06-06-2025 C/W Ambiguous or Definitive Term-Heme  Malignancy ONLY Scenario: Bone marrow biopsy shows B lymphoblastic leukemia. FISH results consistent with lymphoblastic leukemia with hyperdiploidy. Question: For this Heme Case, is “consistent with” lymphoblastic leukemia with hyperdiploidy a definitive diagnosis, thus allowing us to Code the more definitive histology to 9815/3: B lymphoblastic leukemia with hyperdiploidy […]

05-30-2025 Pediatric Data Collection System/ PDCS Scenario: A 20-year-old presents to my hospital (not a pediatric hospital) and is diagnosed with Germ Cell Tumor of the Testes Question: Can I collect the PDCS data fields? Answer & Rationale: Yes. To quote Angela Costantini and Crista Adams “The Pediatric Data Collection System It’s Here! What Now? […]

05-23-2025 Neoadjuvant or Not Scenario: Scans: 3-1-2025 CT Ab/Pelvis: 7.5cm bladder wall thickening/mass lower right lateral aspect bladder, *no lymphadenopathy or distant mets noted Tumor Size Summary 070   STORE/SEER-Record the size from the op note over the size on the imaging [use size from TURB]   *Substantiates coding of cN0 cM0   03-26-2025 Surgery […]

Join our Omega Educators as we provide an overview of OB/Pregnancy codes along with common Congenital Abnormalities. In this webinar, we will discuss the trimesters of pregnancy, diagnosis codes and guide to assigning the correct principal diagnosis. We will also review the types of abortions, other pregnancy conditions and associated procedures. We will review several […]

05-16-2025 Human Papilloma Virus (HPV) Status **Only required to be coded by SEER STATES Question: How would the SEER SSF1 Human Papilloma Virus (HPV) Status be coded? Answer & Rationale: 41 HPV positive by ISH E6/E7 RNA test SEER Site Specific Fact 1 Human Papilloma Virus (HPV) Status

05-09-2025 Coding Primary Site-Test Your Knowledge-Utilize Your Resources Scenario Correct Code in RED Rationale TURBT: Multiple in situ Tumors Bladder 1cm tumor bladder neck 1.5 cm tumor lateral wall of bladder   C672 Lateral Wall C675 Bladder Neck C678 Overlapping Lesion of Bladder C679 Bladder NOS SEER Appendix C: Coding Guidelines-Bladder Assign site code C679 […]

Join the Omega Education team as we discuss the nuances and complexity of assigning the correct codes, including directly assigned stage and site-specific coding, in various case scenarios. ​​​​​If you are not a CTR, please check with your accrediting agency to determine if they accept CE hours from NCRA. Webinar Speaker : Janet Vogel, ODS-C […]

04-25-2025 Revised Instructions for Sentinel Lymph Nodes Positive for 2025 Scenario: Breast Cancer Dx Snips from path report Final Dx Synoptic Dx Year Sentinel Lymph Nodes Positive Sentinel Lymph Nodes Examined Regional Lymph Nodes Positive Regional Lymph Nodes Examined Rationale 2018-2024 97 02 04 12 STORE Instructions for Sentinel Lymph Nodes Positive For breast cases […]

04-18-2025 Scenario: Question: Are mets to the lower cervical lymph nodes reflected in the cN or cM category? Answer: cN- regional lymph node mets Discussion: Although metastasis to the Ipsilateral or Contralateral Low cervical/Supraclavicular node(s) are considered regional nodes when assigning AJCC Stage and EOD, the Summary Stage manual considers mets to Ipsilateral or Contralateral […]

04-11-2025 Scenario: Question: How will you assign Surgical Margins of the Primary Site? Answer: 2 Microscopic residual tumor Rationale: SEER Instructions below/ STORE supports this as well. the naked eye). Use the Margins section of the CAP protocol or the Microscopic Description from the pathology report to identify microscopic findings. section of the CAP protocol […]

04-04-2025 Scenario: Multiple Myeloma patient Question: How will you assign SSDI Serum Beta-2 Microglobulin Pretreatment Level? Answer: 0 β2-microglobulin < 3.5 mg/L Discussion: This field is recorded utilizing mg/L.  The reference range for our results was not measured in mg/L. So, you must do the conversion.  Just search on the internet for ug/l to mg/l […]

The Omega Healthcare Education Team invites you to join us as we review the April 2025 ICD-10-CM & ICD-10-PCS Code Updates focusing on changes to coding guidelines and code revisions. This webinar will have case scenarios to help facilitate your understanding of these guidelines and code updates. The content will provide education that is valuable […]