Difference between revisions of "L4E rule 4 (2018)"

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==History==
==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.
*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 this would be 2.5 L4Es.
**A 10 block benign hemithyroidectomy in 2014 was 3.33 L4Es; in the 2018 edition it is 2.5 L4Es.


==Details==
==Details==
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Note:
Note:
*[[L4E rule 5 (2014)|Rule 5]] may apply to cases requiring a synoptic report as per the CAP.
*[[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==
==See also==
*[[L4E rules of 2014]].
*[[L4E rules of 2018]].
*[[L4E rule 4 (2014)]].


==References==
==References==
48,453

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