Site-Specific Factor 2: Systemic Symptoms at Diagnosis

Note 1: Each stage should be classified as either A or B according to the absence or presence of definedconstitutional symptoms, such as:

• Fevers: Unexplained fever with temperature above 38 degrees C;
• Night sweats: Drenching sweats that require change of bedclothes;
• Weight loss: Unexplained weight loss of more than 10% of the usual body weight in the 6 months prior to diagnosis.

Note 2: Pruritus alone does not qualify for B classification, nor does alcohol intolerance, fatigue, or a short, febrile
illness associated with suspected infections.

Code	Description	Modifier
000	No B symptoms (Asymptomatic)	A
010	Any B symptoms: Night sweats Unexplained fever (above 38 degrees C) Unexplained weight loss (generally greater than 10% loss of body weight in the six months before admission) B symptoms, NOS	B
020	Pruritis (if recurrent and unexplained)	B
030	(010) + (020)	B
999	Unknown Not stated Not documented in patient record	BLANK

The "A" or "B" is appended to the stage I-IV as determined in the data item Site-Specific Factor 2, Systemic Symptoms at Diagnosis.