Q.1: PHARYNX

For Cases Diagnosed prior to January 1, 2003

Tonsil C09.0-C09.9, Oropharynx C10.0-C10.9, Nasopharynx C11.0-C11.9, Pyriform Sinus C12.9, Hypopharynx C13.0-C13.9, Pharynx C14.0
SURGICAL APPROACH

 

Code

Description

0

None; no cancer-directed surgery of primary site

4

Open

9

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

Less than total parotidectomy, NOS

31

 

 

Facial nerve spared

32

 

 

Facial nerve sacrificed

33

 

Superficial lobe only

34

 

 

Facial nerve spared

35

 

 

Facial nerve sacrificed

36

 

Deep lobe

Note: with or without superficial lobe.

37

 

 

Facial nerve spared

38

 

 

Facial nerve sacrificed

40

Total parotidectomy, NOS

41

 

Facial nerve spared

42

 

Facial nerve sacrificed

50

Radical parotidectomy, NOS

51

 

Without removal of temporal bone

52

 

With removal of temporal bone

80

Parotidectomy, 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 cervical lymph nodes are:

 

Code

Description

0

None; no surgery to other regional or distant sites

1

Regional lymph nodes removed, NOS

2

 

Neck dissection, NOS

3

 

 

Selective, limited; nodal sampling; "berry picking"

4

 

 

Modified/modified radical

5

 

 

Radical

9

Unknown; not stated; death certificate only

 

Terminology of neck dissection (Robbins et al. 1991): A radical neck dissection includes the removal of all ipsilateral cervical lymph node groups, i.e., lymph nodes from levels I through V (submental, submandibular, cranial jugular, medial jugular, caudal jugular, dorsal cervical nodes along the accessory nerve, and supraclavicular), and removal of the spinal accessory nerve, internal jugular vein and sternocleidomastoid muscle. In a modified radical neck dissection, the same lymph nodes are removed as in a radical neck dissection; however, one or more nonlymphatic structures are preserved. A selective neck dissection preserves one or more lymph node groups routinely removed in radical neck dissection.

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

Flaps, grafts, or any type of "plasty," 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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