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SC CENTRAL CANCER REGISTRY BLAST

SC CENTRAL CANCER REGISTRY BLAST. DECEMBER 2012. SCCCR BLAST.

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SC CENTRAL CANCER REGISTRY BLAST

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  1. SC CENTRAL CANCER REGISTRY BLAST DECEMBER 2012

  2. SCCCR BLAST The SCCCR BLAST is an educational training tool provided as a service to you from the SCCCR. This email communication offers specific updates, clarifications, and Q & A’s concerning coding rules and abstracting principles. All registry reference manuals will be utilized and cited. The BLAST is sent to all SC registrars at the beginning of each month. Topics originate primarily from questions generated from SCCCR quality control activities or from hospital registrars. Or they may stem from changes in standards that need to be communicated in mass. No names will be included, only the question and answer with reference sources. Please contact Kathy Barnes, SCCCR Training Coordinator, with your questions, requests for clarification, or information you have discovered that needs to be communicated to your colleagues.

  3. SCCCR BLAST December, 2012 BLAST includes the following information and updates: January Webinar Info & Description – Bone & Soft Tissue NAACCR Webinar Recorded Links 2012-2013 Remaining NAACCR Webinar Series Correctly Coding Breast Surgery? Correctly Coding “Head & Neck” Cancer, nos? 2013 ICD-9-CM Casefinding List Correctly coding FOLFOX chemotherapy? Errata for ICD-O-3 Site/Type Validation List ALERT: SCCCR required GRADE data item & OCCUPATION & INDUSTRY TEXT in 2013! Ten Q & A’s on a myriad of cancer sites and topics

  4. SCCCR BLAST REGISTRY UPDATES . . .

  5. SCCCR BLAST NEXT WEBINAR ~ January 10, 2013 Title:Bone and Soft Tissue Description:This3 hour class will present the following information for bone and soft tissue: anatomical information needed to abstract and code the cases; how to determine the number of primary tumors; how to code topography and histology; how to code the CSv2 data items; and the treatments and how to code them.

  6. SCCCR BLAST NAACCR PREVIOUS WEBINAR RECORDING LINKS AVAILABLE The following webinars are available for viewing through the SCCCR: • 2010-2012 COMBINED SERIES –Endometrium, Hematopoietic Diseases, Liver & Biliary Tract, Brain & CNS System, Testis, Bladder, Breast, Prostate, Complete Case Identification & Ascertainment, Coding Pitfalls, Larynx, Ovary, Thyroid & Adrenal, Lung, Abstracting & Coding Boot Camp, Lower Digestive, Melanoma, Using and Interpreting Data Quality Indicators, ICD-10—CM & Cancer Surveillance, Hematopoietic, Coding Pitfalls, Stomach & Esophagus, Uterus, Pharynx. • *Participants will be required to link to the recording page with a viewer. The free viewer will need to be installed on the desktop playing the recording.  If you are interested in obtaining any subjects above, please email Kathy Barnes at barneskd@dhec.sc.gov • ATTENTION:All of the recordings are viewed on the following updated player at: https://akamaicdn.webex.com/client/WBXclient-T27L10NSP31-13320/nbr2player.msi • If you were previously sent a recording and cannot view, please contact Kathy Barnes. • CE’s are now available by viewing and completing exercises/quizzes & test.

  7. SCCCR BLAST 2012-2013 Webinar Schedule for Your Planning

  8. SCCCR BLAST Are Your Breast Surgeries Coded Correctly? 40 vs 41 / 50 vs 51; If patient had anytype of mastectomy: 40total (simple mastectomy) 50modified radical mastectomy Codes should correctly be 41 & 51 41 & 51 = WITHOUT removal of uninvolved contralateral breast *unless unusual circumstances apply which would probably be very rare. A simple qc report will probably find some are coded incorrectly! IF the patient had first course planned reconstruction. . . codes could be 43-75 or 53-63 and would be ok.

  9. SCCCR BLAST There’s NO code for head & neck, nos C14.9: Example: • History head & neck cancer • Presents with head & neck cancer • Each with no further info on specific primary Why? How are these cases coded correctly? HEAD & NECK PRIMARY SITE?

  10. SCCCR BLAST Final CAnswer: The CoC, NPCR, SEER Technical Workgroup have agreed that C14.8 should be assigned for head and neck primaries for which a specific site could not be identified. EXAMPLE: Patient with history of head & neck ca OR only notes in record state head & neck malignancy, etc. There is no code for 14.9, head & neck, nos. See number 15 under the heading Description of this Neoplasm at: http://seer.cancer.gov/registrars/data-collection.html HEAD & NECK PRIMARY SITE?

  11. SCCCR BLAST In anticipation of the 2013 Implementation date for ICD-10-CM, ICD-9-CM was frozen last year, which means there are limited new ICD-9-CM codes this year. No new codesare cancer codes or conditions that might be included on our supplemental Casefinding list. This is good news for our group, because it will make updating the Casefinding lists much easier. Plans to have the 2013 Casefinding lists for ICD-9-CM and ICD-10-CM ready soon. These will be listed on the SEER website. (not available as of this newsletter) SCCCR will send out an email with the new 2013 casefinding list asap! 2013 ICD-9-CM CASEFINDING LIST

  12. SCCCR BLAST BE CAREFUL . . . Folfox is incorrectly being coded as Chemotherapy = 02 (single agent) Folfox is made up of multiple chemo agents per the SEER Rx application. Chemotherapy data item should be 03 (multiple agents) CODING FOLFOX CHEMOTHERAPY

  13. SCCCR BLAST 12/5/12: The histology code 9823/3 Chronic lymphocytic leukemia/small lymphocytic lymphoma has been added to ALL primary site groupings. The following site/histology combinations have been added. Errata for ICD-O-3 Site/Type Validation List

  14. SCCCR BLAST In accordance with the direction from CDC/NPCR for 2013, SCCCR will continue to requirethe data field “GRADE / DIFFERENTIATION” be collected. Also Included: “GRADE PATH VALUE” & “GRADE PATH SYSTEM” *Clarification for specific conversion methods pending! 2013 SCCCR REQUIRES GRADE

  15. SCCCR BLAST Industry and Occupation Reporting facilities should abstract text documentation for usual occupation and industry. The National Institute of Occupational Safety and Health (NIOSH) is developing a tool that will read and code text fields for occupation and industry and will also crosswalk between the various years of codes for occupation and industry. *Reporting facilities must view the Industry & Occupation Instruction Webinar. The link is: http://www.cdc.gov/niosh/topics/coding/courses/cancer/ 2013 SCCCR REQUIRES I&O TEXT

  16. SCCCR BLAST Industry & Occupation: http://www.cdc.gov/niosh/docs/2011-173/pdfs/2011-173.pdf *You may save this link in pdf form for review CDC & NPCR requires if a person is under the age of 14 we should code: CHILD (1-14) or INFANT (one year or less) Code this in both occupation AND industry fields 2013 SCCCR REQUIRES I&O TEXT

  17. SCCCR BLAST QUESTIONS (?) ANSWERS (!) CLARIFICATIONS(*)

  18. SCCCR BLAST RACE:

  19. SCCCR BLAST RACE / ETHNICITY:

  20. SCCCR BLAST HISTOLOGY THYROID:

  21. SCCCR BLAST HISTOLOGY THRYROID:

  22. SCCCR BLAST CLASS OF CASE:

  23. SCCCR BLAST MULTIPLICITY COUNTER / DATE MULITPLE TUMORS:

  24. SCCCR BLAST SURGICAL PROCEDURE BREAST:

  25. SCCCR BLAST C/S LYMPHOMA STAGING:

  26. SCCCR BLAST CS LYMPHOMA STAGING:

  27. SCCCR BLAST HORMONE THERAPY:

  28. SCCCR BLAST HORMONE THERAPY:

  29. SCCCR BLAST MORE NEWS & UPDATES NEXT MONTH

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