Code

Description

00

None; no cancer-directed surgery of primary site

10

Local tumor destruction or excision, NOS

11

Excision

12

Laser ablation or excision

13

Cautery; fulguration

14

Bronchial sleeve resection only

20

Resection of less than one lobe

21

Wedge resection

22

Segmental resection, including lingulectomy

30

Resection of at least one lobe, but less than the whole lung (partial pneumonectomy, NOS)

31

Lobectomy

32

Bilobectomy

40

Resection of whole lung

Note: Procedures coded 40 include, but are not limited to:

• Complete pneumonectomy

• Pneumonectomy, NOS

• Sleeve pneumonectomy

• Standard pneumonectomy

• Total pneumonectomy

50

Resection of lung with an en bloc resection of other organs

51

Wedge resection

52

Lobectomy

53

Bilobectomy

54

Pneumonectomy (less than a radical or extended pneumonectomy)

Note: En bloc resection is the removal of organs in one piece at one time.

60

Radical pneumonectomy

Note: Radical pneumonectomy is a complete pneumonectomy with removal of mediastinal lymph nodes. Removal of mediastinal nodes is also coded in the data fields Scope of Regional Lymph Node Surgery and Number of Regional Lymph Nodes Removed.

70

Extended radical pneumonectomy (An extended radical pneumonectomy is a radical pneumonectomy

Note: An extended radical pneumonectomy is a radical pneumonectomy (including removal of mediastinal nodes) and the removal of other tissues or nodes. Removal of mediastinal nodes is also coded in the data fields Scope of Regional Lymph Node Surgery and Number of Regional Lymph Nodes Removed.

80

Resection of lung, 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

Code

Description

0

No regional lymph nodes removed

1

Regional lymph node(s) removed, NOS

2

Intrapulmonary (includes interlobar, lobar, segmental), ipsilateral hilar and/or ipsilateral peribronchial nodes

3

Ipsilateral mediastinal and/or subcarinal nodes

4

Combination of 2 and 3

5

Contralateral mediastinal, contralateral hilar, ipsilateral or contralateral scalene and/or supraclavicular nodes

6

Combination of 5 with 2 or 3

9

Unknown; not stated; death certificate only

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

Surgery to a regional site only

3

Removal of a solitary lesion in the same lung (primary site), different (non primary) lobe

Note: There is one primary. Patient has two tumors with the same histology in different lobes of the same lung.

4

Resection of metastasis in a distant sites or resection of distant lymph nodes(s), NOS

5

Removal of a solitary lesion in the contralateral lung

Note: Patient has one primary. There is a primary tumor or tumor(s) in one lung and a solitary metastatic lesion in the contralateral lung.

6

Removal of a solitary lesion in a distant site or a distant lymph node, NOS

Note: This includes, but is not limited to the removal of a solitary metastatic brain lesion.

7

Removal of multiple lesions in distant sites

9

Unknown; not stated; death certificate only

Code

Description

0

No reconstruction/restoration

1

Chest wall reconstruction/restoration, NOS

9

Unknown; not stated; death certificate only