Oncotype Dx Recurrence Score - DCIS
Description
Oncotype Dx Recurrence Score-DCIS is a numeric score of a genomic test to predict the likelihood of distant recurrence of invasive breast cancer based on the assessment of 21 genes.
The Oncotype DX DCIS score is a genomic test that estimates the likelihood of local recurrence (DCIS or invasive) for a patient with DCIS. The results may be used clinically to evaluate benefits of radiation therapy following surgery.
Rationale
Oncotype Dx Recurrence Score-DCIS is a Registry Data Collection Variable in AJCC. It is a new data item for cases diagnosed 1/1/2018+.
Additional Info
**Source documents:** Oncotype Dx DCIS laboratory report, other statements in medical record
Notes
**Note 1:** **Physician statement**
* Physician statement of Oncotype Dx Recurrence Score-DCIS can be used to code this data item when no other is available.
**Note 2:** **Type of Test**
* Record only the results of an Oncotype Dx-DCIS recurrence score in this data item. If some other test is used for scoring, assign code XX9.
**Note 3:** **Multiple tests, multiple results**
* In cases where Oncotype Dx-DCIS is reported on more than one in situ breast tumor specimen, record the highest value.
**Note 4:** **Related data item**
* Code this data item using the same report used to record the related data item 3905: Oncotype Dx Risk Level-DCIS.
Coding Guidelines
**1)** **Code 01-100** for the actual recurrence score
* The actual recurrence score takes priority over codes XX4 and XX5
**2)** **Code XX6** if the case is invasive (/3)
**3)** **Code XX7** If the only information available is the Oncotype Dx-DCIS Risk Level
**4)** **Code XX9** when Oncotype DX recurrence score
* LCIS tumors
* Cannot be determined by the pathologist (e.g., inadequate specimen)
* It is unknown whether the Oncotype DX recurrence-DCIS score test was performed
* The patient has only a clinical diagnosis of breast cancer (no tissue diagnosis)
Default
XX8
Metadata
SSDI
| Code |
Description |
| 000-100 |
Enter actual recurrence score between 0 and 100 |
| XX6 |
Not applicable, invasive case |
| XX7 |
Test ordered, results not in chart |
| XX8 |
Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code XX8 will result in an edit error.) |
| XX9 |
Not documented in medical record
Oncotype Dx recurrence score-DCIS not assessed or unknown if assessed |
