Collaborative Stage

Note 1: Code the Gleason's primary and secondary patterns from needle core biopsy or TURP only in this field.
Note 2: Usually prostate cancers are graded using Gleason's score or pattern. Gleason's grading for prostate primaries is based on a 5-component system (5 histologic patterns). Prostatic cancer generally shows two main histologic patterns. The primary pattern, the pattern occupying greater than 50% of the cancer, is usually indicated by the first number of the Gleason's grade, and the secondary pattern is usually indicated by the second number. These two numbers are added together to create a pattern score, ranging from 2 to 10.
    If there are two numbers, assume that they refer to two patterns (the first number being the primary pattern and the second number the secondary pattern), and sum them to obtain the score.
    If only one number is given and it is less than or equal to 5, assume that it describes a pattern. Code the number as the primary pattern and code the secondary pattern as 9.
    If only one number is given and it is greater than 5, assume that it is a score. Code 099.
    If the pathology report specifies a specific number out of a total of 10, the first number given is the score. Example: The pathology report says Gleason's 3/10. The Gleason's score would be 3, and coded as 099.
Note 3: If different patterns are documented on multiple needle core biopsies code the pattern that reflects the highest or most aggressive score regardless if the pathologist provides an overall pattern in a final summary. If different patterns equal the same high score, give priority to the highest primary pattern and then the highest secondary pattern. For example, both Gleason's 3, 4 and Gleason's 4, 3 equal Gleason's score 7; code 043. Do not mix patterns from multiple specimens.
Note 4: If needle core biopsy and TURP are both performed, code the pattern that reflects the highest score.
Note 5: If needle core biopsy and TURP are not performed, use code 998. If the Gleason's pattern and score are not documented on needle core biopsy or TURP, use code 999.

Code	Description
011	Primary pattern 1, secondary pattern 1
012	Primary pattern 1, secondary pattern 2
013	Primary pattern 1, secondary pattern 3
014	Primary pattern 1, secondary pattern 4
015	Primary pattern 1, secondary pattern 5
019	Primary pattern 1, secondary pattern unknown
021	Primary pattern 2, secondary pattern 1
022	Primary pattern 2, secondary pattern 2
023	Primary pattern 2, secondary pattern 3
024	Primary pattern 2, secondary pattern 4
025	Primary pattern 2, secondary pattern 5
029	Primary pattern 2, secondary pattern unknown
031	Primary pattern 3, secondary pattern 1
032	Primary pattern 3, secondary pattern 2
033	Primary pattern 3, secondary pattern 3
034	Primary pattern 3, secondary pattern 4
035	Primary pattern 3, secondary pattern 5
039	Primary pattern 3, secondary pattern unknown
041	Primary pattern 4, secondary pattern 1
042	Primary pattern 4, secondary pattern 2
043	Primary pattern 4, secondary pattern 3
044	Primary pattern 4, secondary pattern 4
045	Primary pattern 4, secondary pattern 5
049	Primary pattern 4, secondary pattern unknown
051	Primary pattern 5, secondary pattern 1
052	Primary pattern 5, secondary pattern 2
053	Primary pattern 5, secondary pattern 3
054	Primary pattern 5, secondary pattern 4
055	Primary pattern 5, secondary pattern 5
059	Primary pattern 5, secondary pattern unknown
099	Primary pattern unknown, secondary pattern unknown
988	Not applicable: Information not collected for this case (If this information is required by your standard setter, use of code 988 may result in an edit error.)
998	No needle core biopsy/TURP performed
999	Unknown or no information Not documented in patient record

Prostate

CS Site-Specific Factor 7
Gleason's Primary Pattern and Secondary Pattern Values on Needle Core Biopsy/Transurethral Resection of Prostate (TURP)

Prostate

CS Site-Specific Factor 7Gleason's Primary Pattern and Secondary Pattern Values on Needle Core Biopsy/Transurethral Resection of Prostate (TURP)

CS Site-Specific Factor 7
Gleason's Primary Pattern and Secondary Pattern Values on Needle Core Biopsy/Transurethral Resection of Prostate (TURP)