NAACCR WEBINAR 2016-2017 SERIES Collecting Cancer Data Melanoma Part 2 – Staging

FROM THE CANSWER FORUM: NAACCR WEBINAR 2016-2017 SERIES: Collecting Cancer Data:  Melanoma Part 2 – Staging TNM Staging, Rules for Classification Clinical Complete excision of the primary tumor Clinical assessment (physical exam and imaging only) of the regional lymph nodes and intralymphatic metastasis. Pathologic Wide-excision/re-excision is considered definitive treatment Pathologic assessment of regional nodes after sentinel lymph node biopsy and/or complete regional lymphadenopathy. Pathologic confirmation of…

Posted on Oct. 3, 2017 in How Should I Code This?

NAACCR 2016-2017 Webinar Series Collecting Cancer Data: Melanoma Part 1

FROM THE CANSWER FORUM: NAACCR WEBINAR 2016-2017 SERIES: Collecting Cancer Data:  Melanoma Part 1 – MP/H Rules Multiple Primary & Histology Rules M3: Topography codes different at second (Cxx.x), third (Cxx.x) or Fourth character (Cxx.x) are multiple primaries EX: Patient has invasive melanoma on right leg (C44.7) and an invasive melanoma on right arm (C44.6) M4: Different laterality are multiple primaries EX: Patient has invasive melanoma…

Posted on Sep. 26, 2017 in How Should I Code This?

How Should I Code This?- Class of Case 22 vs 30

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…

Posted on Jun. 15, 2017 in How Should I Code This?

How Should I Code This? – Coding Regional Lymph Nodes

Per FORDS (2016) page 138 “Do Not code surgical procedures which aspirate, biopsy or remove regional lymph nodes in an effort to diagnose and/or stage disease in this data item.  Use the data item Scope of Regional Lymph Node Surgery (NAACCR Item #1292) to code these procedures. In our cancer registry software this entails coding the Scope of Regional Lymph Node Surgery field as a surgical…

Posted on Jun. 9, 2017 in How Should I Code This?