CTR Coding Break – SSDI Range Codes

Oncology Coding Break

Published/Updated Date: August 24, 2020

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The August CTR Coding Break reviews SSDI codes that may be recorded in the medical record with ranges instead of an exact lab value. Breast Ki-67 is a marker of cell proliferation. Colon and Rectum SSDI circumferential resection margin is a strong prognostic factor for local or systemic recurrences. Colon and Rectum SSDI tumor deposits are discrete nodules of cancer in pericolic/perirectal fat without evidence of lymph node tissue. When a range value is given, code one number higher than the lower number within the range. Allred Score is calculated by taking the ER/PR percentage and the intensity. ER & PR status is the percentage of tumor cells with positive nuclear staining and intensity refers to the degree of nuclear positivity. If a range is given for ER and/or PR percentage, and the range crosses over the definitions for the range scores, then an Allred score cannot be assigned. Do not use the lower score in this scenario.   

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