Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: GYN26
MultiStage: No
DXCat Label: Neoplasm: Trophoblastic Disease Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Hydatidiform mole Hydatidiform mole [operative/pathology or biopsy or sonogram report]
DX 630-631;
2.01 Hydatidiform mole with pre-eclampsia Stage 1.01
AND pre-eclampsia: blood pressure ≥ 140/90 mmHg on ≥ 2 occasions > 6 hrs apart
AND urinary protein > 300 mg/24 hours or 1 plus on dip stick
2.02 Trophoblastic disease with hyperthyroidism Stage 1.01-2.01
AND hyperthyroidism:
2.03 Trophoblastic disease with endometritis or Stage 1.01-2.02
myometritis
AND endometritis [endometrial culture reports growth of pathologic organism(s)]
OR myometritis [myometrial culture reports growth of pathologic organism(s)]
2.04 Persistent trophoblastic disease Stage 1.01-2.03
AND persistent or rising baseline beta-HCG levels after uterine evacuation
2.05 Trophoblastic disease with uterine Stage 1.01
hemorrhage
AND blood per vagina
AND bleeding:
2.06 Invasive mole Local invasion of the myometrium by the trophoblastic tissue [operative/pathology report]
2.07 Trophoblastic disease with choriocarcinoma Hydatidiform mole [operative/pathology report]
AND recent pregnancy
AND choriocarcinoma [operative/pathology report]
2.08 Trophoblastic disease with disseminated
intravascular coagulation
Stage 1.01-2.07
AND DIC:
3.01 Trophoblastic disease with metastasis Stage 2.06-2.08
AND choriocarcinoma beyond the confines of the uterus [CT scan or operative/pathology report]
3.02 Trophoblastic disease with pulmonary
embolism
Stage 1.01-3.01
AND pulmonary embolism [nuclear ventilation/perfusion scan or pulmonary angiogram report]
STAGE 1.01 + DXCAT GYN30;
STAGE 1.01-2.01 + DXCAT END07;
STAGE 1.01-2.02 + (DX 3383,
6390, 64660, 64663-64664);
NO;
STAGE 1.01-2.03 + (DX 6391,
64130, 64133, 66630, 66634);
DX 2361;
DX 181;
STAGE 1.01-2.07 + GROUP DIC;
STAGE 2.06-2.08 + (DX 1960-
1991, 78951, 20970-20979);
STAGE 1.01-3.01 + (DX 6396,
67300, 67303-67310, 67313-
67320, 67323-67330, 67333-
67380, 67383-67384 OR GROUP
PULMEMB);
3.03 Trophoblastic disease with sepsis Stage 2.03-3.02
AND sepsis:
STAGE 1.01-3.02 + (DX 6395,
65930, 65933, 67000, 67004,
67010, 67012, 67020, 67022,
67030, 67032, 67080, 67084 OR
GROUP SEPSIS);
3.04 Trophoblastic disease with respiratory
failure
Stage 2.05-3.03
AND respiratory failure:
STAGE 1.01-3.03 + GROUP
RESP_FAIL;
Thursday, January 07, 2010 9:21:59 AM
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