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Tumor Tip of the Week-Ovarian Grade

Scenario:  06-18-2020 Ovarian primary TAH/BSO- endometrioid adenocarcinoma-FIGO grade 1, however, focal areas (1-2%) with high nuclear grade, consistent with FIGO grade 2 Question:  How would the pathological grade be coded? 1 G1: Well differentiated 2 G2: Moderately differentiated 3 G3:…

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Tumor Tip of the Week-Planning Technique

Scenario: 05-05-2020 -05-08-2020 LUL 5400cGy in 3 fractions (1800 cGy/fx) 10 MV hyperfractionated IMRT based stereotactic body radiotherapy Question:  How would Phase I External Beam Radiation Planning Technique be coded? 05 Intensity modulated therapy (IMRT) 06 Stereotactic radiotherapy or radiosurgery,…

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Tumor Tip of the Week-Diagnostic Confirmation

Scenario:  4-10-2020 CT Abdomen/Pelvis: Bilobed hypoenhancing mass within the pancreatic body/tail compatible with a primary pancreatic malignancy. Metastatic disease could have a similar appearance. 04-09-2020 CA 19-9    28,600 U/mL   HIGH Managing Physician Statement: Metastatic cancer most likely pancreatic origin. I…

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Tumor Tip of the Week-Myeloma SSDI’s

Scenario:  11/1/2019 Bone Marrow Biopsy: Hypercellular marrow (60-70%) w/ mature trilineage hematopoiesis. 10% clonal plasma cells identified. See Note: Serum protein electrophoresis with immunofixation showed a monoclonal IgG lambda. The serum calcium is increased (9.9 mg/dl, < 11mg/dl, does not…

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