The December 2023 CTR coding break topic is “Ambiguous Terminology and Cytology Nuances” The varying use of ambiguous terminology in a medical record can be a challenge while determining a diagnosis. The SEER and STORE manuals provide detailed guidelines of the best way to navigate these situations. The objectives for this presentation are: to learn how to use ambiguous terms and where to find them; an…
Our newest video presentation is titled: Sepsis Chatter-A Review of Abstraction Challenges. This presentation encompasses a variety of abstraction topics that have generated in depth interpretation discussions over the past six months. The following sub-topics will be covered in detail: Each of the covered topics will include specific abstraction guidance that is defined in the current CMS Specifications Manual for National Hospital Inpatient Quality Measures. We…
Estrogen and Progesterone percent positive or range is the percentage of cells staining ER or PR positive by IHC. Breast SSDI estrogen receptor (ER) percent positive or range and progesterone receptor (PR) percent positive or range have been collected since 2018. Cancers with these types of receptors are called hormone responsive cancers. Hormone responsive cancer patients will most likely be prescribed treatments that will block estrogen…
In the Registry Partners October 2023 CTR Coding Break, presenter Monica Reece, RHIT, CTR discusses palliative care definitions as described in our standard setter manuals and goes into detail for the STORE manual palliative care codes. Palliative care reporting tracks care that helps prolong the patient’s life by controlling symptoms, to alleviate pain or to make the patient comfortable. Pleurx drain placement and thoracentesis procedures are…
