Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM34
MultiStage: No
DXCat Label: Neoplasm, Malignant: Multiple Myeloma Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History or remission of multiple myeloma
DX 20301, 20311, V1079;
1.01 Multiple myeloma Multiple myeloma in bone marrow [bone marrow biopsy report]
DX 20300, 20310, 20302, 20312;
OR monoclonal immunoglobulin, M component, paraprotein spike in serum [serum protein
electrophoresis report]
2.01 with osteolytic lesions or anemia or
pathologic fracture
Stage 1.01
AND osteoporosis:
OR osteolytic bone lesions [KUB x-ray or chest x-ray or skull x-ray or spine series x-ray]
OR anemia:
OR pathologic fracture [x-ray report]
STAGE 1.01 + (DXCAT MUS38 OR
GROUP ANEM_NEOPL OR DX 3383,
73310-73319);
2.02 with hyperuricemia or hypercalcemia Stage 1.01-2.01
AND hyperuricemia:
OR hypercalcemia:
2.03 with amyloidosis of the lungs or liver or Stage 1.01-2.02
spleen
AND amyloidosis of the lungs [operative/pathology report]
OR amyloidosis of the liver [operative/pathology report]
OR amyloidosis of the spleen [operative/pathology report]
2.04 with nephrotic syndrome or renal Stage 1.01-2.03
amyloidosis or renal tubular acidosis AND renal amyloidosis [operative/pathology report]
OR 24 hour urine protein ≥ 3.0 g/dl
AND total serum protein ≤ 3.0 g/dl
OR renal tubular acidosis
3.01 with amyloidosis of the heart Stage 1.01-2.04
AND amyloidosis of the heart [operative/pathology report or echocardiogram report]
3.02 with congestive heart failure Stage 1.01-3.01
AND congestive heart failure:
3.03 with spinal cord compression Stage 1.01-3.02
AND collapsed vertebrae [operative/pathology report or CT scan or MRI scan report]
OR spinal cord compression [operative/pathology report or CT scan or MRI scan report]
STAGE 1.01-2.01 + (GROUP
HYPER_URICEM OR GROUP
HYPR_CALCEM);
STAGE 1.01-2.02 + DX 2273;
STAGE 2.03 + DX 58381;
STAGE 2.03-2.04 + DX 4257;
STAGE 1.01-3.01 + (GROUP
CHF__NON_HTN OR DX 78951);
STAGE 1.01-3.02 + DX 3369;
3.04 with renal failure Stage 1.01-3.04
AND renal failure:
3.05 with shock Stage 1.01-3.04
AND shock:
STAGE 1.01-3.03 + (GROUP
REN_FAIL_ACU OR GROUP
REN_FAIL_CHR);
STAGE 1.01-3.04 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
Thursday, January 07, 2010 9:22:14 AM
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