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Q&A: Regional Nodes Examined

Q:    A patient diagnosed with breast cancer by a core biopsy of a supraclavicular lymph node followed by a mastectomy with seven axillary lymph nodes removed.   How do you code regional nodes examined, 07 or 08? A:    Code 08, per CS general instructions if the positive aspiration or core biopsy is from a node in a “different” node region, include the node in the count of…

Posted on Apr. 10, 2015 in How Should I Code This?

National Cancer Registrars Week 2015

      Celebrate National Cancer Registrars Week – April 6 – 10, 2015 beacon (also known as Certified Tumor Registrar) noun bea·con ˈbē-kən CTR a strong light that can be seen from far away and that is used to help guide ships, airplanes, etc. a radio signal that is broadcast to help guide ships, airplanes, etc. someone or something (such as a country) that guides…

Posted on Apr. 8, 2015 in From Our Perspective

Q&A: AJCC Category

Q:     What is the clinical and pathologic stage of a carcinoma in situ (CIS) of the breast where the pathologic criteria has been met – patient underwent a breast lumpectomy. A:     cT blank, cN0, cM0 clinical stage group 0, PTis, pN blank, pM blank pathologic stage group 0 Per AJCC general instructions page 12, carcinoma in situ is an exception to the stage grouping guidelines.  By…

Posted on Mar. 27, 2015 in How Should I Code This?

Interview with a Hospital Administrator Commission on Cancer Surveyor, Bill Laffey

During a recent meeting at the American Cancer Executives Meeting in Charleston, South Carolina, I had the opportunity to listen to Bill Laffey speak on the CoC standards.  His perspective from being an administrator rather than a physician was a change from most presentations I had heard.  I went on to ask him a few questions I thought would be of interest to our readers.  …

Posted on Mar. 26, 2015 in From Our Perspective