California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals
Use the below codes for recording immunotherapy in the Summary field. Use codes 00-87 for recording immunotherapy in the At This Hospital field.
Code |
Description |
00 |
None, immunotherapy was not part of the planned first course of therapy |
01 |
Immunotherapy administered as first course therapy |
82 |
Immunotherapy was not recommended/administered because it was contraindicated due to patient risk factors (i.e. Comorbid conditions, advanced age). |
85 |
Immunotherapy was not administered because the patient died prior to planned or recommended therapy. |
86 |
Immunotherapy 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 |
Immunotherapy 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 the patient record. |
88 |
Immunotherapy was recommended, but it is unknown if it was administered. |
99 |
It is unknown whether an immunotherapeutic agent(s) was recommended or administered because it is not stated in patient record. Death certificate only. |
For recording Therapy at this Hospital, do not use code 99 if Class of Case is coded to 00, 30, or 31.
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 immunotherapy was administered or not, and code accordingly.
Prior to January 1, 2010, referral does not equal a recommendation.
Effective with cases diagnosed 1/1/2003, this data item was modified. Codes for transplants and endocrine procedures were removed and were coded in a separate field called RX Summ - Transplnt/Endocr. The length of this field was changed from 1 to 2 characters. The codes for reason for no immunotherapy (BRM) given were incorporated into this scheme.