Organization

Field Name

ID

Required

KCR

Brain Molecular Markers

34013

yes 

SEER

Brain Molecular Markers

3816

yes 

Note 1: This data item was introduced in 2018 and applied to the following ICD-O-3 histology codes 9400/3, 9401/3, 9440/3, 9450/3, 9451/3, 9471/3, 9478/3

  • These are codes 01-09 and are applicable for cases diagnosed 2018+ and are in ICD-O-3 order

Note 2: In 2022, the 5th edition of the CNS WHO Blue Book was released and the following histologies were added 9385/3, 9396/3, 9421/1, 9430/3, 9500/3

  • These are codes 10-23 and are applicable for cases diagnosed 2024+ and are in ICD-O-3 order

Note 3: If a microscopically confirmed histology is not included in this list, assign, code 85.

  • If your case is not microscopically confirmed, code 99

Note 4: Physician statement of histologic subtype can be used to code this data item.

Note 5: See Brain Molecular Markers in the SSDI Manual, in the Definition section for more information on the different histologies.

Examples:

  1. Biopsy of brain tumor, microscopic confirmation diagnosis: Diffuse Astrocytoma (9400/3). Additional testing done, and IDH-mutant is identified. Code 01.
  2. Biopsy of brain tumor, microscopic confirmation diagnosis: Anaplastic astrocytoma (9401/3). No further testing or results unknown. Code 99.
  3. MRI of brain tumor, clinical diagnosis: glioblastoma. No further workup. Code 99.
  4. Biopsy of brain tumor, microscopic confirmation diagnosis: Mixed glioma (9382/3). Code 85.
CodeICD-O-3 CodeICD-O-Description
01

9400/3

Astrocytoma, IDH-mutant, grade 2

02

9400/3

Diffuse astrocytoma, IDH-wildtype

03

9401/3

Astrocytoma, IDH-mutant, grade 3

04

9401/3

Anaplastic astrocytoma, IDH-wildtype

05

9440/3

Glioblastoma, IDH-wildtype

06

9450/3

Oligodendroglioma, IDH-mutant and 1 p/19q co-deleted

07

9451/3

Oligodendroglioma, IDH-mutant and 1p/19q co-deleted, grade 3

08

9471/3

Medulloblastoma, SHH-activated and TP53-wildtype

09

9478/3

Embryonal tumor with multilayered rosettes, C19MC-altered

10

9385/3

Diffuse hemispheric glioma, H3-34 mutant (new for 2024+)

11

9385/3

Diffuse midline glioma, H3 K27-altered (new for 2024+)

12

9385/3

Diffuse pediatric-type high-grade glioma, H3-wildtype and IDH-wildtype (new for 2024+)

13

9385/3

Infant-type hemispheric glioma (new for 2024+)

14

9396/3

Posterior fossa group A (PFA) ependymoma (new for 2024+)

15

9396/3

Posterior fossa group B (PFB) ependymoma (new for 2024+)

16

9396/3

Spinal ependymoma, MYCN-amplified (new for 2024+)

17

9396/3

Supratentorial ependymoma, YAP1 fusion-positive (new for 2024+)

18

9396/3

Supratentorial ependymoma, ZFTA fusion-positive (new for 2024+)

19

9421/1

Diffuse astrocytoma, MYB- or MYBL1-altered (new for 2024+)

20

9421/1

Diffuse low-grade glioma, MAPK pathway-altered (new for 2024+)

21

9430/3

Astroblastoma, MN1-altered (new for 2024+)

22

9500/3

CNS neuroblastoma, FOXR2-activated (new for 2024+)

23

9500/3

CNS tumor BCOR internal tandem duplication (new for 2024+)

85

NA

Not applicable: Histology not 9385/3, 9396/3, 9400/3, 9401/3, 9430/3, 9440/3, 9450/3, 9451/3, 9471/3, 9478/3, 9421/1, 9430/3, 9500/3

86

NA

Benign or borderline tumor
Excludes: 9421/1 (codes 19-20)

87

NA

Test ordered, results not in chart

88

NA

Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code 88 will result in an edit error.)

99

NA

Not documented in medical record
No microscopic confirmation
Brain molecular markers not assessed or unknown if assessed


Codes before 2024

Code

Description

01

Diffuse astrocytoma, IDH-mutant (9400/3)

02

Diffuse astrocytoma, IDH-wildtype (9400/3)

03

Anaplastic astrocytoma, IDH-mutant (9401/3)

04

Anaplastic astrocytoma, IDH-wildtype (9401/3)

05

Glioblastoma, IDH-wildtype (9440/3)

06

Oligodendroglioma, IDH-mutant and 1 p/19q co-deleted (9450/3)

07

Anaplastic oligodendroglioma, IDH-mutant and 1p/19q co-deleted (9451/3)

08

Medulloblastoma, SHH-activated and TP53-wildtype (9471/3)

09

Embryonal tumor with multilayered rosettes, C19MC-altered (9478/3)

85

Not applicable: Histology not 9400/3, 9401/3, 9440/3, 9450/3, 9451/3, 9471/3, 9478/3

86

Benign or borderline tumor

87

Test ordered, results not in chart

88

Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code 88 will result in an edit error.)

99

Not documented in medical record
No microscopic confirmation
Brain molecular markers not assessed or unknown if assessed