Appendix Q1 - BLADDER

Q.1: BLADDER

Code	Description
0	None; no cancer-directed surgery of primary site
1	Endoscopy, NOS
2		Cystoscopy (TURB)
3		Laparoscopy
4	Open, NOS
5		Not assisted by endoscopy (laparoscopy)
6		Assisted by endoscopy (laparoscopy)
9	Unknown; not stated; death certificate only

Code	Description
00	None; no cancer-directed surgery of primary site
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.
30	Partial cystectomy
50	Simple/total/complete cystectomy
60	Radical cystectomy (male only) Note: This code is used only for men. It involves the removal of bladder and prostate, with or without urethrectomy. If a radical cystectomy is the procedure name for a woman, use code 71.
70	Pelvic exenteration, NOS
71		Radical cystectomy (female only); anterior exenteration Note: A radical cystectomy in a female includes removal of bladder, uterus, ovaries, entire vaginal wall and entire urethra.
72		Posterior exenteration
73		Total exenteration Note: Includes removal of all pelvic contents and pelvic lymph nodes.
74		Extended exenteration Note: Includes pelvic blood vessels or bony pelvis.
80	Cystectomy, NOS
90	Surgery, NOS
99	Unknown if cancer-directed surgery performed; death certificate only

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

The regional lymph nodes are:

Code	Description
0	No regional lymph nodes removed
1	Regional lymph nodes removed, NOS; not stated if bilateral or unilateral
2		Unilateral regional lymph nodes
3		Bilateral regional lymph nodes
9	Unknown; not stated; death certificate only

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

DO NOT CODE the partial or total removal of a ureter during a cystectomy.

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

Code	Description
0	No reconstruction/restoration
1	Conduit diversion
2	Continent reservoir (a bladder substitute) Note: Types of continent reservoirs include, but are not limited to: Hemi Kock; Ileal reservoir; Ileocecal reservoir; Indiana or Mainz pouch; Koch; Studer pouch; W shaped ileoneobladder by Hautmann.
8	Reconstruction/restoration recommended, unknown if performed
9	Unknown; not stated; death certificate only