Question: 20210007

Status


Final

Category


#1:   First course treatment
#2:   Reason no treatment
#3:  


References


Source 1:   2021 SEER Manual
pgs:   186
Notes:   Reason for No Surgery of Primary Site
Source 2:  
pgs:  
Notes:  


Question


First Course Treatment/Reason for No Surgery of Primary Site: How should we be coding Reason For No Surgery of Primary Site for cases where surgery was planned but ultimately cancelled due to progression? See Discussion.



Discussion


There is a discrepancy in the SEER and STORE manual definition of code 2 for Reason for No Surgery of Primary Site. STORE includes progression of tumor prior to planned surgery as part of the definition for code 2, but the SEER Manual does not. The progression statement is included in the SEER Manual (2018 and 2021) for Reason for No Radiation, but not for Reason for No Surgery.



Answer


Assign code 2 for cases where surgery was planned but ultimately cancelled due to progression in the data item Reason For No Surgery of Primary Site. Code 2 description contains examples and is not exhaustive of reasons for no surgery.

We will add the example for consistency in the next version of the SEER manual.



History




Last Updated


01/26/2021

Date Finalized


04/02/2021