Organization

Field Name

ID

Required

KCR

S Category Clinical

34114

yes 

SEER

S Category Clinical

3923

yes 

Note 1 Code the S category as described by the physician. If the S category determined by available lab values or calculated by vendor software differs from the physician statement of the S category, the physician's statement takes precedence.

Note 2 Code the pre-orchiectomy S category according to the table below. This table is also available in AJCC 8th edition, Chapter 59, Testis.

  • For AFP, a lab value expressed in micrograms per liter (ug/L) is equivalent to the same value expressed in nanograms per milliliter (ng/ml).

Note 3 Clinical stage values are those based on physician statement or lab values at diagnosis, prior to orchiectomy, and prior to any systemic treatment.

Note 4 All three lab values are needed for S0-S1. Only one elevated test is needed to assign S2-3. If any individual test is not available and none of the available tests results meets the S2-3 criterion for that test, assign code 9 (SX).

Code

Description

0

S0: Marker study levels within normal levels

1
  • S1: At least one of these values is elevated AND
      1. LDH less than 1.5 x N# AND
      2. hCG (mIU/L) less than 5,000 AND
      3. AFP (ng/mL) less than 1,000

2
  • S2:
      1. LDH 1.5 x N# to 10 x N# OR
      2. hCG (mIU/L) 5,000 to 50,000 OR
      3. AFP (ng/mL) 1,000 to 10,000

3
  • S3: Only one elevated test is needed
      1. LDH greater than 10 x N# OR
      2. hcG (mIU/mL) greater than 50,000 OR
      3. AFP (ng/mL) greater than 10,000

9

SX: Not documented in medical record
S Category Clinical not assessed or unknown if assessed