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SC CENTRAL CANCER REGISTRY BLAST

This email provides updates, webinar information, and coding tips for cancer registrars. Topics include uterus coding, breast surgery coding, and correct county and zip code identification.

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SC CENTRAL CANCER REGISTRY BLAST

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  1. SC CENTRAL CANCER REGISTRY BLAST NOVEMBER 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 NOVEMBER, 2012 BLAST includes the following information and updates: November Webinar Info & Description – Uterus NAACCR Webinar Recorded Links 2012-2013 Remaining NAACCR Webinar Series CE’s Awarded for Advanced Training Workshop SSDI for Social Security information / follow-up Locating Correct County and Zip Code Correctly Coding Breast Surgery? Correctly Coding “Head & Neck” Cancer, nos? 2013 ICD-9-CM Casefinding 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 ~ December 6, 2012 Title:Pharynx Description:This3 hour class will present the following information for pharynx: 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. • *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.

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

  8. SCCCR BLAST ADVANCED REGISTRY TRAINING WORKSHOP Thanks again to everyone that attended the Advanced Registry Training Workshop 8/27–8/28. All attendees should have been notified that we received recognition from NCRA of 10.75 credits hours! CE number is 2012-125 Please contact Kathy Barnes if you did not receive your electronic CE Certificate

  9. SCCCR BLAST The following info was given by a fellow registrar: SSDI has stopped social security number lookup . . . Try the following website instead for possible follow-up: http://www.genealogybank.com/gbnk/ssdi/?kbid=9064&m=9 SSDI INFO NO LONGER FOUND?

  10. SCCCR BLAST BE POSITIVE: Google the address of your patient, include city and South Carolina. The following information will be shown by address for correctly coding remaining demographics: • COUNTY • ZIP CODE Having Trouble Finding County or Zip?

  11. SCCCR BLAST Here’s another option: Google name of the county along w/”property tax” (for example, Greenville county property tax) and you should find a link to that county’s property tax website. Here are a few examples. Lexington Co. http://www.lex-co.com/PCSearch/tb001-pg.asp Richland Co. https://www4.rcgov.us/TreasurerTaxInfo/Main.aspx Charleston Co. http://sc-charleston-county.governmax.com/svc Florence Co. http://web.florenceco.org/cgi-bin/ta/tax-inq.cgi Having Trouble Finding County or Zip?

  12. 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.

  13. 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?

  14. 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?

  15. 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 by the beginning of November. These will be listed on the SEER website. SCCCR will send out an email with the new 2013 casefinding list asap! 2013 ICD-9-CM CASEFINDING LIST

  16. 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” cont. 2013 SCCCR REQUIRES GRADE

  17. 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 will need to view the Industry & Occupation Instruction Webinar. The link is: http://www.cdc.gov/niosh/topics/coding/courses/cancer/ 2013 SCCCR REQUIRES I&O TEXT

  18. SCCCR BLAST This module contains 3 parts: • Background on the importance of collecting information on the usual (or longest-held) industry and occupation of cancer patients, • Guidelines for collecting industry and occupation (or I&O), and • Examples of adequate and inadequate I & O entries. There is a test at the end. All of those who complete this activity and pass the test (70% or higher) are eligible for 1.5 CEU from NCRA 2013 SCCCR REQUIRES I&O TEXT

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

  20. SCCCR BLAST REPORTABILITY:

  21. SCCCR BLAST REPORTABILITY / AMBIGUOUS TERMS:

  22. SCCCR BLAST FIGO STAGE VS GRADE:

  23. SCCCR BLAST PRIMARY SITE:

  24. SCCCR BLAST HISTOLOGY:

  25. SCCCR BLAST HISTOLOGY:

  26. SCCCR BLAST HISTOLOGY (cont.):

  27. SCCCR BLAST C/S MELANOMA MITOTIC COUNT/RATE:

  28. SCCCR BLAST SURGICAL DIAGNOSTIC & STAGING PROCEDURE:

  29. SCCCR BLAST BREAST; SURGICAL PROCEDURE CODE:

  30. SCCCR BLAST HORMONE THERAPY:

  31. SCCCR BLAST MORE NEWS & UPDATES NEXT MONTH

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