CTR Treatment & Therapy Documentation Flashcards

Which surgical procedure code range in STORE indicates local tumor destruction (e.g., ablation, cryosurgery)?

Answer: Codes 10–19

STORE codes 10–19 represent local tumor destruction procedures such as ablation, cryosurgery, and laser surgery that destroy but do not excise the primary tumor.

When immunotherapy such as pembrolizumab is part of first course treatment, it should be coded in which field?

Answer: RX Summ–Immunotherapy

Checkpoint inhibitors like pembrolizumab are coded in the RX Summ–Immunotherapy field, which captures biological response modifiers and immune checkpoint inhibitors.

A mastectomy is performed, and a sentinel lymph node biopsy removes 2 nodes with 1 positive. What value goes in Regional Nodes Positive?

Answer: 1

Regional Nodes Positive records only the number of lymph nodes found to contain metastatic cancer, which is 1 in this case.

Which field captures administration of bone marrow or stem cell transplant as part of first-course treatment?

Answer: RX Summ–Transplnt/Endocr

Bone marrow and stem cell transplants are recorded in the RX Summ–Transplnt/Endocr field alongside endocrine procedures.

Intraoperative radiation therapy (IORT) delivered during a surgical procedure should be coded as:

Answer: Radiation therapy – yes, administered

IORT is a form of radiation therapy delivered during surgery and must be coded as radiation administered in the first course.

When the medical record documents that chemotherapy was recommended but the patient never started treatment, the RX Summ–Chemo field should be coded as:

Answer: 0 – None; chemotherapy was not administered

If documentation confirms chemotherapy was recommended but never started, code 0 (none administered) is correct since no treatment actually occurred.