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Question: 20130095 Status
Final

References
Source 1:   Heme & Lymph Neo Manual & DB
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Notes:  
Source 2:  
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Notes:  


Question
Grade--Heme & Lymphoid Neoplasms: In the Heme Database it says to use code 6 (B-cell) if you search on histology code 9811/3. However, if you search on the term 'acute lymphoblastic', you are directed to the same code 9811/3 but are told to 'Code grade specified by pathologist. If no grade specified, code 9. Rule G3 in the Manual says to use code 6 for grade.

Should all 9811/3 cases be coded to 6th digit 6?

Discussion


Answer
Assign code 6 (B-cell) for all cases of 9811/3 per Rule G3 in the Hematopoietic manual.

Searching on "acute lymphoblastic" brings up code 9835/3. The abstractor notes explain that code 9835/3 should NOT be used after 2010. You are instructed to use code 9811/3 starting in 2010.

For pre-2010 cases coded to 9835/3 use the pathology report information to assign the appropriate 6th digit code. Assign code 9 if the pathology report does not specify the grade.

History


Last Updated
02/24/2014

Date Finalized
12/23/2013