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 />

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-<br />

791.<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 />

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 9:21:59 AM<br />

©2010 Thomson Reuters. All rights reserved.

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