These would fall under Class 0. As of 1/1/06 - Class of case 0's are no
longer required to be staged or followed per the COC.

Barbara M. DeCoe, CTR, RHIT
Cancer Data Manager
Richard J. Lacks Sr. Cancer Center
Saint Mary's Health Care
200 Jefferson SE
Grand Rapids, MI 49503
T616.752.5217
F616.752.5260

>>> nancyctr@... 3/29/2006 2:49 PM >>>
Our latest efforts to encourage AJCC staging by the managing physician

has uncovered yet another reason why they refuse to comply -
medicolegal implications.

The pulmonologists and gastroenterologists are the hold outs. They are

not comfortable staging from a diagnostic procedure because of the many

unknowns...and they refuse to enter 'x' or '9'. They call it valueless

paperwork that serves no purpose. (I cannot wholeheartedly disagree!)

I am referring to cases diagnosed with cancer via scopes -
bronchoscopy / colonoscopy / etc. - without further definitive
procedures at this facility.

Has anyone else heard of the 'legality' arguement for not staging?
How have you addressed it?
Where am I going wrong?

Nancy





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