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Disease staging: CliniCal anD CoDeD Criteria - HCUP

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Clinical <strong>Criteria</strong> with Description, Diagnostic Findings and ICD-9-CM codes<br />

DXCat Number: SKN08<br />

MultiStage: No<br />

DXCat Label: Neoplasm, Malignant: Melanoma Specificity: A<br />

Etiology: Neoplasm<br />

Stage Description Diagnostic findings ICD-9-CM Codes<br />

3.02 with distant metastasis Stage 1.01-3.01<br />

STAGE 0.00-3.01 + (DX 3383,<br />

AND metastasis to lung (chest x-ray, CT scan or gallium scan)<br />

1970-1978, 1980-19889, 1990-<br />

OR metastasis to liver (liver/spleen scan or CT scan or gallium scan)<br />

1991, 78951, 20970-20979) ;<br />

OR metastasis to bone (bone x-ray or bone scan)<br />

OR metastasis to brain (brain CT scan or MRI)<br />

OR melanoma ≥ 4.0 mm. depth of invasion through the skin [operative/pathology report]<br />

OR American Joint Cancer Commission Stage T4A or T4B<br />

OR Clark Level 5<br />

4.00 with death Stage 3.01-3.02<br />

AND death<br />

NO;<br />

References:<br />

Balch CM, Murad TM, Soong SJ et al. A multifactorial analysis of melanoma: prognostic histopathological features comparing Clark’s and Breslow”s <strong>staging</strong> methods. Ann Surg.<br />

1978;(188):732-42.<br />

Berg P, Lindelof B. Differences in malignant melanoma between children and adolescents. a 35-year epidemiological study. Archives of Dermatology. 1997;133(3):295-7.<br />

Berger TG. Skin & appendages. In: Tierney Jr LM, McPhee SJ, Papadakis MA, eds. Current Medical Diagnosis & Treatment. Stamford, CT: Appleton & Lange; 1998:111-180.<br />

Glass F, Cottam J, Reintgen D, Fenska N. Lymphatic mapping and lymphnode biopsy in the management of high risk melanoma. J Am Acad Dermatol. 1998;(39/4):603-610.<br />

MacKie RM. Melanocytic naevi and malignant melanoma. In: Champion RH, Burton JL, Burns DA, Breathnach SM. Rook/Winkinson/Ebling Textbook of Dermatology. 6th ed..<br />

Oxford: Blackwell Science Ltd.; 1998:1737-1752.<br />

Reintgen D, Balch CM, Kirkwood J, Ross M. Recent advances in the care of the patient with malignant melanoma. Annals of Surgery. 1997;225(1):1-14.<br />

Sober AJ, Koh HK, Tran N-LT , Washington Jr CV. Melanoma and other skin cancers. In: Fauci AS, Braunwald E, Isselbacher KJ, Wilson JD, Martin JB, Kasper DL, Hauser SL,<br />

Longo DL, eds. Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill; 1998:543-549.<br />

Thursday, January 07, 2010 9:23:18 AM<br />

©2010 Thomson Reuters. All rights reserved.

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