Code

Description

0

None; no cancer-directed surgery of primary site

Endoscopy procedures include: Esophago-/gastro-/duodeno-/jejuno-scopy; Gastroscopy; Laparoscopy.

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

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 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

Gastrectomy, NOS (partial, subtotal, hemi-)

Note: Code 30, partial gastrectomy, includes a sleeve resection of the stomach: Billroth I: anastomosis to duodenum (duodenostomy); Billroth II: anastomosis to jejunum (jejunostomy)

31

Antrectomy, lower (distal)

Note: Resection of less than 40% of stomach.

32

Lower (distal) gastrectomy (partial, subtotal, hemi-)

33

Upper (proximal) gastrectomy (partial, subtotal, hemi-)

40

Near total or total gastrectomy

Note: A total gastrectomy may follow a previous partial resection of the stomach.

50

Gastrectomy, NOS with removal of a portion of esophagus

51

Partial or subtotal gastrectomy

52

Near total or total gastrectomy

60

Gastrectomy with en bloc resection of other organs, NOS

61

Partial or subtotal gastrectomy with en bloc resection

62

Near total or total gastrectomy with en bloc resection (near total = 80% resection)

63

Radical gastrectomy with en bloc resection

Note: En bloc resection is the removal of organs in one piece at one time and may include an omentectomy.

80

Gastrectomy, 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

Site

Regional Lymph Nodes

Greater Curvature of Stomach

• Gastroduodenal

• Gastroepiploic, left

• Gastroepiploic, right or NOS

• Greater omental

• Greater curvature

• Pancreaticoduodenal (anteriorly along the first part of duodenum)

• Pyloric, including subpyloric and infrapyloric

Pancreatic and Splenic Area

• Pancreaticolienal

• Peripancreatic

• Splenic hilum

Lesser Curvature of Stomach

• Cardioesophageal

• Celiac

• Common hepatic

• Hepatoduodenal

• Left gastric

• Lesser omental

• Lesser curvature

• Paracardial; cardial

• Perigastric, NOS

Code

Description

0

No regional lymph nodes removed

1

Regional lymph nodes removed, NOS

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

Removal of other regional sites, only

3

Removal of distant nodes

4

Removal of distant site

5

Combination of 2 with 3 and/or 4

9

Unknown; not stated; death certificate only

Code

Description

0

No reconstruction/restoration

1

Gastrostomy

2

Without a reservoir/pouch

3

With reservoir/pouch (abdominal )

9

Unknown; not stated; death certificate only