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What’s the Diff? – The Use of 8000 vs. 8010 Sue C. Vest, Jeannette Jackson-Thompson, Nancy Cole, Deb Smith Missouri Canc

What’s the Diff? – The Use of 8000 vs. 8010 Sue C. Vest, Jeannette Jackson-Thompson, Nancy Cole, Deb Smith Missouri Cancer Registry. How do you decide which code to use?.

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What’s the Diff? – The Use of 8000 vs. 8010 Sue C. Vest, Jeannette Jackson-Thompson, Nancy Cole, Deb Smith Missouri Canc

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  1. What’s the Diff? – The Use of 8000 vs. 8010 Sue C. Vest, Jeannette Jackson-Thompson, Nancy Cole, Deb Smith Missouri Cancer Registry How do you decide which code to use? Background: In 2005, CDC’s National Program of Cancer Registries (NPCR) sent out Quality Improvement (QI) reports ranking states based on the percentage of cases coded to cancer, NOS (8000-8005). Missouri was above the national average. This study will look at use of cancer, NOS and carcinoma, NOS by hospitals and central registries and the relevance of the use of 8000-8005 as a quality assessment tool. Approach: Develop an instrument to survey hospitals and central registries regarding the use of cancer, NOS and carcinoma, NOS. Purpose: To demonstrate that standards for coding of cancer, NOS vs. carcinoma, NOS are ambiguous and subject to interpretation leading to inconsistent coding. Preliminary Survey Results: Are there clear standards for the use of 8000-8005 vs. 8010? NO Preliminary results illustrate that there are no clear cut guidelines for the use of these codes. The exercises were not coded consistently and different resources were being used to justify the coding. Results also indicate that registrars using the same resources arrived at different answers. Is this an effective QI tool? Maybe The coding of 8010 must be supported by enough information to state unequivocally that the histology is carcinoma. If the reporting source and diagnostic confirmation are taken into consideration, review of these histologies can be an effective assessment tool. • Lessons Learned: • Standard setters should develop definitive guidelines. • Training, using real cases, is necessary to insure accurate coding. • Cases with histology coded 8000-8005 and 8010 require formalized review by hospitals and central registries. • Future???: • Survey registrars in other states. • Work with standard setters to develop definitive guidelines. • Continue review of internal and external resources (e.g., NPCR Restricted Access File) to determine coding patterns. • ?? Develop an edit to promote review of these cases. 8000 or 8010????? This project was supported in part by a cooperative agreement between the Centers for Disease Control and Prevention (CDC) and the Missouri Department of Health and Senior Services (DHSS) (#U55/CCU721904-05) and a Surveillance Contract between DHSS and the University of Missouri.

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