Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM35
MultiStage: No
DXCat Label: Neoplasm, Malignant: Waldenstrom's Macroglobulinemia Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Macroglobulinemia Infiltration of bone marrow by plasmacytic lymphocyte [bone marrow report]
DX 2733;
AND IgM spike in the beta or gamma globulin region [immunoelectrophoresis report]
2.01 with anemia Stage 1.01
AND anemia:
2.02 with coagulopathies Stage 1.01-2.01
AND coagulation defect:
2.03 with severe anemia Stage 1.01-2.02
AND hemoglobin < 6 gm/dl [hematology report]
2.04 with hyperviscosity syndrome Stage 1.01-2.03
AND serum viscosity > 2.0 [hematology report]
2.05 with coronary artery disease Stage 1.01-2.04
AND angina:
STAGE 1.01 + GROUP
ANEM_OTH_UN;
STAGE 1.01-2.01 + GROUP
COAG_DEFECT;
NO;
NO;
STAGE 1.01-2.02 + (DX 3383 OR
DXCAT CVS10 OR DXCAT CVS11);
3.01 with congestive heart failure Stage 1.01-2.05
AND congestive heart failure:
3.02 with cerebrovascular accidents Stage 1.1-3.1
AND new intracerebral infarction or hemorrhage [CT scan or MRI scan report]
STAGE 1.01-2.05 + (GROUP
CHF__NON_HTN OR DX 78951);
STAGE 1.01-3.01 + (DX 430, 431,
4320, 4321, 4329 , 43301, 43311,
43321, 43331, 43381, 43391 ,
43401, 43411, 43491, 436);
3.03 with sepsis Stage 1.01-3.02
AND sepsis:
3.04 with shock Stage 1.01-3.02
AND shock:
3.06
4.00 with death Stage 2.01-3.03
AND death
STAGE 1.01-3.02 + GROUP SEPSIS;
STAGE 1.01-3.03 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
NO;
References:
Linker CA. Blood. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:479-534.
Longo DL. Plasma cell disorders. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL, Longo DL, eds. Harrison's Principles of Internal
Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:712-718.
Patel TC, Moore SB, Pineda AA, Witzig TE. Role of plasmapheresis in thrombocytopenic purpura associated with Waldenstrom's macroglobulinemia. Mayo Clinic Proceedings.
1996;71(6):597-600.
Thursday, January 07, 2010 9:22:14 AM
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