1-9-2026 Scenario: Question: Is this a multiple primary or single primary? Answer: Multiple Solid Tumor Rules Update 2026 Rule M13 Abstract multiple primaries when separate/non-contiguous tumors are:  • On different rows in Table 3 in the Site-group Instructions  Note 1: Timing is irrelevant. Tumors may be synchronous or non-synchronous. 2026 Solid Tumor Rules Revisions–Breast- M […]

Join the Omega Healthcare Education Team as we review the AMA January 2026 CPT coding changes.  We will provide a summary and highlight new coding guidelines and code changes specific to each chapter to include revisions, deletions, and additions to the CPT codes.  Areas of focus will include revisions to the Surgery sections and new […]

Join the Omega Healthcare Education Team as we review the AMA January 2026 CPT coding changes.  We will provide a summary and highlight new coding guidelines and code changes specific to each chapter to include revisions, deletions, and additions to the CPT codes.  Areas of focus will include revisions to the Surgery sections and new […]

12-19-2025 Scenario: Question: How would you document the patient’s age in text, the age at diagnosis or age at presentation to the facility?  Answer: •68 YO WF Non-Hispanic   Rationale: Text documentation is not submitted to the CoC; therefore, you should follow the guidelines provided by your state and/or your facility or employer. When documenting age, ensure that the age recorded reflects the patient’s […]

12-12-2025 Scenario: {Snip from TURB Path report} Question: How would you code Lymphovascular Invasion? Answer: 9 Unknown/Indeterminate/not mentioned in path report {The synoptic takes priority.} SEER Program Coding & Staging Manual/STORE a. The primary source of information about lymphovascular invasion is the pathology check list (synoptic report) developed by the College of American Pathologists. If […]

12-05-2025 Always refer to the Manuals! It might sound like its benign and Not Reportable, but maybe it is, always check the manuals!

Join the Omega Healthcare Education Team as we provide an in-depth review of CPT codes for AV Fistula complications, Gynecological procedures, and Breast procedures. We will provide detail descriptions of an AV fistula, purpose, types, surgical techniques and common complications of an AV Fistula. We will also provide details specific to certain GYN procedures and […]

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 an ODS-certified professional, please check with your accrediting agency to determine if they accept CE hours from NCRA. Webinar Speaker : Janet Vogel, […]

11-21-2025 Scenario: Case abstracted after Registry Software converted to v25 Question: How many primaries? Answer: Multiple Solid Tumor Rules Lung Rule M6 Abstract multiple primaries when separate/non-contiguous tumors are two or more different subtypes/variants in Column 3, Table 3 in the Equivalent Terms and Definitions. Timing is irrelevant.

11-14-2025 Question: How would you assign EOD Primary Tumor? Answer: 100 Any size tumor Confined to breast tissue and fat including nipple and/or areola, Localized, NOS Extent of Disease 2018 v3.2 Manual EOD PRIMARY TUMOR 4. Pathological findings take priority over clinical findings.

11-7-2025 Scenario: Case abstracted after Registry Software converted to v25 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 […]

Join the Omega Healthcare Education Team as we review 3rd Quarter 2025 AHA Coding Clinic, AMA 2nd & 3rd Quarter 2025 HCPCS, and AMA June, July, and August 2025 CPT Assistant. We will highlight several topics by looking at the clinical side of the disease processes and procedures. The discussion is designed to help facilitate […]