Do we code a 2008 urothelial cancer with small cell differentiation to small cell cancer?
Answer. According to the MP/H 2007 Rules, cell differentiation is not coded in bladder tumors. Use Rule H3 and code 8120 (Transitional cell/urothelial cell carcinoma). Rule H3 indicates to code 8120 (transitional cell urothelial carcinoma) when there is: Pure transitional cell carcinoma, flat (non-papillary) transitional cell carcinoma, transitional cell carcinoma with squamous differentiation, transitional cell carcinoma with glandular differentiation, transitional cell carcinoma with trophoblastic differentiation, nested transitional cell carcinoma, or microcystic transitional cell carcinoma. Resources: Commission on Cancer Inquiry & Response System, Question ID No. 23984, http://web.facs.org/coc/FMPro?-db=ajcctransaction.fp5&-format=search_resultsfeedbackreply.htm&transaction%20id=23984&-script=updatefeedback&-find, 2007 Multiple Primary & Histology Coding Rules (Revised May 2007), page 315.