CS Site-Specific Factor 4

This input is used for staging

Serum Lactate Dehydrogenase (LDH)

Notes

**Note 1**: Per AJCC, p. 334: "To confirm the elevated serum [lactate dehydrogenase] LDH for staging purposes, it is recommended to obtain two or more determinations obtained more than 24 [hours] h apart, since an elevated serum LDH on a single determination can be falsely positive as a result of hemolysis or other factors unrelated to melanoma metastases." **Note 2**: Positive results from two laboratory tests are required to code a positive value in this field. If the first test is positive and the second test is negative, code the results as negative or within normal limits, unless an additional test with positive results is performed. If the first test is positive and there is no second test, record 998 if it is known that a second test was not performed; code 999 if there is no information about a second test. If the only test is negative or within normal limits, code the results from the single test. **Note 3**: Record the range for the positive LDH value prior to treatment or within six weeks of diagnosis. Give priority to the first positive test performed. The information should be taken from the same test used to code CS Site-Specific Factor 5 and CS Site-Specific Factor 6.

Default

999

NAACCR Item

NAACCR #2910

Metadata

CCCR_ESSENTIAL_FOR_TNM_CLASSIFICATION
NPCR_REQUIRED_WHEN_AVAILABLE_2011_FORWARD
Code Description
000 CONVERTED AND CODE REUSED V0203
Prior to V0203 code defined as "Test not done, test was not ordered and was not performed". Cases converted to code 998 with V0203 and code 000 redefined as "Within normal limits".

Within normal limits
002 OBSOLETE DATA CONVERTED V0203
See code 000

Within normal limits
004 OBSOLETE DATA CONVERTED V0203
See code 010

Range 1: Less than 1.5 x upper limit of normal for lactate dehydrogenase (LDH) assay

Stated as elevated, NOS
005 OBSOLETE DATA CONVERTED V0203
See code 020

Range 2: 1.5 - 10 x upper limit of normal for LDH assay
006 OBSOLETE DATA CONVERTED V0203
See code 030

Range 3: More than 10 x upper limit of normal for LDH assay
008 OBSOLETE DATA CONVERTED V0203
See code 997

Ordered, but results not in chart
010 Range 1: Less than 1.5 x upper limit of normal for lactate dehydrogenase (LDH) assay

Stated as elevated, NOS
020 Range 2: 1.5 - 10 x upper limit of normal for LDH assay
030 Range 3: More than 10 x upper limit of normal for LDH assay
988 Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code 988 will result in an edit error.)
997 Test ordered, results not in chart
998 Test not done (test not ordered and not performed)
999 Unknown or no information
Not documented in patient record