Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: NEU18
MultiStage: No
DXCat Label: Neoplasm: Central Nervous System Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of Central Nervous System
Neoplasia
History of central nervous system neoplasia
DX V1085, V1086;
1.01 Central Nervous System Neoplasia Meningiomas [operative/pathology report]
OR gliomas [operative/pathology report]
OR schwannomas [operative/pathology report]
OR glioblastoma multiforme [operative/pathology report]
OR astrocytoma [operative/pathology report]
OR oligodendroglioma [operative/pathology report]
OR ependymoma [operative/pathology report]
OR medulloblastoma [operative/pathology report]
OR craniopharyngioma [operative/pathology report]
OR pituitary adenoma [operative/pathology report]
Presumptive Diagnostic Findings:
Central nervous system neoplasia [ CT scan or MRI report]
DX 1910-1929, 2250, 2252-2259,
22802, 2375, 2376 , 2379, 2396;
1.02 with ataxia Stage 1.01
AND ataxia
2.01 with cranial nerve deficits Stage 1.01
AND (the following new findings occur and persist beyond 3 days after therapy):
cranial nerve palsy:
2.02 with hydrocephalus or papilledema Stage 1.01-2.01
AND hydrocephalus [CT Scan or MRI report]
OR papilledema
3.01 with grand mal (or simple or complex
partial) seizures
3.02 with hemiparesis or hemiplegia or
paraplegia or paraparesis
Stage 1.01-3.01
AND seizure disorder [EEG report or physical examination]
OR tonic-clonic convulsions
OR simple seizures [EEG report or physical examination]
OR complex partial seizures [EEG report or physical examination]
Stage 1.01-2.02
AND hemiparesis
OR hemiplegia
OR paraplegia
OR paraparesis
3.03 with decerebrate rigidity Stage 1.01-3.02
AND decerebrate rigidity
OR flaccid generalized paralysis
STAGE 0.00-1.01 + (DX 33189,
3344, 7813);
STAGE 0.00-1.02 + (GROUP
CRAN_NRV_PAL OR GROUP
BLINDNESS OR DX 3383);
STAGE 0.00-2.01 + (DX 3314,
3485, 37700, 37701);
STAGE 0.00-2.02 + (DX 34500-
34501, 34510-3453, 34540-34541,
34550-34551, 34570-34571, 34580-
34581, 34590-34591, 78032,
78039);
STAGE 0.00-3.01 + (DX 34200-
34202, 34210-34282, 34290-
34292, 3441);
STAGE 0.00-3.02 + (DX 34400-
34409, 34481);
Thursday, January 07, 2010 9:22:50 AM
©2010 Thomson Reuters. All rights reserved.