V.3.5.2 Microscopic Description

Use these instructions for cases diagnosed on or before 12/31/2013 only.

For cases diagnosed 01/01/2014 forward, see Section V.3.7.2  

If the final pathologic diagnosis states one degree of differentiation, while the microscopic description states another, enter the code for the final diagnosis.

Examples

The microscopic description states moderately differentiated squamous cell carcinoma with poorly differentiated areas. The final diagnosis states moderately differentiated squamous cell carcinoma.

Enter code 2 (8070/32).

But if the final pathologic diagnosis does not state the degree of differentiation,

Code the grade stated in the microscopic description.

The microscopic description states moderately differentiated squamous cell carcinoma with poorly differentiated areas. The final diagnosis states squamous cell carcinoma.

Enter code 3 (8070/33).

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