L4E rule 1-3 (2014)

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This article covers L4E rule 1-3 for the 2014 L4E workload system.

An overview of the L4E rules is found in the L4E rules of 2014.

Context

  • This rule deals with biopsies/curettages.

Details

Specimen type(s) Weight (L4E) Details Examples Rule
Breast core biopsies & prostate core biopsies 1 L3 per core (0.5 L4E/core) maximum of 20 cores, should use clinicians core count (if available) - if clinicians' count not available use gross count 4 breast cores = 2 L4E
12 prostate cores = 6 L4E
Rule 2 [1]
Core biopsies (not including prostate, breast) 1 L4E / 5 cores, all fractions are rounded down 1-5 cores = 1 L4E, 6-10 cores = 2 L4E, 11-15 cores = 3 L4E, 16-20 cores = 4 L4E 3 cores of lymph node = 1 L4E, 6 cores of mediastinal mass = 2 L4E Rule 2 [1]
Fragmented tissue/curettage 1 L4E / 3 blocks, all fractions are rounded down 1-3 blocks = 1 L4E, 4-6 blocks = 2 L4E, 7-9 blocks = 3 L4E, 10-12 blocks = 4 L4E, 13-15 blocks = 4 L4E endometrial biopsy in 2 blocks = 1 L4E, TURP in 7 blocks = 3 L4E, bladder biopsy in 12 blocks = 4 L4E Rule e [1]

See also

References

  1. 1.0 1.1 1.2 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.