Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM15
MultiStage: No
DXCat Label: Neoplasm, Malignant: Hodgkin's Disease with Mixed Cellularity Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History or remission of Hodgkin's disease
with mixed cellularity
NO;
1.01 Limited to one anatomic lymph node region Lymph node group or group of contiguous lymph nodes with Hodgkin’s disease with mixed
cellularity [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1A
1.02 Limited to one anatomic lymph node Stage 1.01
region with involvement of adjacent AND Hodgkin’s disease with mixed cellularity involving non-nodal surrounding tissue
extranodal tissue
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1AE
1.03 Limited to one anatomic lymph node
region and constitutional symptoms
1.04 Limited to one anatomic lymph node
region and constitutional symptoms and
involvement of adjacent extranodal tissue
Stage 1.01
AND fever:
OR history of night sweats
OR weight loss of ≥ 10% of baseline body weight in 6 months
OR Ann Arbor Clinical Staging System Stage 1B
Stage 1.03
AND Hodgkin’s disease with mixed cellularity involving non-nodal surrounding tissue
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1BE
DX 20161, 20162, 20163, 20164,
20165, 20166;
DX 20160;
STAGE 1.01-1.02 + (DX 3383, 7808
OR GROUP FEVER) ;
NO;
2.01 On two anatomic lymph node regions on
the same side of the diaphragm
2.02 Of two anatomic lymph node regions on
the same side of the diaphragm and
adjacent tissue involvement
2.03 Of two anatomic lymph node regions on
the same side of the diaphragm with
constitutional symptoms
2.04 Of two anatomic lymph node regions on
the same side of the diaphragm with
constitutional symptoms and adjacent
tissue involvement
Lymph node group or group of contiguous lymph nodes with Hodgkin’s disease with mixed
cellularity involving two anatomic regions on the same side of the diaphragm [operative/pathology
report]
OR Ann Arbor Clinical Staging System 2A
Stage 2.01
AND Hodgkin’s disease with mixed cellularity involving non-nodal surrounding tissues
[operative/pathology report]
OR Ann Arbor Clinical Staging System 2AE
Stage 2.01
AND fever:
OR history of night sweats
OR weight loss of ≥ 10% baseline body weight in 6 months
OR Ann Arbor Clinical Staging System Stage 2B
Stage 2.03
AND Hodgkin’s disease with mixed cellularity involving non-nodal surrounding tissues
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 2BE
DX 20168;
STAGE 2.01 + STAGE 1.02;
STAGE 2.01-2.02 + (DX 7808 OR
GROUP FEVER);
NO;
Thursday, January 07, 2010 9:22:05 AM
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