California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals

II.1.6.1 Reportable Terms

The following are reportable terms:

• Apparently (malignant)
• Appears to*
• Comparable with*
• Compatible with (a malignancy)*
• Consistent with (a malignancy)
• Favor (a malignancy)
• Malignant appearing*
• Most likely (malignant)
• Presumed (malignant)
• Probable (malignancy)
• Suspect or suspected (malignancy)
• Suspicious (of malignancy)

• Typical (of/for malignancy)

* Effective for cases diagnosed January 1, 1988 or later.

 

Note: For 2013 diagnoses and forward, Urine cytology positive for malignancy is reportable. Report these cases when they are encountered. Do not implement new/additional casefinding methods to capture these cases.

 

Exception: When a subsequent biopsy of a urinary site is negative, do not report the case.

• Code the primary site to C689 in the absence of any other information.

• As always, do not report cytology cases with ambiguous terminology.

 

 

 

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