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Newsletter December 2024

WORDS TO THE WISE

 

CODING DIAGNOSTIC CONFIRMATION FOR HEMATOPOIETIC AND LYMPHOID NEOPLASMS   (SOURCE: NPCR DATA QUALITY CORNER)     

Per STORE manual 2018 (page 143): o Assign code 3 when there is a histology positive for cancer AND positive immunophenotyping and/or positive genetic testing results.

Per Hematopoietic and Lymphoid Neoplasm Coding Manual (page 17–21):

Review the rules for coding histology when ambiguous terms are present prior to assign the diagnostic confirmation code.

Code 1 includes peripheral blood and bone marrow aspiration or biopsy.

Code 3 includes positive histology PLUS positive immunophenotyping or genetic testing.

 Code 5 when the diagnosis of cancer is based on laboratory tests, tumor marker studies, genetics, or immunophenotyping that are diagnostic for that specific cancer. Laboratory tests are listed under Definitive Diagnostic Methods in the Hematopoietic Database. Do not assign code 5 when there is histologic confirmation.

Code 8 when the diagnosis is determined based on the physician’s clinical expertise, combined with the information from the biopsy, equivocal or negative tests, and the clinical symptoms. This is called a “diagnosis of exclusion” because the physician’s judgment and the work-up literally exclude all other possible diagnoses, leaving one diagnosis. Ambiguous terminology may precede the diagnosis. 

flCCSC

FLccSC New for December
The FLccSC site is still down, but NAACCR has given us permission to share access to its webinars.  If you are providing ODS services to a Mississippi facility, email me at lhamel@umc.edu and I can send you the links for recent webinars.

STORE MANUAL

SUMMARY STAGE

SSDI - GRADE

SOLID TUMOR RULES

Hema-LYMPHOID NEOPLASM DATABASE

DRUG DATABASE

 

Mississippi Cancer Registry Home Page

Director UMMC & MCR: Deirdre Rogers, dbrogers@umc.edu                           

MCR Manager: Angel Davis, adavis6@umc.edu

Clinical Systems Analyst-Intermediate: Tresheena Boyd, tboyd@umc.edu

Data Quality Analyst–Trainer: Lisa Hamel, lhamel@umc.edu

Electronic Data Source Coordinator: Madeline Hall, mnhall@umc.edu

ODS-C Stacy Major, semajor@umc.edu

ODS-C Mallory R. Israel, misrael@umc.edu                                                                                         

ODS Laken A. Frederick, lfrederick@umc.edu

ODS Melody Brenemen, mbrenemen@umc.edu

Admin.  Assistant Michelle Smith, mrsmith2@umc.edu 

 

MISSISSIPPI CANCER REGISTRY WILL BE CLOSED THE FOLLOWING DAYS:

• DECEMBER 24, CHRISTMAS EVE
• DECEMBER 25, CHRISTMAS DAY
• JANUARY 1, NEW YEAR’S DAY