NAACCR Item #1174: PD-L1

Item # Length Source of Standard Year Implemented Version Implemented Year Retired Version Retired
1174 5 NAACCR 2025 25

NAACCR XML: Tumor.pdl1

Description

The absence or presence of PD-L1 expression determines if the tumor will respond to treatment with a targeted inhibitor (immunotherapy). PD-L1 is done for Non-small cell lung cancers (NSCLC).

Rationale

PD-L1 is recommended by treatment guidelines for lung cancer to determine if the patient may benefit from checkpoint inhibitor drugs (immunotherapy). It is a new data item for cases diagnosed 1/1/2025+.

Codes
0.0No PD-L1 expression identified Tumor Proportion Score (TPS) = 0%
0.1-100.00.1-100.0 PD-L1 expression Tumor Proportion Score (TPS) = 0.1%-100.0%
XXX.2PD-L1 expression absent AND Tumor Proportion Score (TPS) stated as negative
XXX.3PD-L1 expression present AND Tumor Proportion Score (TPS) stated as low
XXX.4PD-L1 expression present AND Tumor Proportion Score (TPS) stated as high/positive
XXX.7Test ordered, results not in chart
XXX.8Not applicable: Information not collected for this case (If this item is required by your standard setter, use of code 8 will result in an edit error)
XXX.9Not documented in medical record No microscopic confirmation of tumor PD-L1 cannot be determined PD-L1 not assessed or unknown if assessed
BlankNA - Diagnosis year is prior to 2025

Note 1: This SSDI is effective for diagnosis years 2025+. 

  • For cases diagnosed 2018-2024, leave this SSDI blank

Note 2: Physician statement PD-L1 can be used to code this data item when no other information is available.

Note 3: The absence or presence of PD-L1 expression determines if the tumor will respond to treatment with a targeted inhibitor. PDL-1 is done for Non-Small Cell lung cancers (NSCLC)

Note 4: If neoadjuvant therapy is given, record the assay from tumor specimens prior to neoadjuvant therapy. 

  • If neoadjuvant therapy is given and there are no PD-L1 results from pre-treatment specimens, report the findings from post-treatment specimens