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Tumor Tip of the Week – Lutathera

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 unknown

Answer:  13 Radioisotope, NOS

Rationale:

SEER*Rx Interactive Antineoplastic Drugs Database https://seer.cancer.gov/seertools/seerrx/

Lutathera coded as radiation subcategory Radioisotope

CTR Guide to Coding Radiation Therapy Treatment in the STORE http://cancerbulletin.facs.org/forums/images/Case-Studies-for-Coding-Radiation-Treatment-v3-2021.pdf

 

Radiation Date Started 03/19/2021
Radiation Date Ended 03/19/2021
Number of phases 01
Total dose 999998
Phase 1 Volume 98 Other
Phase 1 Rad to Nodes 00 No Rt to draining Nodes
Phase 1 Modality 13 radioisotopes, Nos
Phase I Planning Technique 88 Not applicable
Phase 1 Number Fractions 1
Phase 1 Dose per Fraction 99998
Total Phase 1 Dose 999998
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