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{
"id" : "ssf12_sew",
"algorithm" : "cs",
"version" : "02.05.50",
"name" : "SSF12",
"title" : "CS Site-Specific Factor 12",
"subtitle" : "High Risk Features",
"notes" : "**Note 1**: For AJCC 7 staging, the T category is not only dependent on tumor size but also on several high risk features that can upgrade the T assignment.\n\n**Note 2**: Based on the information in the medical record, the registrar is required to count and code the number of high risk features (each feature equals 1 risk factor). If specific information is available about some but not all of the high risk features, count the number of features documented in the record.\n\n* Poorly differentiated/Undifferentiated (grade 3 or 4)\n* Depth greater than 2 millimeter (mm) thickness \n* Clark level IV or V\n* Perineural invasion\n* Primary site: skin of external ear (C44.2) OR skin of lip (hair-bearing, also called non-glabrous lip) (C44.0)\n\n**Note 3**: Use codes 991, 992, and 993 only if no specific information is available about the high risk features (other than primary site), but the record contains a general statement about the presence of high risk features. \n\n**Note 4**: The definition of high risk features was changed with the release of CSv2:V0203: Lymph-vascular invasion was removed as a high-risk feature, and tumor depth was changed from greater than or equal to 4 mm to greater than 2 mm. All cases with codes 000-004 coded in or updated to CSv2:V0202 should be reviewed and the correct number of high-risk features determined and coded.",
"last_modified" : "2015-05-27T16:19:55.151Z",
"definition" : [ {
"key" : "ssf12",
"name" : "Code",
"type" : "INPUT"
}, {
"key" : "description",
"name" : "Description",
"type" : "DESCRIPTION"
} ],
"rows" : [ [ "000", "No high risk features" ], [ "001", "1 high risk feature" ], [ "002", "2 high risk features" ], [ "003", "3 high risk features" ], [ "004", "4 high risk features" ], [ "005", "5 high risk features" ], [ "006", "OBSOLETE DATA CONVERTED V0203\nThe list of high risk features in CS Version 2: V0201, V0202 included depth equal to or greater than 4 millimeters (mm) and lymph-vascular invasion. Depth was changed to greater than 2 mm and lymph-vascular invasion removed in the final list of high risk features published by AJCC. Cases coded 006 are converted to 005 in CS Version 2: V0203.\n \n6 high risk features" ], [ "988", "Not applicable: Information not collected for this case\n(If this information is required by your standard setter, use of code 988 may result in an edit error.)" ], [ "991", "Stated as less than 2 high risk features" ], [ "992", "Stated as 2 or more high risk features" ], [ "993", "Stated as high risk features, NOS" ], [ "999", "Unknown or no information\nNot documented in patient record" ] ]
}