Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: DEN06
MultiStage: No
DXCat Label: Neoplasm, Malignant: Oral Cavity Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of cancer of the oral cavity
DX V1002;
1.01 Cancer of the oral cavity < 2 cm in TNM Classification Stage 1
DX 1403-1405, 1410, 1411-1419,
diameter
OR American Joint Committee on Cancer Stage I
1430-1459, 1490, 1491, 1498,
OR Cancer of the oral cavity ≤ 2 cm. in diameter [operative/pathology report or CT scan report
or MRI scan report]
1499;
2.01 Tumor ≥ 2 cm in diameter and < 4 cm in
diameter
TNM Classification Stage 2
OR American Joint Committee on Cancer Stage II
OR Cancer of the oral cavity ≤ 4 cm. in diameter [operative/pathology report or CT scan report
or MRI scan report]
3.01 Tumor ≥ 4 cm in diameter TNM Classification Stage 3
OR American Joint Committee on Cancer Stage III
OR Cancer of the oral cavity ≥ 4 cm. in diameter [operative/pathology report or CT scan
report
or MRI scan report]
OR isolated neck node ≤ 3 cm. in diameter [operative/pathology report or CT scan report or
3.02
MRI scan report]
with invasion of adjacent tissues or beyond TNM Classification Stage 4
OR American Joint Committee on Cancer Stage IV
OR cancer of the oral cavity involves any structure beyond the neck
[operative/pathology report or CT scan report or MRI scan report]
OR isolated neck node ≥ 3 cm. in diameter [operative/pathology report or CT scan report or
MRI scan report]
OR neck metastasis involving > 1 lymph node [operative/pathology report or CT scan report or
MRI scan report]
OR neck metastasis has fixation to surrounding soft tissue [operative/pathology report or CT
scan report or MRI scan report]
OR multiple contralateral or ipsilateral nodes [operative/pathology report or CT scan report or
MRI scan report]
NO;
NO;
STAGE 0.00-1.01 + (DX 1960,
1961, 1962, 1963, 1965, 1966,
1968, 1969, 1970, 1971, 1972,
1973, 1974, 1975, 1976, 1977,
1978, 1980, 1981, 1982, 1983,
1984, 1985, 1986, 1987, 19881,
19882, 19889, 1990, 1991, 3383,
78951, 20970-20979);
3.03 with shock Stage 2.01-3.02
AND shock:
4.00 and death Stage 2.01-3.03
AND death
STAGE 1.01-3.02 + (GROUP
SHOCKC OR GROUP SHOCKN) ;
NO;
Thursday, January 07, 2010 9:21:22 AM
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