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
2.04 Of two anatomic lymph node regions on Stage 2.03
NO;
the same side of the diaphragm with
constitutional symptoms and adjacent
tissue involvement
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 2BE
3.01 On both sides of the diaphragm or
involving the spleen
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 both
sides of the diaphragm [operative/pathology report]
OR diffuse mixed small and large cell lymphoma involving the spleen [operative/pathology
report]
OR diffuse mixed small and large cell lymphoma involving the celiac nodes
[operative/pathology report
OR diffuse mixed small and large cell lymphoma involving the portal nodes
[operative/pathology report
OR Ann Arbor Clinical Staging System Stage 3A1
OR Ann Arbor Clinical Staging System Stage 3B1
DX 20037, 20047, 20057, 20067,
20077, 20277;
3.02 On both sides of the diaphragm or
involving the spleen with extension to
adhacent tissues
Stage 3.01
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 3A1E
OR Ann Arbor Clinical Staging System Stage 3B1E
NO;
3.03 On both sides of the diaphragm or
involving the spleen and further extension
into the peritoneal cavity
tage 3.01
AND mesenteric nodal involvement [operative/pathology report]
OR para-aortic nodal involvement [operative/pathology report]
OR iliac nodal involvement [operative/pathology report]
OR femoral nodal involvement [operative/pathology report]
OR Ann Arbor Clinical Staging System Stage 3A2
OR Ann Arbor Clinical Staging System Stage 3B2
OR Ann Arbor Clinical Staging System Stage 3A2E
OR Ann Arbor Clinical Staging System Stage 3B2E
OR 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]
STAGE 1.01-3.01 + DX 78951;
Thursday, January 07, 2010 9:22:15 AM
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