Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM24
MultiStage: No
DXCat Label: Neoplasm, Malignant: Lymphoma, Diffuse Mixed Small and Large Cell Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History or remission of diffuse mixed small
and large cell lymphoma
NO;
1.01 Limited to one anatomic lymph node region Lymph node group or group of contiguous lymph nodes with diffuse mixed small and large cell
lymphoma [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1A
1.02 Limited to one anatomic lymph node Stage 1.01
region and constitutional symptoms 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 1B
1.03 Limited to one anatomic lymph node Stage 1.02
region and constitutional symptoms and AND diffuse mixed small and large cell lymphoma involving non-nodal surrounding tissue
involvement of adjacent extranodal tissue
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1BE
DX 20081-20086;
STAGE 1.01 + (DX 3383 OR GROUP
FEVER OR DX 7808) ;
DX 20080;
STAGE 1.02 + DX 20080;
DX 20080 + (GROUP FEVER OR DX
7808);
2.01 Of 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 diffuse mixed small and large cell
lymphoma involving two anatomic regions on the same side of the diaphragm [operative/pathology
report]
OR Ann Arbor Clinical Staging System Stage 2A
Stage 2.01
AND diffuse mixed small and large cell lymphoma involving non-nodal surrounding tissues
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 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 diffuse mixed small and large cell lymphoma involving non-nodal surrounding tissues
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 2BE
DX 20088;
NO;
NO;
NO;
Thursday, January 07, 2010 9:22:09 AM
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