CS Site-Specific Factor 10

Pre-Orchiectomy Lactate Dehydrogenase (LDH) Range

Notes

**Note 1**: Of the three tumor markers, lactate dehydrogenase (LDH) is the least specific for testicular cancer and is more of a determinant of bulky or disseminated disease. Although recommended to be tested, LDH may not be routinely performed, especially if the primary is localized. **Note 2**: Record the range of the LDH test as documented in the patient record prior to orchiectomy and other treatment. **Note 3**: If the pre-orchiectomy LDH test is unavailable but a physician's statement of the result is documented, use codes 991-993. **Note 4**: For rare cases that are treated prior to orchiectomy, use code 995 in this field and record the initial LDH range in CS Site-Specific Factor 16. **Note 5**: For rare cases that an orchiectomy is not performed, use code 996 in this field and record the initial LDH range in CS Site-Specific Factor 16.

Default

999

NAACCR Item

NAACCR #2864

Metadata

CCCR_IVB_COLLECT_IF_IN_CLINICAL_CHART
COC_CLINICALLY_SIGNIFICANT
SEER_CLINICALLY_SIGNIFICANT
Code Description
000 Within normal limits (S0)
010 Range 1 (S1) less than 1.5 x N
(Less than 1.5 times the upper limit of normal for LDH)
020 Range 2 (S2) 1.5 to 10 x N
(Between 1.5 and 10 times the upper limit of normal for LDH)
030 Range 3 (S3) greater than 10 x N
(Greater than 10 times the upper limit of normal for LDH)
988 Not applicable: Information not collected for this case
(If this information is required by your standard setter, use of code 988 may result in an edit error.)
991 Pre-orchiectomy LDH stated to be elevated
992 Pre-orchiectomy LDH unknown but preorchiectomy serum tumor markers NOS stated to be normal
993 Pre-orchiectomy LDH unknown but preorchiectomy serum tumor markers NOS stated to be elevated
995 Pretreated case, initial LDH range recorded in CS Site-Specific Factor 16
996 No orchiectomy performed, initial LDH range recorded in CS Site-Specific Factor 16
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