Grade Clinical

Notes

**Note 1:** Clinical grade must not be blank. **Note 2:** Assign the highest grade from the primary tumor assessed during the clinical time frame. **Note 3:** Codes L, H and M take priority over A-D. **Note 4:** Code 9 when * Grade from primary site is not documented * Clinical workup is not done (for example, cancer is an incidental finding during surgery for another condition) * Grade checked "not applicable" on CAP Protocol (if available) and no other grade information is available **Note 5:** If there is only one grade available and it cannot be determined if it is clinical or pathological, assume it is a clinical grade and code appropriately per clinical grade categories for that site, and then code unknown (9) for pathological grade, and blank for post therapy grade.

Default

9

NAACCR Item

NAACCR #3843

Metadata

SSDI
Code Description
L LG: Low grade (≤20 mitoses per 50 HPF)
H HG: High grade (>20 mitosis per 50 HPF)
M TP53 or CTNNB Mutation
A Well differentiated
B Moderately differentiated
C Poorly differentiated
D Undifferentiated, anaplastic
9 Grade cannot be assessed (GX); Unknown