Q.2: CERVIX UTERI

For Cases Diagnosed on or after January 1, 2003

C53.0-C53.9

(Except for M-9727, 9732, 9741-9742, 9762-9809, 9832, 9840-9931, 9945-9946, 9950-9967, 9975-9992)

For invasive cancers, dilation and curettage is coded as an incisional biopsy (02) under the data item Surgical Diagnostic and Staging Procedure.

 

Clarification: Do not code dilation and curettage (D&C) as Surgery of Primary Site for invasive cancers.

 
SURGERY OF PRIMARY SITE

 

 

Codes:

Code

Description

00

None; no cancer-directed surgery of primary site; autopsy only

No specimen sent to pathology from surgical events 10-17.

10

Local tumor destruction, NOS

11

 

Photodynamic therapy (PDT)

12

 

Electrocautery; fulguration

Note: Includes use of hot forceps for tumor destruction.

13

 

Cryosurgery

14

 

Laser

15

 

Loop Electrocautery Excision Procedure (LEEP)

16

 

Laser ablation

17

 

Thermal ablation

Specimen sent to pathology from surgical events 20-74.

20

Local tumor excision, NOS

SEER Note: Margins of resection may have microscopic involvement. Procedures in code 20 include but are not limited to: cryosurgery, Electrocautery, excisional biopsy, laser ablation, or thermal ablation.

26

 

Excisional biopsy, NOS

27

 

Cone biopsy

24

 

Cone biopsy WITH gross excision of lesion

29

 

Trachelectomy; removal of cervical stump; cervicectomy

Any combination of 20, 24, 26, 27 or 29 WITH

21

 

 

Electrocautery

22

 

 

Cryosurgery

23

 

 

Laser ablation or excision

25

 

Dilatation and curettage; endocervical curettage (for in situ only)

28

 

Loop electrocautery excision procedure (LEEP)

30

Total hysterectomy (simple, pan-) WITHOUT removal of tubes and ovaries

Note: Total hysterectomy removes both the corpus and cervix uteri and may also include a portion of vaginal cuff.

40

Total hysterectomy (simple, pan-) WITH removal of tubes and/or ovary

Note: Total hysterectomy removes both the corpus and cervix uteri and may also include a portion of vaginal cuff.

50

Modified radical or extended hysterectomy; radical hysterectomy; extended radical hysterectomy

51

 

Modified radical hysterectomy

52

 

Extended hysterectomy

53

 

Radical hysterectomy; Wertheim procedure

54

 

Extended radical hysterectomy

60

Hysterectomy, NOS, WITH or WITHOUT removal of tubes and ovaries

61

 

WITHOUT removal of tubes and ovaries

62

 

WITH removal of tubes and ovaries

70

Pelvic exenteration

71

 

Anterior exenteration

Note: Includes bladder, distal ureters, and genital organs WITH their ligamentous attachments and pelvic lymph nodes.

SEER Note: Do not code removal of pelvic lymph nodes under Surgical Procedure/Other Site.

72

 

Posterior exenteration

Note: Includes rectum and rectosigmoid WITH ligamentous attachments and pelvic lymph node.

SEER Note: Do not code removal of pelvic lymph nodes under Surgical Procedure/Other Site.

73

 

Total exenteration

Note: Includes removal of all pelvic contents and pelvic lymph nodes.

SEER Note: Do not code removal of pelvic lymph nodes under Surgical Procedure/Other Site.

74

 

Extended exenteration

Note: Includes pelvic blood vessels or bony pelvis.

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only

 

 

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