VI_4_2 Chemotherapy Codes

VI.4.2 Chemotherapy Codes

Use the following codes for recording chemotherapy in the Summary field.

Code chemoembolization as 01, 02, or 03 depending on the number of chemotherapeutic agents involved.

Use codes 00-87 for recording chemotherapy in the at this hospital field.

The codes are:

Code	Description
00	None, chemotherapy was not part of the planned first course of therapy. Diagnosed at autopsy
01	Chemotherapy, nos.
02	Single-agent chemotherapy.
03	Multi-agent chemotherapy administered as first course therapy.
82	Chemotherapy was not recommended/administered because it was contraindicated due to patient risk factors (i.e., comorbid conditions, advanced age).
85	Chemotherapy not administered because the patient died prior to planned or recommended therapy.
86	Chemotherapy was not administered. It was recommended by the patient's physician, but was not administered as part of the first course of therapy. No reason was stated in patient record.
87	Chemotherapy was not administered. It was recommended by the patient's physician, but this treatment was refused by the patient, a patient's family member, or the patient's guardian. The refusal was noted in patient record.
88	Chemotherapy was recommended, but it is unknown if it was administered.
99	It is unknown whether a chemotherapeutic agent(s) was recommended or administered because it is not stated in patient record. Death certificate only.

Note: For recording Therapy at this Hospital, do not use code 99 if Class of Case is coded to 00, 30 or 31.

Note: For cases diagnosed January 1, 2010 and forward, referral to a medical oncologist is considered a recommendation. Follow-up on these cases is required to determine whether chemotherapy was administered or not, and code accordingly.

Prior to January 1, 2010

Prior to January 1, 2010, referral does not equal a recommendation.

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