Always follow the text guidelines per the State you are abstracting for and facility. See the definitions of the two fields below per the NAACCR Data Dictionary. The two fields should not contain the exact same identical information in the…
Scenario: 04-02-2021 Exploratory laparotomy, total abdominal hysterectomy, laparoscopic salpingo-oophorectomy, bilateral pelvic and paraaortic lymph node sampling, omental biopsy. Path showed 1/1 pelvis lymph node bx+ and 0/1 paraaortic lymph node + Question: Do you code date of lymph node “sampling” in Date of…
Scenario: 03-01-2021 Total Vaginal Hysterectomy Path shows FIGO Grade 1 Endometrioid Adenocarcinoma Stage 1A [only scans prior to surgery were a transvaginal US which showed very small uterine fibroid but no other abnormalities] 03-05-2021 After surgery physician discusses final pathology,…
Scenario: 03-01-2021 Patient has a NET of the ileum w/mets to liver and bone with mesenteric and peritoneal deposits. Patient was given Lutathera in nuclear medicine department 03-19-2021. Question: How would Lutathera be coded? 13 Radioisotope, NOS 98 Radiation treatment administered; modality…
Scenario: 03-01-2021 Biopsy of axillary lymph node: diffuse large b cell lymphoma 03-05-2021 Scans show lymphadenopathy of the axillary and pelvic lymph nodes. 03-12-2021 Bone marrow biopsy +diffuse large b cell lymphoma Question: How would Mets at Diagnosis Fields be coded? Answer…
There’s a new CTR Guide to Coding Radiation Therapy Treatment in the STORE Version 3.0 February 2021 [found the link on the CAnswer Forum] http://cancerbulletin.facs.org/forums/images/Case-Studies-for-Coding-Radiation-Treatment-v3-2021.pdf NCDB Reposted a New Version of the STORE 2021. Make sure you are working with…
Below are 2 scenarios that are very similar but have very different answers. Be aware of the subtle differences, it is all about the behavior. Scenario 1: 01-15-2021 Needle biopsy LUOQ breast: LCIS 02-07-2021 Lumpectomy LUOQ Breast:2 tumors LUOQ: 1…
TIP: Be sure to Read Summary of Changes 2021 in the new STORE 2021 https://www.facs.org/quality-programs/cancer/ncdb/call-for-data/cocmanuals Scenario: (Needle Biopsy Regional Lymph Node Positive) 1/03/2021 RUL biopsy+ adenocarcinoma done at outside facility 1/06/2021 Fine Needle Aspirate cytology of hilar lymph node +…
Scenario: [Assume registry software has been updated to NAACCR v21 layout] 07-01-2020 diagnosed with cervical cancer biopsy, undergoes neoadjuvant therapy. 01-15-2021 biopsy cervix: Mod differentiated adenocarcinoma 01-22-2021 TAH BSO Cervix: High Grade adenocarcinoma Question: How would you record Grade Post…
Scenario: December 2019 patient presents with elevated PSA 8.4, scheduled for prostate biopsy but it was delayed due to COVID, and was not performed until May 2020. At that point, biopsy +adenocarcinoma Gleason 3+3. Question: How would you record the…