American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

NCDB: The Corner STORE

CAnswer Forum: Clarification on the Coding Instructions for Brachytherapy and Radioembolization

Several questions related to the new radiation data items have been posted in the CAnswer Forum. For CoC-accredited programs, please follow STORE rules. To clarify the current coding instructions for brachytherapy and radioembolization:

  1. For Phase I, II and III Dose per Fraction, NAACCR Data Items 1501, 1511 and 1521, use code 99998 when brachytherapy was administered to the patient (codes 07-12 for Phase I, Phase II or Phase III Treatment Modality, NAACCR Data Items 1506, 1516 or 1526).
  2. For Phase I, II and III Total Dose, NAACCR Data Items 1507, 1517 and 1527, use code 999998 when brachytherapy was administered to the patient (codes 07-12 for Phase I, Phase II or Phase III Treatment Modality, NAACCR Data Items 1506, 1516 or 1526).
  3. For Total Dose, NAACCR Data Item # 1533, use code 999998 when brachytherapy was administered (codes 07-12 recorded in Phase I, Phase II or Phase III Radiation Treatment Modality, NAACCR Data Items 1506, 1516 or 1526).
  4. For Phase I, Phase II and Phase III Treatment Modality, NAACCR Data Items 1506, 1516 and 1526, use code 13 – Radioisotopes, NOS, for radioembolization procedures i.e. intravascular Yttrium-90, for cases diagnosed January 1, 2018 or later. For cases diagnosed prior to January 1, 2018, use code 07 – Brachytherapy, NOS.

For clarifications on the STORE data items, please continue to utilize the CAnswer Forum. For program-specific questions, please contact ncdb@facs.org.

RQRS Data Updates and Monthly Alert Report

An issue was identified with the processing of submitted data in RQRS. This issue affected all RQRS data submissions made on August 3, 2018 and later. As a result of this problem, the data displayed in RQRS—dashboards, alert and case listings—are not being updated. In addition, the RQRS Monthly Alert Reports that were sent out on Monday, November 5, 2018 did not reflect any updates included in data submissions to RQRS from August 3, 2018 and later. Please note that if you submitted to RQRS prior to August 3, 2018, the data displayed in the application and included in the Monthly Alert Report is accurate.

We are currently addressing all issues, and once the system processing and updating of case information is resolved, communication will be sent. Please continue to review The Brief for updates. We apologize for any inconvenience this may be causing, and thank you for your patience and understanding as we work through the system issues.

Programs may continue submitting data to RQRS. In the CoC Datalinks under “RQRS: Data Submission History and Edits,” hospital registrars are encouraged to review the record status for the file/s submitted, and view the details to see what records transmitted and if any were rejected/have edit errors.

As always, your feedback is greatly appreciated and invaluable to aiding the process of improving RQRS. Please send all comments, concerns and questions to the NCDB Help Desk at ncdb@facs.org.