Treatment of stage III ca colon with chemotherapy (Measure 72)

If patient has stage III ca colon (ICD-9 diagnosis codes: 153.0, 153.1, 153.2, 153.3, 153.4, 153.5, 153.6, 153.7, 153.8, 153.9 AND CPT E/M service codes: 99201, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255), recommend adjuvant chemotherapy. Direct evidence from randomized controlled trials supports the use of adjuvant chemotherapy for patients with stage III colon cancer.

DESCRIPTION: Percentage of stage III colon cancer patients aged 18 through 80 years who were prescribed chemotherapy GUIDELINE If patient has stage III ca colon, recommend adjuvant chemotherapy. Direct evidence from randomized controlled trials supports the use of adjuvant chemotherapy for patients with stage III colon cancer.

References

• National Comprehensive Cancer Network Colon Cancer guideline recommendations for stage III cancer: COL-4.

http://www.nccn.org/professionals/physician_gls/default.asp

• Otchy D, Hyman NH, Simmang C, Anthony T, Buie WD, Cataldo P, Church J, Cohen J, Dentsman F, Ellis CN, Kilkenny JW 3rd, Ko C, Moore R, Orsay C, Place R, Rafferty J, Rakinic J, Savoca P, Tjandra J, Whiteford M. Practice parameters for colon cancer. Dis Colon Rectum 2004 Aug; 47(8):1269-84.