L4E rule 9 (2018)
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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.[1]
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
| 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 UCC and 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
References
- ↑ 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. Accessed on: 19 May 2019.