Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MGS04
MultiStage: No
DXCat Label: Neoplasm, Malignant: Breast, Male Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of carcinoma of the breast
DX V103 + MALE;
1.01 in situ Carcinoma of the breast in situ [operative/pathology report]
DX 2330 + MALE;
OR American Joint Committee on Cancer Stage 0
1.02 Malignant neoplasm of the breast of Malignant neoplasm of the breast of unspecified size or malignant cysosarcoma phyllodes DX 1750-1759 + MALE;
unspecified size or malignant cysosarcoma [operative/pathology report]
phyllodes
1.03 ≤ 2 cm in diameter Carcinoma of the breast ≤ 2.0 cm in diameter [operative/pathology report]
AND no lymph node involved [operative/pathology report]
OR American Joint Committee on Cancer Stage 1
1.04 > 2 cm and ≤ 5 cm in diameter or single Carcinoma of the breast > 2 and ≤ 5.0 cm in diameter [operative/pathology report]
ipsilateral node involved
OR < 1 ipsilateral lymph node involved [operative/pathology report]
OR American Joint Committee Stage 2a
2.01 > 5 cm in diameter Carcinoma of the breast > 5.0 cm in diameter [operative/pathology report]
OR American Joint Committee Stage 2b
3.01 Nodal involvement with fixation > 1 ipsilateral node with fixation [operative/pathology report]
OR American Joint Committee Stage 3a
3.02 Tumor extension to skin or tumor Tumor extension to skin [operative/pathology report]
extension to chest or internal mammary OR tumor extension to chest [operative/pathology report]
node involvement
OR internal mammary node involvement [operative/pathology report]
OR American Joint Committee Stage 3b
3.03 with metastasis Carcinoma of the breast involving the lungs [operative/pathology report or chest x-ray or CT scan]
OR carcinoma of the breast involving the liver [operative/pathology report or CT scan or
liver/spleen scan]
OR carcinoma of the breast involving the skeletal system [operative/pathology report or bone
scan or x-ray]
OR American Joint Committee Stage 4
NO;
STAGE 0.00-1.02 + DX 1963;
NO;
NO;
STAGE 0.00-1.04 + (DX 3383,
1961, 1970-1973, 1982);
STAGE 0.00-3.02 + (DX 1960,
1962, 1965, 1968-1969, 1974-
1981, 1984-1985, 1987-1991 ,
78951, 20970-20979);
4.00 and death Stage 1.02-3.02
AND death
NO;
Thursday, January 07, 2010 9:22:30 AM
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