The Registry Partners June 2020 CTR Coding Break discusses grade clinical and grade pathological for the bladder site. The presentation reviews the clinical and pathological timeframe, grade notes, priority order, and reviews common questions. A TURBT, transurethral resection of a bladder tumor qualifies for clinical grade only. A cystectomy or partial cystectomy must be performed to qualify for grade pathological. Grade Pathological Note 2 instructs to assign the highest grade. If the clinical grade is the highest, use the grade for both the clinical and pathological grade. You may also use the clinical grade if a resection is performed and there is no grade documented or if there is no residual cancer. The priority order for Urothelial cancers is low grade (L), high grade (H), and 9. The priority order for adenocarcinomas and squamous cell carcinomas are codes 1-3 (well, mod, poor diff) and 9. The presentation concludes with common bladder grade questions.
