California Cancer Reporting System Standards, Volume III

Eureka Edits

IF327:  Primary Site, Behavior Code ICD-O-3, Over-ride Site Behavior

Edit Sets:

California Hospital Transmit

Eureka Admission Level

Eureka Tumor Level

Fields:

Primary Site  [NAACCR #400]

Behavior Code ICD-O-3  [NAACCR #523]

Over-ride Site Behavior  [NAACCR #2071]

Message:

IF 327:  Over-ride Site Behavior:  If Primary Site is (value), Behavior Code ICD-O-3 must be 3

Specification:

This edit is skipped if behavior code ICD-0-3 is empty.

The following primary sites with a behavior of in situ (Behavior Code ICD-O-3 =2) require review. If the Over-ride Site/Behavior field contains a '1', no further checking is done.

C269 Gastrointestinal tract, NOS

C399 Ill-defined sites within respiratory system

C559 Uterus, NOS

C579 Female genital tract, NOS

C639 Male genital organs, NOS

C689 Urinary system, NOS

C729 Nervous system, NOS

C759 Endocrine gland, NOS

C760-C768 Ill-defined sites

C809 Unknown primary site

Additional Information:

Since the designation of in situ is very specific and almost always requires microscopic confirmation, it is assumed that specific information should also be available regarding the primary site. Conversely, if inadequate information is available to determine a specific primary site, it is unlikely that information about a cancer being in situ is reliable. Therefore this edit does not allow an in situ behavior code to be used with specified organ system and ill-defined site codes.

Correction of errors may require inspection of the abstracted text, either online or as recorded on a paper abstract. Review of the original medical record may be necessary. Check the information available about primary site and histologic type carefully. If a specific in situ diagnosis is provided, try to obtain a more specific primary site. A primary site within an organ system may sometimes be assumed based on the diagnostic procedure or treatment given or on the histologic type. If no more specific site can be determined, it is probably preferable to code a behavior code of 3.

Example

PRIMARY SITE CODE C55.9, UTERUS NOS

BEHAVIOR CODE 2

The abstract reads, "Uterine D&C with squamous cell carcinoma in situ". The category "Uterus, NOS" is to be used when it cannot be determined whether a cancer arose in the cervix or corpus uteri. Based on the histologic type and diagnostic procedure, the most likely site in this case is cervix uteri rather than corpus. Change the primary site code to C53.9, Cervix uteri.

Historical Changes: