Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: HEM37
MultiStage: No
DXCat Label: Neoplasm, Malignant: Lymphoma, Other Types Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
1.01 Marginal zone, mantle cell, primary central
nervous sytem, anaplastic large cell, large
cell, or peripheral T-cell lymphoma limited
to one lymph zone
Lymph node group or group of contiguous lymph nodes with marginal zone, mantle cell, primary
central nervous sytem, anaplastic large cell, large cell, or peripheral T-cell lymphoma
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 1A
DX 20031-20036, 20041-20046,
20051-20056, 20061-20066, 20071-
20076, 20271-20276;
1.02 Limited to one anatomical region and
constitutional symptoms
Stage 1.01
AND fever:
OR
OR
OR
history of night sweats
weight loss of ≥ 10% baseline body weight in 6 months
Ann Arbor Clinical Staging System Stage 1B
STAGE 1.01 + (DX 3383 OR GROUP
FEVER OR DX 7808) ;
1.03 Limited to one anatomical region and
constitutional symptoms and involvement
of adjacent extranodal tissue
Stage 1.02
AND
marginal zone, mantle cell, primary central nervous sytem, anaplastic large cell, large cell,
or peripheral T-cell lymphoma involving non-nodal surrounding tissue [operative/pathology
report]
OR
Ann Arbor Clinical Staging System Stage 1BE
DX 20030, 20040, 20050, 20060,
20070, 20270;
(DX 20030, 20040, 20050, 20060,
20070, 20270) + (GROUP FEVER
OR DX 7080);
2.01 Of two anatomic lymph node regions on
the same side of the diaphragm
Lymph node group or group of contiguous lymph nodes with marginal zone, mantle cell, primary
central nervous sytem, anaplastic large cell, large cell, or peripheral T-cell lymphoma involving two
anatomic regions on the same side of the diaphragm [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 2A
DX 20038, 20048, 20058, 20068,
20078, 20278;
2.02 Of two anatomic lymph node regions on
the same side of the diaphragm and
adjacent tissue involvement
Stage 2.01
AND
marginal zone, mantle cell, primary central nervous sytem, anaplastic large cell, large cell,
or peripheral T-cell lymphoma involving non-nodal surrounding tissues
[operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 2AE
NO;
2.03 Of two anatomic lymph node regions on
the same side of the diaphragm with
constitutional symptoms
Stage 2.01
AND fever:
OR
OR
OR
history of night sweats
weight loss of ≥ 10% baseline body weight in 6 months
Ann Arbor Clinical Staging System Stage 2B
NO;
Thursday, January 07, 2010 9:22:15 AM
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