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Manuals & References for Abstracting

Are your manuals current? Referencing the correct manual is the foundation to abstracting. The following are the current versions of the manuals used for abstracting and will be updated quarterly for your convenience.
Bookmark this page for easy access to the current manuals. (list last updated 3/30/2025)

  • ICD-O-3 (https://www.naaccr.org/icdo3/)
    • there were no ICD-O updates for 2025; the annotated histology list on this site is useful across multiple diagnosis years
  • Solid tumor rules – applicable for 2018+ cases; 2021+ cutaneous melanoma; 2023+ for other sites
    • find it here: https://seer.cancer.gov/tools/solidtumor/
    • Change log: https://seer.cancer.gov/tools/solidtumor/revisions.html
  • Cancer PathCHART (https://seer.cancer.gov/cancerpathchart/) with CPC*Search
    • Initiative to update standards for site, histology and behavior combinations, impossible combinations are incorporated into edits starting with diagnosis year 2024.
    • An exploratory tool, do NOT use for code assignment (use Solid Tumor Rules)!
  • Grade manual – applicable for 2018+ cases
    • find it here: https://apps.naaccr.org/ssdi/list/ (under “Resources”)
    • grade post therapy clin (yc) new for 2021+ and can be left blank for cases diagnosed 2018-2020
    • download latest change log for both grade & SSDI manual from same website, last under “Resources”
  • SSDI manual – applicable for 2018+ cases
    • find it here: https://apps.naaccr.org/ssdi/list/ (under “Resources”)
    • includes clarifications that are applicable for 2018+
    • download latest change log for both grade & SSDI manual from same website, last under “Resources”
  • Heme coding manual – applicable for ✨ 2010+ ✨ cases
    • find it here: https://seer.cancer.gov/seertools/hemelymph/ (click on “Downloads”)
    • see page 8 for revision history, beware of histologies reportability changes and NEW histologies
    • link for Heme Database (https://seer.cancer.gov/seertools/hemelymph/), use drop down “help me code for diagnosis year” to refresh notes based on diagnosis year
  • Summary Stage 2018 – applicable for 2018+ cases
    • find it here: https://seer.cancer.gov/tools/ssm/
    • change log (latest is v3.1 to v3.2): https://seer.cancer.gov/tools/ssm/change-log.pdf
  • STORE manuals – applicable based on diagnosis year
    • find it here: https://www.facs.org/quality-programs/cancer-programs/national-cancer-database/ncdb-call-for-data/
    • look for summary of changes sections in the manuals
    • latest version of STORE 2024 was released 5/29/2024
    • latest version of STORE 2025 was released 2/13/2025
  • CTR Guide to Coding Radiation
    • Latest version is Appendix R in STORE 2025 (see link for STORE above)
  • AJCC 8th edition – applicable for 2018+ cases; Version 9 (various sites per diagnosis year, LINK)
    • find errata here: https://www.facs.org/quality-programs/cancer/ajcc/cancer-staging/updates-corrections
    • AJCC 8th not collected by OCISS but is collected by NCDB/CoC
  • CoC Standards – Optimal Resources for Cancer Care
    • this is specific to CoC facilities
    • find it here: https://www.facs.org/quality-programs/cancer-programs/commission-on-cancer/standards-and-resources/ (latest is 2020)
  • ✨ OCISS Reporting Source Manual
    • https://odh.ohio.gov/know-our-programs/ohio-cancer-incidence-surveillance-system/resources/ociss-reporting-source-manual
    • State of Ohio specific reporting source manual. 2025 version expected summer 2025.
  • SEER Program Coding and Staging Manual (SPCSM)
    • manual and appendices: https://seer.cancer.gov/tools/codingmanuals/
    • this is specific to SEER states (Ohio is NOT a SEER state), however, portions of this manual is very helpful for abstracting in general, such as Appendix C: Site Specific Coding Modules w/ direct links to Solid Tumor Rules, coding helps, and clarifications to STORE’s surgery codes
    • Due to STORE manual reduction in 2021 several data items are no longer covered in the STORE manual but can be found in the SEER coding manual
  • SEER*RSA
    • https://staging.seer.cancer.gov/eod_public/home/3.2/
    • Not a manual but online searchable reference grouped by schema that encompasses Grade, SSDIs, Summary Stage 2018, few other standard data items along with other SEER specific data items (EOD)
    • Click on each data item for the relevant notes from the corresponding manual
  • CAP (College of American Pathologists) Cancer Protocol Templates
    • https://www.cap.org/protocols-and-guidelines/cancer-reporting-tools/cancer-protocol-templates
    • Not a registry manual but helpful for understanding elements on a synoptic report seen on path labs with additional explanatory notes
  • NCCN Guidelines
    • https://www.nccn.org/guidelines/category_1 (requires creation of a FREE account)
    • Not a registry manual per se but very useful for understanding workup and treatment regimens
    • NCRA has an introduction and step-by-step guide video to using the NCCN guidelines, initially presented at the NCRA 2024 conference: https://www.cancerregistryeducation.org/best-practices (scroll down to “Abstracting and Coding Mini Learning Shorts” section and it is the presentation titled “Does Your Cancer Registrar Toolkit Include the NCCN Guidelines?”

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