04-05-2024 SSDI Peritoneal Cytology
Scenario: 2024
- TAH/BSO-Invasive Adenocarcinoma, grade 2, depth of stromal invasion 6.15mm, horizontal extent of stromal invasion 14mm, silva pattern of invasion-pattern C, 0/4 pelvic lymph nodes negative, margins negative, no lymphovascular invasion, pT1b1 pN0.
- 6/15/2023 Peritoneal Washing- atypical cell present
Question: How would you code the SSDI Peritoneal Cytology?
0 Peritoneal cytology/washing negative for malignancy
1 Peritoneal cytology/washing atypical and/or suspicious
2 Peritoneal cytology/washing malignant (positive for malignancy)
3 Unsatisfactory/nondiagnostic
9 Not documented in medical record Peritoneal cytology not assessed or unknown if assessed
Answer: 1 Peritoneal cytology/washing atypical and/or suspicious
Rationale:
SSDI Manual 3.1
- Note 2: Peritoneal cytology may also be called peritoneal ascitic fluid instead of peritoneal washing or pelvic washing.