Question: 20190047

Status


Final

Category


#1:   Reportability
#2:  
#3:  


References


Source 1:   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5322844/
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Notes:  
Source 2:  
pgs:  
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Question


Reportability/Liver:  If on imaging, there is no statement of the Liver Imaging Reporting and Data System (LI-RADS) score but there is reference that a lesion is in the Organ Procurement and Transplantation Network (OPTN) 5 category, is hepatocellular carcinoma (HCC) reportable based on the OPTN  5 classification?  See Discussion.



Discussion


SINQ 20160008 discusses the reportabilty and diagnosis date for liver primaries where imaging references the LI-RADS category as LR-5 or LR-5V. The 2018 SEER Coding and Staging Manual, Appendix E Reportable Example #16, demonstrates this concept. According to the LI-RADS categories a value of 5 is “definitely HCC" and is concordant with OPTN 5. Often we see only the OPTN categorization.



Answer


Report HCC based on the OPTN class of 5. OPTN class 5 indicates that a nodule meets radiologic criteria for HCC. Be sure to document in text fields.



History




Last Updated


06/07/2019

Date Finalized


07/19/2019