WorksheetsSystemic Treatment
Total questions: 39
Worksheet time: 21mins
What is the code for endocrine radiation?
30
20
40
coded to radiation
Hormone therapy is commonly given to which of the following sites?
breast
prostate
endometrial
all of the above
In a systemic regimen, if the hormonal therapy does not affect the cancer, we do not code it.
True
False
In regards to Systemic/surgery Sequence code: Systemic includes but not limited to
chemotherapy
hormone
Endocrine Surgery
Surgery
Prednisone will always be coded as Hormonal Therapy?
Yes
No
_____ inhibit formation of estrogen and androgens thus have been found to be of use in breast and prostate cancer.
Aromatase inhibitors
Adrenocorticoids
Antiandrogens
Antiestrogens
Tamoxifen is an example of what kind of hormonal therapy?
antiestrogen
anriandrogens
adrenocorticoids
megestrol
Patient presented for bone marrow biopsy revealing Myelodysplastic syndrome (MDS). According to NCCN guidelines chemotherapy is considered typical treatment. How do I code chemotherapy?
99
89
88
00
The Oncologist recommended immunotherapy to the patient for their cancer. The patient refused, what is the reason for no immunotherapy?
87
88
00
99
______ is a procedure in which blood supply to tumor is blocked surgically or mechanically and anti-cancer drugs are administered directly into tumor.
Hormone
Radiation
Tumor Embolization
Chemoembolization
Surgical removal of an organ for hormonal manipulation is coded to hormone therapy?
True
False
Patient has ductal carcinoma of the right breast and ductal carcinoma in situ of the left breast. Oncologist performed Oxaliplatin, which abstract do I code the chemotherapy under?
right breast
left breast
both
neither
Patient received bone marrow transplant from their identical twin. How do I code this treatment? (use your STORE/SEER Manual to find exact code)
12
11
20
10
Patient had neoadjuvant carboplatin on 02/11/25, lumpectomy on 03/15/25, followed by paclitaxel on 04/20/25. How do I code systemic surgery sequence? (use your STORE/SEER Manual to find this code)
2
3
4
5
A patient was given multiple options for treatment, 1. surgery only. 2. chemo with radiation, or 3. radiation with hormone. Patient chose option 1. What is the code for hormone?
00
87
88
01
Hematologic transplant & endocrine procedures include but not limited to:
Radioembolization
Stem cell transplant
Endocrine Surgery
bone marrow transplant
For Date of Chemotherapy started what statement(s) are true?
Record date of 1st chemotherapy if chemo was given
code date of prescription if administered date is unknown
Code as the date of admission
Code as date of diagnosis
Patient was offered 3 treatment options:
option 1: surgery w/ radiation
option 2: surgery w/ hormone
option 3: surgery w/ chemotherapy
Patient chose option 1. What is the reason for no hormone?
00
10
87
99
Patient with breast cancer was given prednisone for allergic reaction, how do I code hormone therapy?
00
01
02
03
Syngeneic is coded to what type of bone marrow transplant?
Syngeneic
Autologous
Allogeneic
Not coded
Two hormonal drugs were administered for cancer treatment. What is my hormone therapy code?
00
01
02
03
Patient was given Anastrozole (hormone) to prevent the high risk of breast cancer. How do I code Hormonal therapy?
00
01
02
03
___ is often first-line of treatment for post-menopausal women w/ ER positive breast carcinoma.
Adrenocorticoids
Arimidex/Anastrozole
Tamoxifen
Zoladex
Carboplatin and Paclitaxel were given to patient. What is my chemotherapy code?
00
01
02
03
Patient's oncologist stated that patient was not a candidate for chemotherapy due to patient's history of heart issues. What is the reason for no chemotherapy?
00
82
85
86
___ is a treatment that uses drugs to kill cancer cell or prevent them from dividing.
Hormone
immunotherapy
Radiation
Chemotherapy
Which of the following are ways chemotherapy are administered? (more than one answer)
Intravenous
Intraperitoneal
Intra-arterial
Oral
Topically
___ administration of chemotherapy is the most common way chemotherapy is administered.
Intraperitoneal
Topical
Oral
Intravenous
____ administration of chemotherapy exposes tumor in the cavity to higher doses. Used for Ovarian carcinoma.
intravenous
Oral
Intraperitoneal
intramuscular
____ administration of chemotherapy is also known as chemoembolization when given with therapeutic microspheres.
Intra-arterial
Intraperitoneal
Intraventricular
intravenous
____ administration is most widely used in treating liver cancer and liver mets.
intrathecal
oral
Intra-arterial
intra-peritoneal
____ administration of chemotherapy injects drugs into the CNS to circumvent blood-brain barriers.
intravenous
oral
intramuscular
intraventricular/intrathecal
Xeloda and Temodar are chemotherapy drugs given how?
orally
IV
intramuscular
topically
Mycosis Fungoides (also called cutaneous T-Cell lymphoma) is usually treated with what type of chemotherapy?
oral
topical
intramuscular
IV
What type of stem cell transplant is given by a matched relative?
allogeneic
autologous
What type of bone marrow transplant is when the patient receives their own bone marrow?
allogeneic
syngeneic
autologous
___ is when patient received bone marrow from donor
allogeneic
autologous
hormonal
This therapy uses the body's immune system to fight cancer or reduce side effects.
Chemo
Hormone
Immuno
Bone Marrow Transplant
R-CHOP is coded how? (chemo, hormone, immuno)
chemo 01
hormone 01
immuno 01
chemo 03
hormone 01
immuno 01
chemo 02
hormone 00
immuno 01
chemo 03
hormone 00
immuno 01
