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Difference between revisions of "L4E rule 6 (2018)"
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(Created page with "This article covers '''L4E rule 6''' for the 2018 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2018. The definitive reference f...") |
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==Overview== | ==Overview== | ||
*This rule applies to any case with extra blocks and/or levels requested by the pathologist. | *This rule applies to any case with extra blocks and/or levels requested by the pathologist. | ||
==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) and L1 (from 0.15 to 0.125);<ref name=capacp2018/> thus, the rule in the 2018 edition of L4E results in lower weights for deepers and additional blocks. | |||
**Cutting 6 deepers in 2014 was 0.3 L4E; in the 2018 edition it is 0.25 L4Es. | |||
**Submitting 6 additional blocks in 2014 was 2 L4E; in the 2018 edition it is 1.5 L4E. | |||
==Details== | ==Details== | ||
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|- | |- | ||
| All specimens with extra blocks requested by the pathologist | | All specimens with extra blocks requested by the pathologist | ||
| 0. | | 0.25 L4E/additional block | ||
| 1 extra block (EB) = 0. | | 1 extra block (EB) = 0.25 L4E, 2 EB = 0.5 L4E, 3 EB = 0.75 L4E, 4 EB = 1 L4E | ||
| colorectal cancer in | | colorectal cancer in 32 blocks with 11 lymph nodes, 4 more blocks submitted = 8 L4E ([[L4E rule 4 (2018)|rule 9]]) + 1 L4E (rule 6) + 3 L4E ([[L4E rule 5 (2018)|rule 5]]) | ||
|- | |- | ||
| All specimens with levels requested by the pathologist | | All specimens with levels requested by the pathologist | ||
| 0. | | 0.125 L4E/3 levels (or 1 L1/3 levels) | ||
| 1-3 levels = 0. | | 1-3 levels = 0.125 L4E, 4-6 levels = 0.25 L4E, 7-9 levels = 0.375 L4E | ||
| normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0. | | normal colorectal mucosa submitted as polyp + 3 deepers cut = 0.5 + 0.125 L4E | ||
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==See also== | ==See also== | ||
*[[L4E rules of 2018]]. | *[[L4E rules of 2018]]. | ||
*[[L4E rule 6 (2014)]] | |||
==References== | ==References== | ||