Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM14
MultiStage: No
DXCat Label: Neoplasm, Malignant: Hodgkin's Disease with Lymphocytic Predominance Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
3.01 On both sides of the diaphragm or
involving the spleen
Lymph node group or group of contiguous lymph nodes with Hodgkin’s disease with lymphocytic
predominance involving both sides of the diaphragm [operative/pathology report]
DX 20147;
OR Hodgkin’s disease with lymphocytic predominance involving the spleen
[operative/pathology report]
OR celiac nodes [operative pathology report]
OR portal nodes [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 3A1
OR Ann Arbor Clinical Staging System Stage 3B1
3.02 On both sides of the diaphragm or spleen
with extension to adjacent tissues
3.03 On both sides of the diaphragm or
involving the spleen and further extension
into the peritoneal cavity
Stage 3.01
AND Hodgkin’s disease with lymphocytic predominance involving non-nodal surrounding tissues
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 3A1E
OR Ann Arbor Clinical Staging System Stage 3B1E
Stage 3.01-3.02
AND mesenteric nodal involvement [operative/pathology report]
OR para-aortic nodal involvement [operative/pathology report]
OR iliac nodal involvement [operative/pathology report]
OR femoral nodal involvement [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 3A2
OR Ann Arbor Clinical Staging System Stage 3B2, 3A2E, 3B2
OR Hodgkin’s disease with lymphocytic predominance involving non-nodal
surrounding tissues [operative/pathology report]
NO;
STAGE 1.01-3.01 + DX 78951;
3.04 with diffuse extranodal tissue involvement Stage 1.01-3.03
AND involvement of extranodal tissues without involvement of that organ's anatomic lymph node
region [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 4A
OR Ann Arbor Clinical Staging System Stage 4B
3.05 with spinal cord compression Stage 1.01-3.04
AND spinal cord compression [CT scan or MRI or operative/pathology report]
3.06 with opportunistic infections Stage 1.01-3.05
AND opportunistic infection:
3.07 with sepsis Stage 1.01-3.06
AND sepsis:
3.08 with respiratory failure Stage 1.01-3.07
AND respiratory failure:
3.09 with shock Stage 1.01-3.08
AND shock:
NO;
STAGE 3.01 + DX 3369;
STAGE 1.01-3.05 + GROUP
OPP_INF;
STAGE 1.01-3.06 + GROUP SEPSIS;
STAGE 1.01-3.07 + GROUP
RESP_FAIL;
STAGE 1.01-3.08 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Thursday, January 07, 2010 9:22:05 AM
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