11-7-2025
Scenario: Case abstracted after Registry Software converted to v25
- 2/28/2024/CT Abd/Pelv: multiple bilateral pulmonary nodules, wall thickening in distal esophagus 3.2 cm with 2 para-aortic nodes involved all concerning for malignancy with mets
- 03/01/2024 EGD w/ bx – lower esophageal mass from 36-40 cm, bx of mass showed mod diff adeno
- 03/01/2024 Med onc consult N1disease{ confirmed the nodal mets}
- 03/07/2024 Lung bx and wedge resection confirmed lung mets
- 03/22/2024 Patient opted for hospice care
Question: How would you code EOD Regional Nodes for this distal esophageal primary w/ mets to 2 para-aortic nodes?
Answer: Depends on which version of your registry software you are utilizing when you abstract the case.
| EOD Regional Nodes | Abstracted case while using v24 Refer to SEER*RSA v3.1 for instructions | Abstracted case while using v25 Refer to SEER*RSA v3.2 for instructions |
| Mets to 2 para-aortic nodes | 700 Mets to Para-aortic nodes | 725 CLINICAL ASSESSMENT ONLY One-two positive nodes clinically OR stated as Clinical N1 |
- Several Schemas modified to add codes for Clinical Assessment only in 2025-be sure you are looking at the right version of instructions. If your software has been updated to v25, use SEER*RSA & Grade Manuals v3.2.
- Appendix 8th: 2018-2022 (00190) and Appendix V9: 2023+
- Bile Duct Distal, Bile Duct Perihilar
- Cystic Duct Gallbladder
- Colon and Rectum
- Esophagus, Esophagus Squamous
- Pancreas
- Small Intestine
- Stomach
