Melanoma Clinical Margin Width – New SSDI for 2023

As facilities move into abstracting 2023 cases, there have been some exciting and positive changes with abstracting melanoma skin primaries specifically with surgical coding and the addition of a new SSDI – clinical margin width.  The margin width for wide local excision (WLE) for melanoma is based on the Breslow thickness of the primary tumor. Per the American College of Surgeons Optimal Resources for Cancer Care-2020…

Posted on Sep. 18, 2023 in How Should I Code This?

Quick Access to the Cancer Registry 2018 Manual Updates

As you are aware, the 2018 cancer registry changes have impacted every manual cancer registrars use and the updates seem to be never ending! We have prepared a reference list below for quick access to the various manuals and updates.  Many of the 2018 draft manuals have been finalized over the last few months. Be sure you are using the most up to date versions that…

Posted on Mar. 11, 2019 in How Should I Code This?

Melanoma of the Skin – AJCC 8th Edition Staging Spotlight

Melanoma of the Skin can be found in the AJCC 8th Edition Staging Manual in Chapter 47, pages 563-581.  A review of Melanoma Staging is provided below with explanations on what has changed from the AJCC 7th Edition to the AJCC 8th Edition.   Definition of Primary Tumor (T): Tumor thickness ranges are maintained, but T1 is subcategorized beginning at 0.8mm in depth. Ulceration is still…

Posted on Dec. 26, 2018 in How Should I Code This?

2018 Cancer Registry Changes – Reminders & Tips

As cancer registries nationwide begin trudging through the latest coding and staging changes for cases diagnosed in 2018, we wanted to share a few helpful reminders and tips!   Solid Tumor Coding Rules – 2018 The 2018 Solid Tumor coding rules are used for: Determining the number of primaries to abstract Determining the appropriate histology to code These rules replace the 2007 Multiple Primary & Histology…

Posted on Dec. 19, 2018 in How Should I Code This?