SEER Inquiry System - Question 20081080 Details

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SEER Inquiry System - Report

Produced: 08/30/2025 9:37 AM

Question 20081080

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Inquiry Details

References:

2007 SEER Manual, C-158 to C-160. Appendix C

Question:

CS Lymph Nodes/CS Site Specific Factor--Head and Neck: How should these fields be coded when the information is from an out of state data exchange and the record provides no supporting text, all the required fields are not coded and the codes that are provided are in conflict? See Discussion.

Discussion:

A parotid case with CS LN coded to 10 [single positive ipsilateral regional node]; Regional LNs Positive coded to 68 and Regional LNs Examined coded to 74. No SSFs were coded. Based on the number of nodes coded as positive, the CS LN code was incorrect. Because the only information available to the central registry was that multiple regional LNs NOS were positive, we coded CS LN to 80 [lymph nodes NOS] and coded all SSFs to 999. Upon running the SEER edits, this case popped up on edits yielding a CS Site-Specific Factor codes, CS Lymph Nodes and Head/Neck Schemas conflict. Provide some guidance as how to properly code CS LNs & SSFs 1-6 for this case given the very limited information provided to us?

Answer:

This answer was provided in the context of CSv1 coding guidelines. The response may not be used after your registry database has been converted to CSv2.This is an unusual situation with conflicting information. If possible, request the pathology report and/or audit the case.

If you cannot obtain any further information or clarification, there are two choices:

Code CS LN's 80; code SSF 1 & 2 999, code SSF 3-6 000.

Code CS LN's 99; code SSF 1-6 999.

Cancer Site Category:

Head & Neck

Data Item Category:

N/A

Other Category:

N/A

Year:

2008