Grade Clinical


**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:** Priority order for codes - Urothelial cancers: use codes L, H and 9 + If only G1-G3 are documented, code 9 - Adenocarcinomas and Squamous Cell Carcinomas: use codes 1-3, 9 + If only L or H are documented, code 9 **Note 4:** G3 includes undifferentiated and anaplastic. **Note 5:** For bladder, a TURB qualifies for a clinical grade only. **Note 6:** 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 7:** 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.




NAACCR #3843


Code Description
1 G1: Well differentiated
2 G2: Moderately differentiated
3 G3: Poorly differentiated
L LG: Low-grade
H HG: High-grade
9 Grade cannot be assessed (GX); Unknown