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Disease staging: CliniCal anD CoDeD Criteria - HCUP

Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: HEM26<br />

MultiStage: No<br />

DXCat Label: Neoplasm, Malignant: Lymphoma, Follicular Mixed Small Cleaved and Large Cell Specificity: A<br />

Etiology: Neoplasm<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

3.01 On both sides of the diaphragm or<br />

involving the spleen<br />

Lymph node group or group of contiguous lymph nodes with follicular mixed small cleaved and large<br />

cell lymphoma involving both sides of the diaphragm [operative/pathology report]<br />

NO;<br />

OR follicular mixed small cleaved and large cell lymphoma involving the spleen<br />

[operative/pathology report]<br />

OR follicular mixed small cleaved and large cell lymphoma involving the celiac nodes<br />

[operative/pathology report]<br />

OR follicular mixed small cleaved and large cell lymphoma involving the portal nodes<br />

[operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 3A1<br />

OR Ann Arbor Clinical Staging System Stage 3B1<br />

3.02 On both sides of the diaphragm or<br />

involving the spleen with extension to<br />

adjacent tissues<br />

3.03 On both sides of the diaphragm or<br />

involving the spleen and further extension<br />

into the peritoneal cavity<br />

Stage 3.01<br />

AND follicular mixed small cleaved and large cell lymphoma involving non-nodal surrounding<br />

tissues [operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 3A1E<br />

OR Ann Arbor Clinical Staging System Stage 3B1E<br />

Stage 3.01<br />

AND mesenteric nodal involvement [operative/pathology report]<br />

OR para-aortic nodal involvement [operative/pathology report]<br />

OR iliac nodal involvement [operative/pathology report]<br />

OR femoral nodal involvement [operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 3A2<br />

OR Ann Arbor Clinical Staging System Stage 3B2<br />

OR Ann Arbor Clinical Staging System Stage 3A2E<br />

OR Ann Arbor Clinical Staging System Stage 3B2E<br />

OR follicular mixed small cleaved and large cell lymphoma involving non-nodal<br />

surrounding tissues [operative/pathology report]<br />

NO;<br />

NO;<br />

3.04 with diffuse extranodal tissue involvement Stage 1.01-3.03<br />

AND involvement of extranodal tissues without involvement of that organ's anatomic lymph node<br />

region [operative/pathology report]<br />

OR Ann Arbor Clinical Staging System Stage 4A<br />

OR Ann Arbor Clinical Staging System Stage 4B<br />

3.05 with spinal cord compression Stage 1.01-3.04<br />

AND spinal cord compression [CT scan or MRI or operative/pathology report]<br />

NO;<br />

NO;<br />

Thursday, January 07, 2010 9:22:10 AM<br />

©2010 Thomson Reuters. All rights reserved.

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