TNM Path T, N, M, In Situ (COC)

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  • #4612
    AnonymousStephen Slack
    Participant

    We had a facility report an issue with the TNM Path T, N, M, In Situ (COC) edit in reference to a lung case that was clinically staged as invasive but proven to be in-situ upon resection. The edit detail is below, we believe the case is staged correctly.

    Error Number: 1 (3622)
    Edit Name: TNM Path T, N, M, In Situ (COC)
    Edit Set Name: PA Vendor
    Edit Error Message: TNM Path T and TNM Clin T must = same in situ T category
    Field(Pos): Date of Diagnosis (530)=> Y:2016 M:02 D:18
    Field(Pos): Primary Site (540)=> C341
    Field(Pos): Histologic Type ICD-O-3 (550)=> 8140
    Field(Pos): Behavior Code ICD-O-3 (554)=> 2
    Field(Pos): TNM Path T (940)=> pIS
    Field(Pos): TNM Path N (944)=> p0
    Field(Pos): TNM Path M (948)=> c0
    Field(Pos): TNM Path Stage Group (952)=> 0
    Field(Pos): TNM Clin T (958)=> c1B
    Field(Pos): TNM Clin Stage Group (970)=> 1A
    Field(Pos): TNM Path Descriptor (956)=> 0
    Field(Pos): Age at Diagnosis (193)=> 056
    Field(Pos): CS Site-Specific Factor10 (1030)=> 988
    Field(Pos): CS Site-Specific Factor25 (1075)=> 988
    Field(Pos): Grade (555)=> 1
    Field(Pos): Sex (192)=> 2
    Field(Pos): Type of Reporting Source (563)=> 1

    Error Number: 2 (6035)
    Edit Name: TNM Path T, N, M, In Situ (COC)
    Edit Set Name: PA Vendor
    Edit Error Message: TNM Path Stage Group and TNM Clin Stage Group must = same in situ stage
    Field(Pos): Date of Diagnosis (530)=> Y:2016 M:02 D:18
    Field(Pos): Primary Site (540)=> C341
    Field(Pos): Histologic Type ICD-O-3 (550)=> 8140
    Field(Pos): Behavior Code ICD-O-3 (554)=> 2
    Field(Pos): TNM Path T (940)=> pIS
    Field(Pos): TNM Path N (944)=> p0
    Field(Pos): TNM Path M (948)=> c0
    Field(Pos): TNM Path Stage Group (952)=> 0
    Field(Pos): TNM Clin T (958)=> c1B
    Field(Pos): TNM Clin Stage Group (970)=> 1A
    Field(Pos): TNM Path Descriptor (956)=> 0
    Field(Pos): Age at Diagnosis (193)=> 056
    Field(Pos): CS Site-Specific Factor10 (1030)=> 988
    Field(Pos): CS Site-Specific Factor25 (1075)=> 988
    Field(Pos): Grade (555)=> 1
    Field(Pos): Sex (192)=> 2
    Field(Pos): Type of Reporting Source (563)=> 1

    #4617
    Jim Hofferkamp
    Keymaster

    This edit is incorrectly expecting the clinical T value to reflect the pathologic T value. This has been corrected and will be included in v16d. This edit has gone through quite a few changes since it was released in v16. Below is a summary of changes.

    NAACCR v16A

    – Corrected logic for first INLIST of primary sites for site/histology group 57A, 000-419-440 changed to 000-440.
    – Description and logic updated to skip edit for Carcinoma of Conjunctiva, Melanoma of Conjunctiva.
    – Corrected Edit Logic to include 9727 as lymphoma rather than lymphoma/leukemia code, to delete 9728-9729 as obsolete codes
    – Added Group 57C, C420, C421, C424, 9811-9818, 9837,to Edit Logic

    NAACCR v16B
    – Name changed from TNM T,N,M, In Situ (CoC) to TNM Path T,N,M, In Situ (COC)
    – Description and Edit Logic updated to allow TNM Clin T to be blank and TNM Clin Stage Group to equal 99 when TNM Path T is in situ. This logic assumes that In situ carcinoma was not diagnosed clinically and is an incidental finding at surgery.
    – Logic statements requiring that TNM Clin N, TNM Clin M, and TNM Clin Stage Group are also coded consistently with TNM Path T = in situ removed from edit; consistency of coding for TNM Clin fields checked in another edit, TNM Clin T,N,M, In Situ (COC).
    – Description and logic updated to edit Carcinoma of Conjunctiva and Melanoma of Conjunctiva for TNM Path N and TNM Path M and only skip for TNM Path Stage Group
    – Error messages updated to be more specific about coding problems
    – Corrected edit logic for assigning site/histology group 011 to group 10B or 999 based on histology and CS Site-Specific Factor 25

    NAACCR v16D
    – Description, logic modified to skip if TNM Edition Number not = 07,U7
    – Description, edit logic modified to omit comparison between clin TNM and stage group and path TNM and stage group values.
    – Modified logic, format of character string, e.g. “pxxb”, 2,3
    – Logic corrected to skip for group 009, Mucosal Melanoma of Head and Neck
    – Description, logic modified to not include pNX as allowable code for in situ carcinomas

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