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Tumor Tip of the Week-Breslow Thickness At Least or Greater Than

Scenario:  01-24-2020 path report Malignant Melanoma Breslow thickness at least 2.05mm

Question:  How would the SSDI Breslow Thickness be recorded?

    • 2.0
    • 2.1
    • A2.1

Answer:  A2.1

Rationale: SSDI Instructions Breslow Tumor Thickness Note 5: If the pathologist describes the thickness as “at least,” use the appropriate A code. An exact measurement takes precedence over A codes.

  • If the pathologist states “greater than” instead of “at least”, code to XX.9, unless it is greater than 9.9 mm (Code AX.0)
  • Examples:
    • Pathologist states the thickness is “at least 2.0 mm.” Code A2.0 [at least 8mm Code A8.0]
    • Pathologist states the thickness is “greater than 4 mm.” Code XX.9
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