Quiz 1

  1. The AJCC references in the Summary Stage 2000 manual refer to which edition of the AJCC Cancer Staging Manual?
  2. 5th edition
  3. 6th edition
  4. 7th edition
  5. 8th edition
  1. Which SEER Summary Stage code is NOT possible for a CNS primary?
  1. 7 – distant
  2. 9 - unknown
  3. 2 - regional by direct extension
  4. 1 – local
  1. Which terms are considered ambiguous terminology indicating involvement when assigning AJCC?
  1. Adenopathy
  2. Enlarged
  3. Both a and b
  1. None of the above
  1. What are the criteria for assign x in TNM staging?
  2. Has not met the criteria for stage classification
  3. Information about stage is unknown to the physician
  4. Information about stage is unknown to registrar due to poor documentation
  5. None of the above
  1. Patient with squamous cell carcinoma of the tongue. Physician states supraclavicular lymph nodes are involved. What is the SEER Summary stage?
  2. 9 – unknown
  3. 3 – regional lymph nodes
  4. 7 – distant
  5. 5 – regional, nos
  1. A patient presented with hip pain. Imaging showed metastatic bone lesions. This was confirmed with a biopsy of the bone. Additional work-up revealed the patient had prostate cancer. He was treated with palliative radiation only.

What value would we enter in the cM data item?

  1. Leave it blank
  2. X
  3. 1 (distant mets nos)
  4. 1b (bone mets)
  1. What value would we enter into the pM data item?
  2. Leave it blank
  3. X
  4. 1 (distant mets nos)
  5. 1b (bone mets)
  1. A cT0 lung carcinoma would indicate that the tumor…
  2. Is in situ
  3. Was identified from a bronchial washing or sputum, but was not identified on imagining
  4. Was not identified on imaging and there is no histologic or cytologic confirmation of malignancy. It was identified via some other means such as positive lymph nodes or distant metastasis.
  5. Tumor seen on imaging, but size not stated.
  1. Primary payer should be coded based on the patient’s insurance status at…
  2. The time of diagnosis
  3. The date first seen at your facility
  4. The most current insurance information
  5. The time of diagnosis unless they are uninsured. If uninsured at the time of diagnosis and they obtain Insurance while being treated at your facility, that insurance type should be coded.
  1. A 67 year old homeless man is admitted through the emergency department for mouth ulcers and ear ache and is diagnosed with oral cancer. What should we enter in the street address?
  2. “Homeless” in street address, unknown city, county and zipcode
  3. Address fields for hospital with “Homeless” in supplemental field
  4. Address fields for hospital
  5. Unknown” in street address, unknown city, county and zipcode

Quiz 2

  1. Is mature teratoma of the ovary reportable?
  2. Yes
  3. No
  1. Pre-pubescent male diagnosed with mature teratoma of the testis. Is this reportable?
  2. Yes
  3. No
  1. The Multiple Primary and Histology Rules help with…(circle all that apply)
  2. Determining Multiple Primaries
  3. Casefinding
  4. Coding Histology
  5. Coding tumor grade
  1. Histologic Grade and FIGO Grade are the same
  2. True
  3. False
  1. Male patient with elevated AFP and HCG. LDH is unknown. What would the AJCC S stage be?
  2. S3 LDH>10xN or hCG (mIu/ml)>50,000 or AFP (ng/ml)>10,000
  3. S0 Marker study within normal limits
  4. SX Marker studies not available or not performed
  5. S1 LDH 1.5 xN and hCG (mIu/ml)<5,000 and AFP (ng/ml)>10,000
  1. AFP and hCG are normal post orchiectomy: How do you code SSF13?
  1. SSF13 000 Within normal limits (S0)
  2. SSF13 992Post-orchiectomy AFP unknown but post-orchiectomy serum tumor markers NOS stated to be normal
  3. SSF13 997Test ordered, results not in chart
  4. SSF13 999Unknown or no information. Not documented in patient record
  1. AFP and hCG are normal post orchiectomy: How do you code SSF16
  1. SSF16 992Postorchiectomy LDH unknown but post-orchiectomy serum tumor markers NOS stated to be normal
  2. SSF16 000 Within normal limits (S0)
  3. SSF16 997 Test ordered, results not in chart
  4. SSF16 999Unknown or no information. Not documented in patient record
  1. Patient with metastatic breast cancer was given Lupron. The Lupron should be coded as
  2. Surgery
  3. Other
  4. Hormone/Systemic
  5. Radiation
  1. Which of the following would be true if a follicular lymphoma (FL) transforms into diffuse large b-cell lymphoma (DLBL)? Pick two.
  2. The FL was the chronic phase of this disease
  3. The DLBL was the chronic phase of the disease
  4. The follicular lymphoma was the acute phase of the disease
  5. The DLBL was the acute phase of the disease
  1. If synthroid is given to a thyroid cancer patient prior to surgical resection, is it considered neoadjuvant treatment?
  2. No
  3. Only if the tumor shrinks prior to surgery
  4. Only for anaplastic carcinoma
  5. Only for follicular carcinoma

NAACCR Coding Pitfalls Webinar 2015