BI-RADS, PI-RADS, LI-RADS, and Lung RADS (Archived)

What is the diagnosis date for cases using RADS? Are these imaging studies enough for us to call it cancer? 

FCDS Rule: For breast cases designated BIRADS 4, 4A, 4B, 4C or BIRADS 5 alone without any additional information are not reportable; there must be a biopsy to confirm malignancy. If positive biopsy, the date of diagnosis is the date of the imaging. 

For prostate and liver cases with PI RADS and LI RADS with scores 4 and/or 5 alone without any information to the contrary, are reportable with a physician’s statement. No biopsy needed. The date of diagnosis is the date of the imaging. 

For lung cases, RADS alone are not to be used to determine reportability. There must be a physician statement with reportable terminology. The date of diagnosis is the date of the imaging.


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2023 Cancer Reporting Requirements (Archived)

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