FROM THE CANSWER FORUM:
- Examples of class of case 22 vs 30:
- Example 1: The patient was diagnosed with liver metastases seen on CT at Facility A and underwent colonoscopy and biopsy of colonic tumor. The histology was low grade adenocarcinoma of colonic primary. Additional work up at Facility B revealed mesenteric lymphadenopathy and diffuse hepatic metastases. The patient was consulted at Facility B for further treatment plan and went to facility C where she received treatment.
Facility A would assign class of case 00
Facility B would assign class of case 30
Facility C would assign class of case 22
- Example 2: The patient was diagnosed with right breast cancer by positive core needle biopsy of the right breast at Facility A and went to Facility B for sentinel lymph node biopsy and treatment plan, and went back to Facility A where she underwent recommended treatment.
Class of case at Facility A is 14
Class of case at Facility B is 30
- Example 3: 90yo patient was diagnosed at Facility A with brain mass suspicious for malignant astrocytoma and admitted to Facility B for consult to determine whether cancer-direct therapy (surgery, hormone, chemotherapy) is an option. Based on patient health status the decision not to treat has been made in Facility B.
Class of case at Facility A is 00
Class of case at Facility B is 22