Organization

Field Name

ID

Required

KCR

LDH Post-Orchiectomy Range

34063

yes 

SEER

LDH Post-Orchiectomy Range

3867

yes 

Note 1 Physician statement of the LDH (Lactate Dehydrogenase) Post-Orchiectomy Range can be used to code this data item when there is no other information available.

Note 2 Record the range of the LDH test as documented in the medical record after orchiectomy but prior to adjuvant therapy. The lab value may be documented in a lab report, history and physical, or clinical statement in the pathology report.

Note 3 If the initial post-orchiectomy LDH remains elevated, review subsequent tests and record the lowest LDH value (normalization or plateau) prior to adjuvant therapy or before the value rises again.

Note 4 Of the three tumor markers, lactate dehydrogenase (LDH) is the least specific for testicular cancer. The magnitude of LDH elevation directly correlates with Testis tumor burden.

Note 5 If the pre-orchiectomy LDH was normal, a post-orchiectomy LDH may not be performed. In this case, code 5 should be recorded.

Code

Description

0

Within normal limits

1

Less than 1.5 x N
(Less than 1.5 times the upper limit of normal for LDH)

2

1.5 to 10 x N
(Between 1.5 and 10 times the upper limit of normal for LDH)

3

Greater than 10 x N
(Greater than 10 times the upper limit of normal for LDH)

4

Post-Orchiectomy lactate dehydrogenase (LDH) range stated to be elevated

5

Post-Orchiectomy lactate dehydrogenase (LDH) unknown or not done but pre-orchiectomy LDH was normal

7

Test ordered, results not in chart

8

Not applicable: Information not collected for this case
(If this information is required by your standard setter, use of code 8 may result in an edit error.)

9

Not documented in medical record
No orchiectomy performed
LDH (Lactate Dehydrogenase) Post-Orchiectomy Range not assessed or unknown if assessed