L4E rule 9 (2018) - Revision history

Michael: /* Details */

2019-05-20T02:38:22Z

Details

← Older revision		Revision as of 02:38, 20 May 2019
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	\| Resections post-therapy with or without residual tumour		\| Resections post-therapy with or without residual tumour
	\| 10 L4E for first 40 blocks, 0.25 L4E/blocks in excess of 40		\| 10 L4E for first 40 blocks, 0.25 L4E/blocks in excess of 40
	\| 40 blocks = 15 L4E, 41 blocks = 15.25 L4E, 42 blocks = 15.5 L4E; [[L4E rule 5 (2018)\|rule 5]] applies if a synoptic is done		\| 40 blocks = 10 L4E, 41 blocks = 10.25 L4E, 42 blocks = 10.5 L4E; [[L4E rule 5 (2018)\|rule 5]] applies if a synoptic is done
	\| lumpectomy post treatment in breast cancer in 44 blocks, ypT0 = 10 + 1 (extra block) + 3 (synoptic report) L4Es		\| lumpectomy post treatment in breast cancer in 44 blocks, ypT0 = 10 + 1 (extra block) + 3 (synoptic report) L4Es
	\|}		\|}

Michael at 02:37, 20 May 2019

2019-05-20T02:37:54Z

← Older revision		Revision as of 02:37, 20 May 2019
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	==Overview==		==Overview==
	*This rule applies to ~~radical~~ resections ~~and complex cases.~~		*This rule applies to resections post treatment/no residual tumour (pyT0).
	*It defines the ''L6 code'' as an all encompassing code for a case. Resections that include lymph nodes and several organs are given a L6 code and adjusted upwards if (1) >30 blocks (see details) and/or (2) ~~require more than one CAP synoptic report~~.

	==Details==		==Details==
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	! Weight (L4E)		! Weight (L4E)
	! Details		! Details
	! ~~Examples~~		! Example
	\|-		\|-
	\| ~~Radical resections~~ with ~~one synoptic~~		\| Resections post-therapy with or without residual tumour
	\| 10 L4E ~~+ 0.33 L4E/block~~ for ~~each block >30 blocks~~		\| 10 L4E for first 40 blocks, 0.25 L4E/blocks in excess of 40
	~~\| 30 blocks = 10 L4E, 31~~ blocks ~~= 10.33 L4E~~, ~~32 blocks = 10.66 L4E~~		\| 40 blocks = 15 L4E, 41 blocks = 15.25 L4E, 42 blocks = 15.5 L4E; [[L4E rule 5 (2018)\|rule 5]] applies if a synoptic is done
	~~\| prostatectomy with lymph nodes in 30 blocks = 10 L4E, radical mastectomy with lymph nodes in 60 blocks = 10 L4E + 30 x~~ 0.~~33 L4E = 60 L4E~~		\| lumpectomy post treatment in breast cancer in 44 blocks, ypT0 = 10 + 1 (extra block) + 3 (synoptic report) L4Es
	\|-
	~~\| Radical resections with more than one synoptic~~
	~~\| 10 L4E + 0.33~~ L4E/~~block for each block >30~~ blocks ~~+ 5 L4E/additional synoptic~~
	\| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
	~~\| cytoprostatecomy with lymph nodes~~ [[~~urothelial carcinoma~~\|~~UCC~~]] ~~and [[prostate~~ cancer~~\|Pca]]~~ in 45 blocks ~~= 10+5+5 L4E~~, ~~radical bilateral mastectomy with lymph nodes and 2 separate cancers in 66 blocks~~ = 10+12+~~5 L4E~~
	\|}		\|}

Michael: create

2019-05-20T02:28:33Z

create

New page

This article covers '''L4E rule 9''' for the 2018 [[L4E]] [[workload]] system. An overview of the L4E rules is found in the [[L4E rules of 2018]].

The definitive reference for this rule in found on the CAP-ACP website.<ref name=capacp2018>Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2018. URL: [https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP_Workload_Model_2018_Final_2020180907(1).pdf]. Accessed on: 19 May 2019.</ref>

==Overview==
*This rule applies to radical resections and complex cases.
*It defines the ''L6 code'' as an all encompassing code for a case. Resections that include lymph nodes and several organs are given a L6 code and adjusted upwards if (1) >30 blocks (see details) and/or (2) require more than one CAP synoptic report.

==Details==

{| class="wikitable sortable"
! Specimen (s)
! Weight (L4E)
! Details
! Examples
|-
| Radical resections with one synoptic
| 10 L4E + 0.33 L4E/block for each block >30 blocks
| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
| prostatectomy with lymph nodes in 30 blocks = 10 L4E, radical mastectomy with lymph nodes in 60 blocks = 10 L4E + 30 x 0.33 L4E = 60 L4E
|-
| Radical resections with more than one synoptic
| 10 L4E + 0.33 L4E/block for each block >30 blocks + 5 L4E/additional synoptic
| 30 blocks = 10 L4E, 31 blocks = 10.33 L4E, 32 blocks = 10.66 L4E
| cytoprostatecomy with lymph nodes [[urothelial carcinoma|UCC]] and [[prostate cancer|Pca]] in 45 blocks = 10+5+5 L4E, radical bilateral mastectomy with lymph nodes and 2 separate cancers in 66 blocks = 10+12+5 L4E
|}

==See also==
*[[L4E rules of 2018]].
*[[L4E rule 9 (2014)]].

==References==
{{Reflist|1}}

[[Category:Workload]]