Organization

Field Name

ID

Required

KCR

Grade Clinical

30136

yes 

SEER

Grade Clinical

3843

yes 

Note 1 Grade Clinical must not be blank.

Note 2 Assign the highest grade from the primary tumor assessed during the clinical time frame.

Note 3 If there are multiple tumors with different grades abstracted as one primary, code the highest grade.

Note 4 G3 includes anaplastic.

Note 5 Sarcomatous overgrowth (S) takes priority over L and H

  • Example Pathology report Adenocarcinoma with sarcomatous overgrowth, high and low grade
  • Code Grade to S for the sarcomatous overgrowth

Note 6 Code 9 (unknown) when

  • Grade from primary site is not documented
  • Clinical workup is not done (for example, cancer is an incidental finding during surgery for another condition)
  • Grade checked "not applicable" on CAP Protocol (if available) and no other grade information is available

Note 7 If there is only one grade available and it cannot be determined if it is clinical or pathological, assume it is a Grade Clinical and code appropriately per Grade Clinical categories for that site, and then code unknown (9) for Grade Pathological, and blank for Grade Post Therapy Clin (yc) and Grade Post Therapy Path (yp).

Code

Description

1

G1: Well differentiated

2

G2: Moderately differentiated

3

G3: Poorly differentiated or undifferentiated

L

Low grade

H

High grade

S

Sarcomatous overgrowth

9

Grade cannot be assessed (GX); Unknown