L4E rule 4 (2018): Difference between revisions

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*This rule applies to most benign resections.

*It applies to some small biopsies that are submitted in several blocks, e.g. an endoscopically resected large tubular adenoma of the colon without high-grade dysplasia submitted in 3 blocks.

*The CAP-ACP workload committee ~~references~~ states this rule has ''not'' been modified (see ''Page 4''). However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E); thus, the rule ~~on a practical level~~ results a different weighting where larger cases have significantly less value.

==History==

*The CAP-ACP workload committee document states this rule has ''not'' been modified from the 2014 edition of L4E (see ''Page 4'').<ref name=capacp2018/> However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E);<ref name=capacp2018/> thus, the rule in the 2018 edition of L4E results in a different weighting where larger cases have significantly less value.

**A 10 block benign hemithyroidectomy in 2014 was 3.33 L4Es; in the 2018 edition it is 2.5 L4Es.

==Details==

{| class="wikitable sortable"

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Note:

*[[L4E rule 5 (2014)|Rule 5]] may apply to cases requiring a synoptic report as per the CAP.

~~===Specimens this rule applies to===~~

~~Benign disease in:~~

*Hysterectomy.

*Thyroidectomy.

*Simple Nephrectomy.

*Breast lumpectomy.

*Small bowel resection.

*Large bowel resection.

*Sleeve gastrectomy.

*Appendix.

~~Malignant disease - non-radical resections:~~

*Partial nephrectomy.

*Hemithyroidectomy with cancer.

==See also==

*[[L4E rules of 2014]].

*[[L4E rules of 2018]].

*[[L4E rule 4 (2014)]].

==References==

@@ Line 8: / Line 8: @@
 *This rule applies to most benign resections.
 *It applies to some small biopsies that are submitted in several blocks, e.g. an endoscopically resected large tubular adenoma of the colon without high-grade dysplasia submitted in 3 blocks.
-*The CAP-ACP workload committee references states this rule has ''not'' been modified (see ''Page 4''). However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E); thus, the rule on a practical level results a different weighting where larger cases have significantly less value.
+==History==
+*The CAP-ACP workload committee document states this rule has ''not'' been modified from the 2014 edition of L4E (see ''Page 4'').<ref name=capacp2018/> However, the ''General Guidelines for Coding'' (see ''Page 7'') have changed for L2 (from 0.333 L4E to 0.25 L4E);<ref name=capacp2018/> thus, the rule in the 2018 edition of L4E results in a different weighting where larger cases have significantly less value.
+**A 10 block benign hemithyroidectomy in 2014 was 3.33 L4Es; in the 2018 edition it is 2.5 L4Es.
 ==Details==
 {| class="wikitable sortable"
@@ Line 22: / Line 26: @@
 |}
 Note:
 *[[L4E rule 5 (2014)|Rule 5]] may apply to cases requiring a synoptic report as per the CAP.
-===Specimens this rule applies to===
-Benign disease in:
-*Hysterectomy.
-*Thyroidectomy.
-*Simple Nephrectomy.
-*Breast lumpectomy.
-*Small bowel resection.
-*Large bowel resection.
-*Sleeve gastrectomy.
-*Appendix.
-Malignant disease - non-radical resections:
-*Partial nephrectomy.
-*Hemithyroidectomy with cancer.
 ==See also==
-*[[L4E rules of 2014]].
+*[[L4E rules of 2018]].
+*[[L4E rule 4 (2014)]].
 ==References==

L4E rule 4 (2018): Difference between revisions

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