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

NAACCR Item

NAACCR #3903

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