SEER Inquiry System - Question 20061053 Details

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Question 20061053

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Inquiry Details

References:

#1: 2004 SEER Manual, 4. 1.b. exception

#2: 2004 SEER Manual, 81

Question:

Diagnostic Confirmation: How is this field coded for a case with a cytology that is suspicious for ductal carcinoma and the clinical diagnosis is carcinoma? See Discussion.

Discussion:

SINQ 20031152 states that histology for this type of case is to be coded per the clinical diagnosis of "carcinoma." Does it follow then that Diagnostic Confirmation is to be coded 8 (clinical diagnosis only)? Would we code Diagnostic Confirmation differently if the clinician stated that the diagnosis of malignancy was confirmed by the suspicious cytology?

Answer:

Code diagnostic confirmation as 8 [clincial diagnosis] when there is a suspicious cytology and a physician's clinical diagnosis. Do not accession cases with only suspicious cytology.

Code diagnostic confirmation as 8 when the clinician's diagnosis of malignancy is confirmed by the suspicious cytology. It is still a clinical diagnosis made by the physician using the information available for the case.

Cancer Site Category:

N/A

Data Item Category:

Diagnostic confirmation

Other Category:

N/A

Year:

2006