Difference between revisions of "L4E rule 9 (2014)"

Revision as of 03:53, 25 October 2017

This article covers L4E rule 9 for the 2014 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2014.

The definitive references for this rules in found on the CAP-ACP website.^[1]

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.

Specimen (s)	Weight (L4E)	Details	Examples
Radical resections with one synoptic	10 L4E + 1 L2/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 + 1 L2/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 UCC and Pca in 45 blocks = 10+5+5 L4E, radical bilateral mastectomy with lymph nodes and 2 separate cancers in 66 blocks = 10+11+5 L4E

↑ Workload and Workforce Committee of the CAP-ACP. Workload Measurement Guidelines. Canadian Association of Pathologists (CAP-ACP). 2014. URL: https://www.cap-acp.org/cmsUploads/CAP/File/CAP-ACP%202014%20Workload%20FINAL.pdf. Accessed on: 17 October 2017.

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 ==Overview==
-*This rule applies to radical resection and complex cases.
+*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.