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Newsletter Spring 2021
Mississippi Cancer Registry
March 2021 | Volume 16 Issue 1
Educational Corner
Educational Opportunities
Abstracting Resources
Upcoming Webinars | CTR Exam Dates
MCR Staff
Educational Corner
TOP 4 COMMON CODING ERRORS I SEE:
- Dates - If a patient is diagnosed at your facility, the Date of First Contact and the Date of Diagnosis will always be the same date.
- Class of Case – The use of 00 and 10: Code 00 if patient was diagnosed at your facility, received no treatment at your facility, and you know where patient went for treatment. Code 10 if patient was diagnosed at your facility and you don’t know where patient went for treatment or if some treatment was done at your facility but, unknown if it was all treatment.
- Grade – You can only code Pathological Grade if the Rules for Classification (Pathological Classification) have been met. For example: A TURBT would only give you a clinical grade. To have a pathological grade for the bladder a partial/radical cystectomy would need to have been performed. You can only use Clinical Grade in the Pathological Grade field if surgery has been performed with no neoadjuvant treatment and the Clinical Grade is higher than the Pathological Grade.
- Tumor Size – Code size on the surgical resection specimen, when surgery is administered as the first definitive treatment (no neoadjuvant therapy given). Example: Chest X-ray shows 3.5 cm mass; the pathology report from the surgery states that the same mass is malignant and measures 2.8 cm. Record tumor size as 028 (28 mm). Remember to convert cm to mm when you record the size. If neoadjuvant therapy is given, code size based off of the largest size given before any treatment. If no size is given, code 999.
For any questions, please contact: Angel Davis, adavis6@umc.edu
Educational Opportunities
American College of Surgeons:
Go to Education
Online Education
Create an Account – once you have created an account, log in.
Go to Course Catalog & there are 3 courses geared towards Cancer Registrars:
- AJCC Cervix Uteri Version 9 Cancer Staging System
- AJCC yc Stage Classification: When & How to Use
- Registrar's Guide to Updating Radiation Data Items
Just enroll in the course and complete for CE hours.
Himagine Solutions:
https://himaginesolutions.com/
Go to Webinars
Upcoming Tumor Talks – You can register for the next one available, you can earn CE credit for watching live.
Previous Webinars – You can watch the past webinars. You don’t earn CE credit for watching the recordings, but it is still great information.
You can only earn CE Hours for participating in the live webinars.
FLccSC
Fundamental Learning Collaborative for the Cancer Surveillance Community:
The FlccSC site has been updated with the past two NAACCR Webinars; don't miss out on these CE hours. If you have not yet registered, you can do so at the link below.
For any questions, contact: Angel Davis, adavis6@umc.edu
Abstracting Resources
AJCC Cancer Staging Manual
Cases with a diagnosis date of 01/01/2018 and forward should be staged using the AJCC 8th Edition Cancer Staging Manual. The 3rd printing 2018 Edition is now available.
Please visit https://cancerstaging.org/references-tools/deskreferences/Pages/8EUpdates.aspx# for all 8th Edition updates and corrections. For all other information, visit https://cancerstaging.org/Pages/default.aspx.
Summary Stage 2018
The 2018 version of Summary Stage applies to every site and/or histology combination, including lymphomas and leukemias. Summary Stage uses all information available in the medical record; in other words, it is a combination of the most precise clinical and pathological documentation of the extent of disease. The Summary Stage 2018 manual is available at https://seer.cancer.gov/tools/ssm/.
Site Specific Data Items (SSDI)
Site Specific Data Items (SSDI) are similar to the Site Specific Factors (SSF) collected with Collaborative Stage. These data items are specific to certain site/histology combinations. For example, the SSDIs for breast will be used to collect information such as estrogen receptor status, progesterone receptor status, Her2 status, Nottingham grade, and additional information related to primary tumors of the breast. The information collected in these data items are specific to breast. The SSDI manual is available at https://apps.naaccr.org/ssdi/list/.
Grade
Beginning with cases diagnosed in 2018, grade information will be collected in three fields: Clinical Grade, Pathological Grade, and Post-Therapy Grade. Within the Grade Manual, you will find definitions for the three new grade data items, coding instructions, and the site/histology specific grade tables. The Grade manual is available at https://www.naaccr.org/SSDI/Grade-Manual.pdf?v=1527859766.
SEER Hematopoietic and Lymphoid Neoplasm Database
This provides data collection rules for hematopoietic and lymphoid neoplasms for 2010+. The SEER Hematopoietic and Lymphoid Neoplasm manual is available at https://seer.cancer.gov/tools/heme/Hematopoietic_Instructions_and_Rules.pdf.
2018 Solid Tumor Coding Manual
Use the 2018 Solid Tumor coding rules to determine the number of primaries to abstract and the histology to code for cases diagnosed 2018 and forward. The Solid Tumor coding rules replace the 2007 Multiple Primary and Histology (MP/H) Rules. The manual is available at https://seer.cancer.gov/tools/solidtumor/. The change log contains updates made to the FINAL module sections. This does not include changes made to the drafts.
CoC 2018 STORE Manual
The STORE Manual has replaced the FORDS Manual. The STORE is now available at https://www.facs.org/quality-programs/cancer/ncdb/registrymanuals/cocmanuals.
Upcoming Webinars
NAACCR
4/1/21 Larynx 2021
- Denise Harrison, CTR
- Louanne Currence, RHIT, CTR
5/6/21 Pancreas 2021
- Jim Hofferkamp, CTR
For more information, contact: Angel Davis, adavis6@umc.edu
CTR Exams
2021 EXAM TESTING WINDOWS
June 18 – July 10, 2021; application deadline: June 4
October 15 – November 6, 2021; application deadline: October 1
For more information, visit: www.ncra-usa.org/CTRMCR Staff
Director UMMC & MCR: Deirdre Rogers, dbrogers@umc.edu
MCR Manager: La'Tawnya Roby, ldroby@umc.edu
Clinical Systems Analyst-Intermediate: Tresheena Boyd, tboyd@umc.edu
Data Quality Analyst-Trainer: Angel Davis, adavis6@umc.edu
Data Quality Analyst-Auditor: April Huggins, ahuggins@umc.edu
Electronic Data Source Coordinator: Lisa Hamel, lhamel@umc.edu
Cancer Registrars:
- Stacy Major, semajor@umc.edu
- Stephanie N. Engelman, nengelman@umc.edu
- LaToya Bogan, lbogan@umc.edu
- Cameron Proctor, cproctor@umc.edu
Administrative Assistant: Ophelia Spencer, ospencer@umc.edu