2014 Instructions for Coding Grade Q: What is the grade for a patient diagnosed in 2014 with a Gleason reported as 3+4 = 7? A: The grade would be coded to a grade code of 2 for a Gleason score of 7 per the instructions for coding grade for 2014+ This is one of the grade changes effective for 1/1/2014 diagnoses http://seer.cancer.gov/tools/grade/