Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM26
MultiStage: No
DXCat Label: Neoplasm, Malignant: Lymphoma, Follicular Mixed Small Cleaved and Large Cell Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History or remission of follicular mixed
small cleaved and large cell lymphoma
NO;
1.01 Limited to one anatomic lymph node region Lymph node group or group of contiguous lymph nodes with follicular mixed small cleaved and large
cell lymphoma
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1A
1.02 Limited to one anatomic lymph node
region and constitutional symptoms
1.03 Limited to one anatomic lymph node
region and constitutional symptoms and
involvement of adjacent extranodal tissue
Stage 1.01
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 1B
Stage 1.02
AND follicular mixed small cleaved and large cell lymphoma involving non-nodal surrounding
tissue [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1BE
NO;
NO;
NO;
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 follicular mixed small cleaved 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 follicular mixed small cleaved 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
follicular mixed small cleaved and large cell lymphoma involving non-nodal surrounding
tissues [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 2BE
NO;
NO;
NO;
NO;
Thursday, January 07, 2010 9:22:10 AM
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