Organization |
Field Name |
ID |
Required |
---|---|---|---|
KCR |
CA 19-9 PreTX Lab Value |
34127 |
yes |
SEER |
CA 19-9 PreTx Lab Value |
3942 |
yes |
Note 1 This SSDI is effective for diagnosis years 2021+
- For cases diagnosed 2018-2020, leave this SSDI blank
Note 2 Physician statement of CA 19-9 (Carbohydrate Antigen 19-9) Pretreatment Lab Value can be used to code this data item when no other information is available.
Note 3 Record the lab value of the highest CA 19-9 test result documented in the medical record prior to treatment. The lab value may be recorded in a lab report, history and physical, or clinical statement in the pathology report
Note 4 A known lab value takes priority over codes XXXX.2 and XXXX.3
- The lab value takes priority even if the physician documents the interpretation
- Example Patient noted to have a CA 19-9 of 3,219. Physician notes that the value is elevated
- Code 3219.0 instead of XXXX.3 (elevated)
Note 5 CA 19-9 is a tumor marker that has value in the management of certain malignancies.
Note 6 Record to the nearest tenth in Units/milliliter (U/ml), the highest CA 19-9 lab value documented in the medical record prior to treatment.
- Example 1 Code a pretreatment CA 19-9 of 7 U/ml as 7.0
- Example 2 Code a pretreatment CA 19-9 of 1672.3 U/ml as 1672.3
Note 7 Record 0.1 when the lab results are stated as less than 0.1 U/ml with no exact value.
Code |
Description |
---|---|
0.0 |
0.0 Units/milliliter (U/ml) exactly |
0.1-9999.9 |
0.1-9999.9 U/ml |
XXXX.1 |
10,000 U/ml or greater |
XXXX.2 |
Lab value not available, physician states CA 19-9 is negative/normal |
XXXX.3 |
Lab value not available, physician states CA 19-9 is positive/elevated/high |
XXXX.7 |
Test ordered, results not in chart |
XXXX.8 |
Not applicable: Information not collected for this case |
XXXX.9 |
Not documented in medical record |
<BLANK> |
N/A - Diagnosis year is prior to 2021 |