CTR Coding Break – AJCC pN Exceptions

The AJCC Cancer Staging Manual 8th edition has several disease site chapters noting specific instructions for coding cN0 in the pN category. General instructions regarding coding N are described in Chapter 1. The designation of category use of ‘NX or N0’ resulting in a stage group other than 99, is also discussed.  Node status is NOT required in rare circumstances. If not determined to be positive…

Posted on Sep. 30, 2021 in CTR Coding Break

CTR Coding Break – Understanding Breast Surgery Codes

  Breast surgery can diagnose cancer, stage cancer, debulk cancer, cure or palliate cancer. We have close to 50 breast surgery codes and choosing the best one can be a challenge sometimes. Gaining a better understanding can assist with coding.  A Partial Mastectomy is a general term for Breast-Sparing surgery, Lumpectomy, Quadrantectomy, or Segmental Mastectomy, while a Lumpectomy is specifically a wide excision of a tumor…

Posted on Aug. 26, 2021 in CTR Coding Break

CTR Coding Break – Cytology Exceptions with Case Examples

  The July 2021 CTR Coding Break reviews cytology exceptions outlined in the STORE manual 2021 and the SEER Program Coding and Staging Manual 2021. There are various types of cytological examinations. One example is a fine needle aspiration which uses a thin needle inserted into the lesion or area to remove fluid. This is different from a core needle biopsy which removes tissue to be…

Posted on Jul. 29, 2021 in CTR Coding Break

CTR Coding Break – Endometrial Coding Review

  The June CTR Coding Break provides an overview of tips and information relative to histology and grade, AJCC 8th edition staging, treatment, and primary site coding. Endometrial primaries histology of mixed types along with terms used as synonyms are reviewed, an example being MMMT Malignant Mixed Mesodermal Tumors as a synonym for Carcinosarcoma. Additional histologic coding examples are provided as well, along with a brief…

Posted on Jun. 24, 2021 in CTR Coding Break