Q.1: ESOPHAGUS

For Cases Diagnosed prior to January 1, 2003

C15.0-C15.9

SURGICAL APPROACH

 

Code

Description

0

None; no cancer-directed surgery of primary site

Endoscopy procedures include: Esophagoscopy; Mediastinoscopy; Thoracoscopy

1

Endoscopy, NOS

2

 

Not image guided

3

 

Image guided

4

Open, NOS

5

  

Trans-hiatal

6

 

Thoracotomy

Note: Includes split sternum.

7

 

Laparotomy

9

Unknown; not stated; death certificate only

 

SURGERY OF PRIMARY SITE

 

Code

Description

00

None; no cancer-directed surgery of primary site

10

Local tumor destruction, NOS

Note: without pathology specimen.

11

 

Photodynamic therapy (PDT)

Note: PDT: Exposing photo-sensitive drugs to specific wave lengths of light in the presence of oxygen causing drug to become cytotoxic.

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 destruction or 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 esophagectomy

40

Total esophagectomy

50

Partial esophagectomy with laryngectomy and/or gastrectomy, NOS

51

 

With laryngectomy

52

 

With gastrectomy, NOS

53

 

Partial gastrectomy

54

 

Total gastrectomy

55

 

Combination of 51 with any of 52-54

60

Total esophagectomy, NOS with laryngectomy and/or gastrectomy, NOS

61

 

With laryngectomy

62

 

With gastrectomy, NOS

63

 

Partial gastrectomy

64

 

Total gastrectomy

65

 

Combination of 61 with any of 62-64

70

Esophagectomy, NOS with pharyngectomy and laryngectomy

80

Esophagectomy, 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

Regional lymph nodes are different for each anatomical subsite.  The following list identifies nodes classified as regional for each subsite:

 

Site

Subsite

Cervical esophagus
  • Cervical, NOS
  • Internal jugular
  • Periesophageal
  • Scalene
  • Supraclavicular
  • Upper cervical

Intrathoracic esophagus (upper, middle, lower)
  • Carinal
  • Hilar (pulmonary roots)
  • Internal jugular
  • Mediastinal, NOS
  • Paracardial
  • Periesophageal
  • Perigastric
  • Peritracheal
  • Superior mediastinal
  • Tracheobronchial

 

Code

Description

0

No regional lymph nodes removed

1

Regional lymph nodes removed, NOS

9

Unknown; not stated; death certificate only

 

Celiac nodes are distant for intrathoracic esophagus. Code removal of celiac nodes in the data item Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s).

 

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 only the following reconstructive procedures:

 

Code

Description

0

No reconstruction/restoration

1

Reconstruction/restoration, NOS

2

 

Without implant/prosthesis

3

 

With implant/prosthesis

8

Reconstruction/restoration recommended, unknown if performed

9

Unknown; not stated; death certificate only

 

 

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