DI 23022: Processing Quick Disability Determination (QDD) and Compassionate Allowances (CAL) in the Disability Determination Services (DDS)
TN 1 (10-08)
COMPASSIONATE ALLOWANCE INFORMATION | |
LARGE INTESTINE CANCER | |
DESCRIPTION |
Large Intestine Cancer forms in the tissues of the colon. Most colon cancers are adenocarcinomas. When large intestine adenocarcinoma spreads outside the colon or rectum, cancer cells are often found in nearby lymph nodes. If cancer cells have reached these nodes, they may also have spread to other lymph nodes or other organs. Large intestine adenocarcinoma (cancer) cells most often spread to the liver. |
ALTERNATE NAMES |
Colon Cancer, Colon Carcinoma, Colorectal Cancer, Colorectal Carcinoma, Rectal Cancer, Rectal Carcinoma, Large Bowel Cancer, Large Bowel Carcinoma, Large Intestine Adenocarinoma |
DIAGNOSTIC TESTING AND CODING |
The following may be used to diagnose the disease: fecal occult blood test (FOBT), sigmoidoscopy, colonoscopy, double-contrast barium enema, and/or digital rectal exam. |
TREATMENT |
If the cancer is inoperable or unresectable, treatment with radiation or chemotherapy can be utilized for palliation, but the prognosis is poor. |
PROGRESSION |
Large intestine adenocarcinoma (colon cancer) is the second leading cause of death from cancer in the United States. Inoperable or unresectable large intestine adenocarcinoma may progress locally and cause intestinal obstruction, uncontrolled GI bleeding, and/or severe pain from invasion into the sacral nerve plexus. |
SUGGESTED PROGRAMMATIC ASSESSMENT* | ||
Suggested MER for Evaluation: A pathology report and an operative report are the preferred methods for documentation. | ||
Suggested Listings for Evaluation: | ||
DETERMINATION |
LISTING |
REMARKS |
Meets Listing |
13.18A, 13.18B, and 13.18C |
Large Intestine Cancer that is inoperable, unresectable, recurrent, or with distant metastases meets Listing 13.18A, 13.18B, and 13.18C. |
Medical Equals |
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* Adjudicators may, at their discretion, use the Medical Evidence of Record or Listings suggested to evaluate the claim. However, the decision to allow or deny the claim rests with the adjudicator. |
Last Updated: 9/30/08 |
Office of Disability Programs |