Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM18
MultiStage: No
DXCat Label: Neoplasm, Malignant: Leukemia, Acute Lymphocytic Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History or remission of acute lymphoblastic
leukemia
DX 20401, 20421;
1.01 Acute lymphoblastic leukemia Lymphoblastic leukemia [peripheral smear or bone marrow aspiration or bone marrow biopsy report]
DX 20400, 20402, 20420, 20422;
1.02 with hyperdiploid states Stage 1.01
AND hyperdiploid states [cytogenetics report]
2.01 with hyperuricemia or hypokalemia or
hyperkalemia or hyperphosphatemia
Stage 1.01-1.02
AND hyperuricemia:
OR hyperkalemia:
OR hyperphosphatemia:
OR hypokalemia:
2.02 with significant anemia Stage 1.01-2.01
AND hemoglobin ≤ 7 gm/dl [CBC report]
2.03 with significant thrombocytopenia Stage 1.01-2.02
AND platelets < 60,000 cells/mm 3 [CBC report]
2.04 with leukopenia Stage 1.01-2.03
AND leukopenia:
2.05 with urinary tract infection or
Stage 1.01-2.04
nephrolithasis or pyoderma
AND UTI:
OR nephrolithasis [sonogram report]
OR pyoderma
2.06 with pneumonia Stage 1.01-2.05
AND pneumonia:
NO;
STAGE 1.01 + (GROUP
HYPER_URICEM OR GROUP
HYPER_KALEM OR GROUP
HYPOKALEMIA);
STAGE 1.01-2.01 + GROUP
ANEM_NEOPL;
STAGE 1.01-2.02 + GROUP
THRMBCYTPEN;
STAGE 1.01-2.03 + GROUP
LEUKOPENIA;
STAGE 1.01-2.04 + (DXCAT GUS10
OR DX 3383, 5920-5929, 68600-
68609);
STAGE 1.01-2.05 + (DXCAT RES15
OR DXCAT RES16 OR DXCAT
RES17 OR DXCAT RES12 OR DX
485-486);
Thursday, January 07, 2010 9:22:07 AM
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