Disease staging: CliniCal anD CoDeD Criteria - HCUP

Clinical Criteria with Description, Diagnostic Findings and ICD-9-CM codes
DXCat Number: SKN08
MultiStage: No
DXCat Label: Neoplasm, Malignant: Melanoma Specificity: A
Etiology: Neoplasm
Stage Description Diagnostic findings ICD-9-CM Codes
0.00 History of melanoma History of prior melanoma
DX V1082;
OR dysplastic nevus syndrome
1.01 Melanoma in situ Irregularly shaped brown lesion with variation in brown or black pigmentation
(dermatology report)
AND intraepidermal melanoma [operative/pathology report or S-100 and
HMB-45 tests or electron microscopy (pathology report)]
AND Melanoma not within the papillary dermis
[operative/pathology report]
OR Clark Level 1
NO;
2.01 Lentigo maligna melanoma or superficial
spreading melanoma or nodular melanoma
or acral lentiginous melanoma
Stage 0.00-1.01
AND melanoma ≤ 0.75 mm. depth within the papillary dermis
[operative/pathology report]
OR American Joint Cancer Commission Stage T1
OR Clark Level 2
OR melanoma ≤ 1.5 mm. depth within the papillary dermis
[operative/pathology report]
OR American Joint Cancer Commission Stage T2
OR Clark Level 3
OR melanoma ≤ 3.00 mm. depth of invasion into the dermis
[operative/pathology report]
OR American Joint Cancer Commission T3A
OR Clark Level 4
DX 1720-1729;
3.01 with regional lymph node involvement Stage 1.01-2.01
AND melanoma with regional lymph node involvement
[pathology report or sentinel lymph node biopsy report AND CT scan report]
OR melanoma within the subcutaneous fat [operative/pathology report]
OR melanoma ≤ 3.99mm. depth of invasion through the skin
[operative/pathology report]
OR American Joint Cancer Commission Stage T3B
OR Clark Level 4
STAGE 0.00-2.01 + DX 1960-1969;
Thursday, January 07, 2010 9:23:18 AM
©2010 Thomson Reuters. All rights reserved.