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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: HEM17<br />

MultiStage: No<br />

DXCat Label: Neoplasm, Malignant: Hodgkin's Lymphoma Specificity: A<br />

Etiology: Neoplasm<br />

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

0.00 History or remission of Hodgkin's disease<br />

DX V1072;<br />

1.01 Limited to one anatomic lymph node region Lymph node group or group of contiguous lymph nodes with Hodgkin's <strong>Disease</strong><br />

[operative/pathology report]<br />

DX 20101-20106, 20111-20116,<br />

20121-20126, 20191-20196;<br />

OR Ann Arbor Clinical Staging System Stage 1A<br />

1.02 Limited to one anatomic lymph node<br />

region with involvement of adjacent<br />

extranodal tissue<br />

1.03 Limited to one anatomic lymph node<br />

region and constitutional symptoms<br />

1.04 Limited to one anatomic lymph node<br />

region and constitutional symptoms and<br />

involvement of adjacent extranodal tissue<br />

Stage 1.01<br />

AND Hodgkin's <strong>Disease</strong> involving non-nodal surrounding tissue<br />

[operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 1AE<br />

Stage 1.01<br />

AND fever:<br />

OR history of night sweats<br />

OR weight loss of ≥ 10% of baseline body weight in 6 months<br />

OR Ann Arbor Clinical Staging System Stage 1B<br />

Stage 1.03<br />

AND Hodgkin's <strong>Disease</strong> involving non-nodal surrounding tissue [operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 1BE<br />

DX 20100, 20110, 20120, 20190;<br />

STAGE 1.01-1.02 + (DX 3383, 7808<br />

OR GROUP FEVER) ;<br />

NO;<br />

2.01 On two anatomic lymph node regions on<br />

the same side of the diaphragm<br />

2.02 Of two anatomic lymph node regions on<br />

the same side of the diaphragm and<br />

adjacent tissue involvement<br />

2.03 Of two anatomic lymph node regions on<br />

the same side of the diaphragm with<br />

constitutional symptoms<br />

2.04 Of two anatomic lymph node regions on<br />

the same side of the diaphragm with<br />

constitutional symptoms and adjacent<br />

tissue involvement<br />

Lymph node group or group of contiguous lymph nodes with Hodgkin's <strong>Disease</strong> involving two<br />

anatomic regions on the same side of the diaphragm<br />

[operative/pathology report]<br />

OR Ann Arbor Clinical Staging System 2A<br />

Stage 2.01<br />

AND Hodgkin's <strong>Disease</strong> involving non-nodal surrounding tissues [operative/pathology report]<br />

OR Ann Arbor Clinical Staging System 2AE<br />

Stage 2.01<br />

AND fever:<br />

OR history of night sweats<br />

OR weight loss of ≥ 10% baseline body weight in 6 months<br />

OR Ann Arbor Clinical Staging System Stage 2B<br />

Stage 2.03<br />

AND Hodgkin's <strong>Disease</strong> involving non-nodal surrounding tissues<br />

[operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 2BE<br />

DX 20108, 20118, 20128, 20198;<br />

STAGE 2.01 + STAGE 1.02;<br />

STAGE 2.01-2.02 + (DX 7808 OR<br />

GROUP FEVER);<br />

NO;<br />

Thursday, January 07, 2010 9:22:06 AM<br />

©2010 Thomson Reuters. All rights reserved.

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