L4E rule 9 (2014)

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This article covers L4E rule 9 for the 2014 L4E workload system. An overview of the L4E rules is found in the L4E rules of 2014.

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

  1. 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.