Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: MGS06
MultiStage: No
DXCat Label: Neoplasm, Malignant: Prostate Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of carcinoma of the prostate
DX V1046;
1.01 Less than 3 microscopic areas of No palpable tumor
DX 2334;
carcinoma on prostate
AND ≤ 3 high power fields of carcinoma [TURP operative/pathology report]
OR Stage T1a
1.02 Greater than 3 areas of microscopic No palpable tumor
NO;
carcinoma on prostate
AND > 3 high power fields of carcinoma [TURP operative/pathology report]
OR Stage T1b
1.03 Prostate specific antigen diagnosis for No palpable tumor
DX 79093;
prostate carcinoma
AND Prostate specific antigen elevation > 4 ng/ml [chemistry report]
OR Stage T1c
2.01 Tumor 1.5 cm in greatest dimension or in
more than 1 lobe
2.02 Tumor > 1.5 cm in greatest dimension or
in more than 1 lobe
Palpable tumor nodule, confined to prostate
Tumor ≤ 1.5 cm or with normal tissue on two sides [radical prostatectomy /pathology report]
OR Stage 2a
Palpable tumor nodule, confined to prostate
Tumor > 1.5 cm or in more than one prostate lobe [radical prostatectomy /pathology report]
OR Stage 2b
3.01 Tumor has local extension Palpable tumor extends beyond prostate
Tumor extends through capsule on one or both sides [radical prostatectomy/pathology report]
OR Stage T3a
3.02 with seminal vesicle involvement Tumor invades seminal vesicals [radical prostatectomy/pathology report]
OR Stage T3b
3.03 Tumor is fixed or invades adjacent Carcinoma of the prostate with adjacent organ involvement [radical prostatectomy/pathology report]
structures
OR Stage T4
3.04 with involvement of a single node ≤ 2 cm Carcinoma of the prostate with involvement of a single node ≤ 2 cm [operative/pathology report]
OR Stage N1
3.05 with involvement of node > 2 cm and < 5 Carcinoma of the prostate with involvement of node > 2 cm and < 5 cm diameter [operative/pathology
cm in diameter
report or imaging study]
OR Stage N2
3.06 with nodes > 5 cm in diameter Carcinoma of the prostate with involvement of node > 5 cm diameter [operative/pathology report or
imaging study]
OR Stage N3
DX 185;
NO;
STAGE 0.00-2.01 + (DX 19882,
3383);
NO;
STAGE 0.00-3.01 + DX 1981;
STAGE 0.00-3.03 + DX 1965-1966;
NO;
NO;
Thursday, January 07, 2010 9:22:31 AM
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