Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM22
MultiStage: No
DXCat Label: Neoplasm, Malignant: Lymphoma, Cutaneous T Cell (Mycosis Fungoides) Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of mycosis fungoides History of mycosis fungoides
NO;
1.01 T1 skin involvement Papules, patches, or plaques involving 1 tumors (dermatology report)
1.04 T4 skin involvement Stage 1.01-1.03
AND generalized erythroderma (dermatology report)
2.01 N1 lymph node involvement Stage 1.01-1.04
AND abnormal peripheral lymph node
AND pathologically negative for MF [operative/pathology report]
2.02 N2 lymph node involvement Stage 1.01-2.01
AND no abnormal peripheral lymph node
AND pathologically positive for MF [operative/pathology report]
2.03 N3 lymph node involvement Stage 1.01-2.02
AND clinically abnormal peripheral lymph node
AND pathologically positive for MF [operative/pathology report]
3.01 B1 blood involvement Stage 1.01-2.03
AND evidence of increased numbers of atypical circulating cells (Sezary cell)
AND bone marrow biopsy (pathology report)
3.02 M1 visceral organ involvement Stage 1.01-3.01
AND hepatosplenomegly [sonography report or CT scan report or MRI report or liver/spleen
scan report]
4.00 with death Stage 1.01-3.02
AND death
NO;
NO;
DX 20211-20216, 20218;
NO;
NO;
DX 20220-20226, 20228;
DX 20217, 20227;
STAGE 1.01-3.01 + (DX 3383,
78951);
NO;
References:
MacKie RM. Cutaneous lymphomas and lymphocytic infiltrates. In: Champion Rh, Burton JL, Burns DA, Breathnach SM. Rook/Wilkinson/Ebling Textbook of Dermatology. 6th ed.
Oxford: Blackwell Science Ltd.; 1998:2375-2382.
Zachheim HS, Amin S, Kashani-Sabt M, McMillan A. Prognosis in cutaneous T-cell lymphoma by skin stage: long-term survival in 489 patients. J Am Acad Dermatol.
1999;(40/3):418-425.
Thursday, January 07, 2010 9:22:08 AM
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