Q.1: ANUS

For Cases Diagnosed prior to January 1, 2003

C21.9
SURGICAL APPROACH

 

Code

Description

0

None; no cancer-directed surgery of primary site

1

Endoscopy, NOS

2

 

Not image guided

3

 

Image guided

4

Open, NOS

5

 

Not assisted by endoscopy

6

 

Assisted by endoscopy

9

Unknown; not stated; death certificate only
 
SURGERY OF PRIMARY SITE

 

Code

Description

00

None; no cancer-directed surgery of primary site

Procedures for codes 10-14 include, but are not limited to: Cryosurgery; Electrocautery; Excisional biopsy; Laser; Thermal ablation.

10

Local tumor destruction, NOS

Note: without pathology specimen.

11

 

Photodynamic therapy (PDT)

12

 

Electrocautery; fulguration

Note: Includes use of hot forceps for tumor destruction.

13

 

Cryosurgery

14

 

Laser

Note: No specimen sent to pathology from this surgical event.

20

Local tumor excision, NOS

Note: with pathology specimen.

21

 

Photodynamic therapy (PDT)

22

 

Electrocautery

23

 

Cryosurgery

24

 

Laser ablation

25

 

Laser excision

26

 

Polypectomy

27

 

Excisional biopsy

Note: Specimen sent to pathology from this surgical event. Margins of resection may have microscopic involvement.

60

Abdominal perineal resection, NOS

90

Surgery, NOS

99

Unknown if cancer-directed surgery performed; death certificate only

 

SURGICAL MARGINS

 

Code

Description

0

All margins grossly and microscopically negative

1

Margins involved, NOS

2

 

Microscopic involvement

5

 

Macroscopic involvement

7

Margins not documented

8

No cancer-directed surgery of primary site

9

Unknown whether margins were involved or negative; death certificate only

 

SCOPE OF REGIONAL LYMPH NODE SURGERY

 

Code

Description

0

No regional lymph nodes removed

1

Regional lymph nodes removed, NOS

2

 

Perirectal, anorectal lymph nodes

3

 

Internal iliac lymph nodes (hypogastric), unilateral

4

 

Inguinal lymph nodes, unilateral

5

 

Combination of 2 and 4

6

 

Bilateral internal iliac and/or bilateral inguinal lymph nodes

9

Unknown; not stated; death certificate only

 

NUMBER OF REGIONAL LYMPH NODES EXAMINED

 

Code

Description

00

No regional lymph nodes removed

01

One regional lymph node removed

02

Two regional lymph nodes removed

..

 

90

Ninety or more regional lymph nodes removed

95

No regional lymph nodes removed but aspiration of regional lymph nodes was performed

96

Regional lymph node removal documented as a sampling and number of lymph nodes unknown/not stated

97

Regional lymph node removal documented as dissection and number of lymph nodes unknown/not stated

98

Regional lymph nodes surgically removed but number of lymph nodes unknown/not stated and not documented as sampling or dissection

99

Unknown; not stated; death certificate only

 

SURGERY OF OTHER REGIONAL SITE(S), DISTANT SITE(S) OR DISTANT LYMPH NODE(S)

 

Code

Description

0

 None; no surgery to other regional or distant sites

1

 Surgery to other sites or nodes, NOS; unknown if regional or distant

2

  

Other regional sites

3

  

Distant lymph nodes

4

  

Distant sites

5

  

Combination of 4 with 2 or 3

9

Unknown; not stated; death certificate only

 

RECONSTRUCTION/RESTORATION - FIRST COURSE

 

Code

Description

0

No reconstruction/restoration

1

Colostomy (permanent)

2

Ileostomy, NOS

3

 

Without a reservoir or pouch

4

 

With an abdominal reservoir or pouch

5

 

With an anal reservoir or pouch; artificial sphincter

9

Unknown; not stated; death certificate only

 

 

<< Prev.       Next >>