California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures
This field identifies the person(s) who assigned the pathologic TNM staging items and stage group on the case.
NOTE: This data item has expanded to two characters and is required for cases diagnosed January 1, 2016 and forward.
This data item is to be used in conjunction with pathologic TNM staging.
If applicable, the staging elements (T, N, and M) as well as the stage group must be recorded.
Exception: Lymphoma does not have TNM elements. Only assigning stage group is applicable.
Record the role of the person who documented the clinical AJCC staging data items and stage group.
Code 00 is used when:
Tumor does not meet the criteria for pathologic staging
Tumor is not staged
Stage is unknown
If codes 10-20 are used, then all staging elements (T, N, M, and stage group must be assigned by the same person.
Use Codes 10-40 to assign the role of the person who staged the case, when the stage was assigned outside of the facility. Otherwise, use code 50.
Code 10 is used when the physician who assigned the stage cannot be identified in codes 11-15.
Examples: Dentist, gynecologist, or urologist
Code 30 is used when a physician assigns the T, N, and the registrar determines the M and the stage group from other portions of the record.
Stage source may be different for clinical vs. pathologic stage.
Code |
Description |
0 |
Not staged |
10 |
Physician, NOS, or physician type not specified in codes 11-15 |
11 |
Surgeon |
12 |
Radiation Oncologist |
13 |
Medical Oncologist |
14 |
Pathologist |
15 |
Multiple Physicians; tumor board; etc. |
20 |
Cancer registrar |
30 |
Cancer registrar and physician |
40 |
Nurse, physician assistant, or other non-physician medical staff |
50 |
Staging assigned at another facility |
60 |
Staging by Central Registry |
88 |
Case not eligible for staging |
90 |
Staged but unknown who assigned stage |