Wiki Breast Coding

[psacco]

can i get some opinions please??? The issue in my department is this: if we have a breast report that says cancer at 12, 3, 6, or 9 oclock, we are divided as how to code these...the coders (the ones actually doing the coding) all agree this should be a C50.8 code.... Supervisor disagrees and says it should NEVER be a C50.8 unless report says "overlapping".. our reasoning is that if it is on the midline (12,3,6,9) then it must be overlapping since it is in middle of two quadrants......help!! some clarificationw would be great!!!

 

[brightpea]

Take a look at this link - I'm not sure how reliable this source is, but it may help you guys out. I found your dx referenced on page 3.

http://seer.cancer.gov/archive/manuals/2014/AppendixC/breast/coding_guidelines.pdf

 

[psacco]

Take a look at this link - I'm not sure how reliable this source is, but it may help you guys out. I found your dx referenced on page 3.

http://seer.cancer.gov/archive/manuals/2014/AppendixC/breast/coding_guidelines.pdf[/QUOT

Thanks, but i found that and submitted it for review and supervisor shot it down...said it was unverifiable...

 

[danskangel313]

Take a look at this link - I'm not sure how reliable this source is, but it may help you guys out. I found your dx referenced on page 3.

http://seer.cancer.gov/archive/manuals/2014/AppendixC/breast/coding_guidelines.pdf[/QUOT

Thanks, but i found that and submitted it for review and supervisor shot it down...said it was unverifiable...

The document is from a US Government source. How is that unverifiable?

 

[bbooks]

I agree with using overlapping for 3:00, 6:00, 9:00, 12:00 o’clock as noted in SEER guidelines. My pathologists agree with using these SEER guidelines.