Tumor Tip of the Week 03-07-2025 Mets at Diagnosis Other - Omega Healthcare

Tumor Tip of the Week 03-07-2025 Mets at Diagnosis Other

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03-07-2025 Mets at Diagnosis Other

Scenario 1:

    • CT Abd/Pelvis: 1.8 cm lesion in the pancreatic head, mesenteric nodularity bilaterally with moderate amount of abdominal and pelvic ascites, highly suspicious for peritoneal carcinomatosis
    • FNA Pancreas +Adenocarcinoma
    • Patient declined workup and treatment and elected hospice care.

Question: How would you code the field Mets at Diagnosis Other?

    • 1 Yes; distant metastases in known site(s) other than bone, brain, liver, lung, or distant lymph nodes Note: includes bone marrow involvement for lymphomas
    • 2 Generalized metastases such as carcinomatosis
    • 8 Not applicable
    • 9 Unknown whether any other metastatic site or generalized metastases /Not documented in patient record

Answer: 2 Generalized metastases such as carcinomatosis

STORE does not provide examples or instructions for code 2; however, SEER Program Coding & Staging Manual does:

Scenario 2:

  • Scans show: Lung: 4.1cm mass RUL with pleural effusion, no other signs of distant mets
  • Pleural effusion+ metastatic adenocarcinoma c/w mets from lung primary

Question: How would you code the field Mets at Diagnosis Other?

  • 1 Yes; distant metastases in known site(s) other than bone, brain, liver, lung, or distant lymph nodes Note: includes bone marrow involvement for lymphomas
  • 2 Generalized metastases such as carcinomatosis
  • 8 Not applicable
  • 9 Unknown whether any other metastatic site or generalized metastases /Not documented in patient record

Answer: 1 Yes; distant metastases in known site(s) other than bone, brain, liver, lung, or distant lymph nodes Note: includes bone marrow involvement for lymphomas

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