CTR Exam Questions With Complete Solutions
Which date(s) of treatment could be coded in the Date Systemic
Therapy Started field if only the following is designated as first
course of treatment?
8/1/2025 Bilateral orchiectomy performed for a prostate primary
Which statement applies when coding the Date Therapy
Initiated field?
When no other treatment is provided, code the date of an
incisional biopsy when further surgery reveals no residual or
only a microscopic residual of tumor in the resected specimen.
Which statement does not apply to Regional Nodes Positive?
Use clinicopathologic information to code this field.
In which situation can you not assign code 88 [Chemotherapy
was recommended, but it is unknown if it was administered] for
chemotherapy?
When it is a customary treatment option for the primary
site/histology
What information cannot be used to assess and code
the Neoadjuvant Therapy--Clinical Response field?
Surgical resection pathology
Which statement does not apply to Hospice?
Patients in hospice do not receive any treatment considered part
of first course of treatment.
,For which modality is the Radiation Course Total Dose field
coded to 999998 when it is used in combination with intensity
radiation therapy (IMRT) in a course of radiation that includes
multiple phases?
Brachytherapy
Which agent is coded as cancer-directed hormonal treatment?
Bromocriptine given for a pituitary adenoma
Which statement applies when coding the Surgery of Primary
Site 2023 field?
When the surgery is aborted prior to completing the planned
procedure, assign the surgery code that best represents the extent
of the surgical procedure that was actually carried out on the
primary site.
Which statement regarding bone marrow transplants (BMT)
does not apply?
The first sign of a successful bone marrow transplant is a rising
red cell blood count.
Which statement does not apply to embolizations?
Embolizations that do not involve chemotherapy or radioactive
beads or coils are not coded as cancer-directed therapy.
Which statement does not apply to palliative treatment?
Palliative care is always coded as part of first course of therapy
if it is prescribed by the clinician.
, For which case is the assigned coding incorrect for the Scope of
Regional Lymph Node Surgery field?
Assign code 0 [No regional lymph nodes removed or aspirated;
diagnosed at autopsy] for chronic lymphocytic leukemia
discovered on a biopsy of an axillary lymph node.
If the first course of treatment originally included surgery but it
was cancelled due to the patient having a complete response to
neoadjuvant radiation and/or systemic therapy, how should
the Reason for No Surgery of Primary Site field be coded?
1 [Surgery of the primary site was not performed because it was
not part of the planned first-course treatment]
Which of the following is a coding rule(s) associated with
totaling the radiation doses given?
Which type of therapy is not considered systemic?
Stem cell harvest for a hematopoietic malignancy
What term refers to re-optimizing the treatment plan for every
treatment fraction, while the patient lies in the treatment position
on the table, in order to account for anatomic shifts due to prior
radiation fractions?
CT-guided online adaptive radiotherapy
In which situation(s) can you assign code 99 [It is unknown
whether a chemotherapeutic agent(s) was recommended or
administered because it is not stated in the patient record] for
chemotherapy?
Death certificate only (DCO) cases
Which date(s) of treatment could be coded in the Date Systemic
Therapy Started field if only the following is designated as first
course of treatment?
8/1/2025 Bilateral orchiectomy performed for a prostate primary
Which statement applies when coding the Date Therapy
Initiated field?
When no other treatment is provided, code the date of an
incisional biopsy when further surgery reveals no residual or
only a microscopic residual of tumor in the resected specimen.
Which statement does not apply to Regional Nodes Positive?
Use clinicopathologic information to code this field.
In which situation can you not assign code 88 [Chemotherapy
was recommended, but it is unknown if it was administered] for
chemotherapy?
When it is a customary treatment option for the primary
site/histology
What information cannot be used to assess and code
the Neoadjuvant Therapy--Clinical Response field?
Surgical resection pathology
Which statement does not apply to Hospice?
Patients in hospice do not receive any treatment considered part
of first course of treatment.
,For which modality is the Radiation Course Total Dose field
coded to 999998 when it is used in combination with intensity
radiation therapy (IMRT) in a course of radiation that includes
multiple phases?
Brachytherapy
Which agent is coded as cancer-directed hormonal treatment?
Bromocriptine given for a pituitary adenoma
Which statement applies when coding the Surgery of Primary
Site 2023 field?
When the surgery is aborted prior to completing the planned
procedure, assign the surgery code that best represents the extent
of the surgical procedure that was actually carried out on the
primary site.
Which statement regarding bone marrow transplants (BMT)
does not apply?
The first sign of a successful bone marrow transplant is a rising
red cell blood count.
Which statement does not apply to embolizations?
Embolizations that do not involve chemotherapy or radioactive
beads or coils are not coded as cancer-directed therapy.
Which statement does not apply to palliative treatment?
Palliative care is always coded as part of first course of therapy
if it is prescribed by the clinician.
, For which case is the assigned coding incorrect for the Scope of
Regional Lymph Node Surgery field?
Assign code 0 [No regional lymph nodes removed or aspirated;
diagnosed at autopsy] for chronic lymphocytic leukemia
discovered on a biopsy of an axillary lymph node.
If the first course of treatment originally included surgery but it
was cancelled due to the patient having a complete response to
neoadjuvant radiation and/or systemic therapy, how should
the Reason for No Surgery of Primary Site field be coded?
1 [Surgery of the primary site was not performed because it was
not part of the planned first-course treatment]
Which of the following is a coding rule(s) associated with
totaling the radiation doses given?
Which type of therapy is not considered systemic?
Stem cell harvest for a hematopoietic malignancy
What term refers to re-optimizing the treatment plan for every
treatment fraction, while the patient lies in the treatment position
on the table, in order to account for anatomic shifts due to prior
radiation fractions?
CT-guided online adaptive radiotherapy
In which situation(s) can you assign code 99 [It is unknown
whether a chemotherapeutic agent(s) was recommended or
administered because it is not stated in the patient record] for
chemotherapy?
Death certificate only (DCO) cases
