Back in August I sent out the message below regarding how to code
cases that are Lymphoma primaries with a lymph node excision. I
noticed in the FORDS replacement pages that there is finally a
definitive answer. We would use surgery code 25 because it is now
defined as: Less than a full chain, includes an excisional bx of a
single lymph node.
I just wanted to share as this question received many different
responses.




--- In cancerregistrargroup@yahoogroups.com, towellde <no_reply@y...>
wrote:
> I have a coding question. We have received 2 very different
answers
> regarding this question from ACOS I&R, so I thought I'd like to get
> some feedback regarding this topic from those of you out in the
> workforce.
>
> Using FORDS:
> When the primary site is coded as Lymph nodes and the histology is
a
> lymphoma, how is an excisional bx of the LN coded? Do you use
surgery
> code 25 or code it in the "surgical, diagnostic, and staging" field
> as an 01 or 02?
>
>
> thanks for your input!
> Deborah Towell, CTR
> Oregon State Cancer Registry
> deborah.j.towell@s...