III_3_5 Class of Case

III.3.5 Class of Case

Class of Case is divided into two basic categories. Analytic cases (codes 00-22) are grouped according to the location of diagnosis and first course of treatment. Analytic cases are required to be abstracted by the CCR, as well as by accredited CoC facilities. These cases are included in treatment and survival analyses.

Nonanalytic cases include codes 30-49 and 99. The CCR requires that specific nonanalytic cases be abstracted by the reporting facility.

See Section I.1.6 for specific CCR reportability requirements.

The facility's Cancer Committee may also direct reporting of nonanalytic cases. Nonanalytic cases are not required to be abstracted by the CoC and are not included in treatment and survival analyses.

Code	Description
Analytic Classes of Case
Initial Diagnosis at Reporting Facility
00	Initial diagnosis at the reporting facility AND all treatment or a decision not to treat was done elsewhere Note: Beginning in 2010, Class of Case 00 includes cases diagnosed by the facility that are treated in physician offices, as well as, cases when it is known that the patient went elsewhere for treatment. Facility Referred To must be documented.
10	Initial diagnosis at the reporting facility or in a staff physician’s* office AND all or part of first course treatment or a decision not to treat was at the reporting facility, NOS
11	Initial diagnosis in a staff physician’s* office AND part of first course treatment was done at the reporting facility
12	Initial diagnosis in a staff physician’s* office AND all first course treatment or a decision not to treat was done at the reporting facility
13	Initial diagnosis at the reporting facility AND part of first course treatment was done elsewhere
14	Initial diagnosis at the reporting facility AND all first course treatment or a decision not to treat was done at the reporting facility
Initial Diagnosis Elsewhere, Facility Involved in First Course Therapy
20	Initial diagnosis elsewhere AND all or part of first course treatment was done at the reporting facility, NOS
21	Initial diagnosis elsewhere AND part of first course treatment was done elsewhere
22	Initial diagnosis elsewhere AND all first course of treatment or a decision not to treat was done at the reporting facility
Non-Analytic Classes of Case
Patient appears in Person at Reporting Facility; Both initial diagnosis and Treatment Elsewhere
30	Initial diagnosis and all first course treatment elsewhere AND reporting facility participated in diagnostic workup
31	Initial diagnosis and all first course treatment provided elsewhere AND reporting facility provided in-transit care
32	Diagnosis AND all first course treatment provided elsewhere AND patient presents at reporting facility with disease recurrence or persistence Example: A patient with active disease admitted for other medical condition
33	Diagnosis AND all first course treatment provided elsewhere AND patient presents at reporting facility with disease history only Note: Not required to be reported to the CCR.
34	Type of cases not required by CoC to be accessioned AND initial diagnosis AND all or part of first course treatment by reporting facility Cases required to be reported and followed by the CCR in this category include: Benign and borderline intracranial/CNS tumors diagnosed 1/1/2001 - 12/31/2003 only Note: For cases diagnosed on or after 1/1/04 when these diagnoses became nationally reportable, use Class of Case codes 00-22. Intraepithelial neoplasia grade III tumors as follows: Anus (AIN III) cases, diagnosed 1/1/2001 forward Vagina (VAIN III) cases, diagnosed 1/1/1992 forward Vulva (VIN III) cases, diagnosed 1/1/1992 forward Borderline ovarian tumors (see Section II.I.10 for specific histology codes), diagnosed 1/1/2001 forward Note: Effective 1/1/2010, active follow-up is no longer required for borderline ovarian cases diagnosed 1/1/2001 forward.
35	Cases diagnosed before program’s Reference Date AND initial diagnosis AND all or part of first course treatment by reporting facility
36	Type of cases not required by CoC to be accessioned AND initial diagnosis elsewhere AND all or part of first course treatment by reporting facility Cases required to be reported and followed by the CCR in this category include: Benign and borderline intracranial/CNS tumors diagnosed 1/1/2001 - 12/31/2003 only Note: For cases diagnosed on or after 1/1/04 when these diagnoses became nationally reportable, use Class of Case codes 00-22. Intraepithelial neoplasia grade III tumors as follows: Anus (AIN III) cases, diagnosed 1/1/2001 forward Vagina (VAIN III) cases, diagnosed 1/1/1992 forward Vulva (VIN III) cases, diagnosed 1/1/1992 forward Borderline ovarian tumors (see Section II.I.10 for specific histology codes), diagnosed 1/1/2001 forward Note: Effective 1/1/2010, active follow-up is no longer required for borderline ovarian cases diagnosed 1/1/2001 forward.
37	Cases diagnosed before program’s Reference Date AND initial diagnosis elsewhere AND all or part of first course treatment by reporting facility
38	Initial diagnosis established by autopsy at the reporting facility, cancer not suspected prior to death
Patient Does Not Appear in Person at Reporting Facility
40	Diagnosis AND all first course treatment given at the same staff physician’s* office
41	Diagnosis AND all first course treatment given in two or more different staff physician* offices
42	Nonstaff physician, clinic or other facility, not part of reporting facility, accessioned by reporting facility for diagnosis and/or treatment by that entity (for example, hospital abstracts cases from an independent radiation facility)
43	Pathology or other lab specimens only
49	Death certificate only
Unknown Relationship to Reporting Facility
99	Nonanalytic case of unknown relationship to facility

* A staff physician is a physician who is employed by the reporting facility, under contract with it, or a physician who has routine practice privileges there.

For historic coding instructions, please click here.

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