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 […]

Every Second Counts!! Join the Omega Healthcare Education Team as we learn the F.A.S.T. approach to identifying the correct coding of CVA vs. TIA. We want to share our research findings on Cerebrovascular Accidents, Transient Ischemic Attacks, Carotid Stenosis, and Traumatic Brain Injuries. We will review the definitions specific to CVA, TIA, and other brain […]

03-07-2025 Mets at Diagnosis Other Scenario 1: Question: How would you code the field Mets at Diagnosis Other? 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: Question: How would you code the field Mets at Diagnosis […]

02-28-2025 Clarification-We still collect radiation! During the last Tumor Talk, people saw the list of retired fields & got excited thinking we do not collect radiation anymore… THIS IS NOT TRUE!!! The fields that were retired were the old fields collected prior to the new Phase Specific fields introduced in 2018. We DO COLLECT RADIATION […]

02-21-2025 Coding a Completion Thyroidectomy Scenario: 43 YO non-hispanic white married male presents with a right thyroid nodule suspicious for papillary thyroid carcinoma. Based on the findings from the ultrasound, CT scan, and FNA, the patient is recommended for surgery. The following surgeries were performed as part of the patient’s first course treatment. Question: How […]

Join the Omega Healthcare Education Team as we focus on “Hot Topics” specific to physician E/M codes, critical care codes, prolonged E/M services and much more. Translating and deciphering physician documentation and coding guidelines into a CPT code(s) continues to be a challenge for physician coders and auditors. Our goal is to interpret the guidelines, […]

Join the Omega Education team as we discuss the new changes for 2025 and illustrate how to utilize the new instructions in various complex abstracting 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 Compliance and […]

02-14-2025 Bladder Bits Utilize the resources below, they list several descriptions of places in the bladder & how to code them, which go way beyond the click & pick definitions in your registry software. Solid Tumor Rules 2025 Update Urinary SEER Appendix C Coding Guidelines for more tips on abstracting Bladder Cases. Match the Description to […]