Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM19
MultiStage: No
DXCat Label: Neoplasm, Malignant: Leukemia, Acute Nonlymphocytic Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History or remission of acute
nonlymphocytic leukemia
DX 20501, 20521, 20531, 20601,
20621, 20701, 20711, 20721,
20801-20802, V1060, V1063,
V1069;
1.01 Acute or subacute nonlymphocytic
leukemia or myeloid sarcoma
Nonlymphocytic leukemia [peripheral smear or bone marrow aspiration or bone marrow biopsy report]
Note: nonlymphocytic leukemias include acute undifferentiated leukemia (M0), acute myeloblastic
leukemia (M1), acute myeloblastic leukemia with differentiation (M2), acute promyelocytic leukemia
(M3), acute myelomonocytic leukemia (M4), acute monoblastic leukemia (M5), erythroleukemia
(M6), and megakaryoblastic leukemia (M7).
DX 20500, 20502, 20520, 20522,
20530, 20532, 20600, 20602,
20620, 20622, 20700, 20702,
20710, 20712, 20720, 20722,
20800;
1.02 with monosomy 5 and 7 or abnormalities
of 11q23
2.01 with hyperuricemia or hyperkalemia or
hyperphosphatemia
Stage 1.01
AND monosomy 5 and 7 [cytogenetics report]
OR abnormalities of 11q23 [cytogenetics report]
Stage 1.01-1.02
AND hyperuricemia:
OR hyperkalemia:
OR hyperphosphatemia:
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
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 + (DX 3383 OR
DXCAT GUS10 OR DX 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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