Q.1: SPLEEN & LYMPH NODES

For Cases Diagnosed prior to January 1, 2003

Spleen C42.2
Lymph Nodes C77.0-C77.9
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

10

Local excision, destruction, NOS

20

Splenectomy, NOS

21

 

Partial splenectomy

22

 

Total splenectomy

30

Lymph node dissection, NOS

31

 

One chain

32

 

Two or more chains

40

Lymph node dissection, NOS plus splenectomy

41

  

One chain

42

  

Two or more chains

50

Lymph node dissection, NOS and partial/total removal of adjacent organ(s)

51

  

One chain

52

  

Two or more chains

60

Lymph node dissection, NOS and partial/total removal of adjacent organ(s) plus splenectomy

61

  

One chain

62

  

Two or more chains

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

Note:  For primary sites C77.0-C77.9, code this field as 9.

 

Code

Description

0

No regional lymph nodes removed

1

Regional lymph nodes removed, NOS

9

Unknown; not stated; death certificate only

 

NUMBER OF REGIONAL LYMPH NODES EXAMINED

Note: Spleen only. For lymphomas, code this field to 99.

 

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

5

  

Distant lymph nodes

6

  

Distant sites

7

 

Combination of 6 with 2 or 5

9

Unknown; not stated; death certificate only

 

RECONSTRUCTION/RESTORATION - FIRST COURSE

 

Code

Description

9

At this time, reconstructive procedures are not being collected for these sites

 

 

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