Q.2: COLON

For Cases Diagnosed on or after January 1, 2003

C18.0-C18.9

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

Code removal/surgical ablation of single or multiple liver metastases under the data item Surgical Procedure/Other Site.

SURGERY OF PRIMARY SITE

 

Codes:

Code

Description

00

None; no surgery of primary site; autopsy only

No specimen sent to pathology from surgical events 10-14.

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

Specimen sent to pathology from surgical events 20-80.

20

Local tumor excision, NOS

27

 

Excisional biopsy, NOS

26

 

Polypectomy, NOS

28

 

Polypectomy-endoscopic

29

 

Polypectomy-surgical excision

Any combination of 20 with 26 - 29 WITH

SEER Note: Codes 21 to 24 below combine 20 Local tumor excision, 27 Excisional biopsy, 26 Polypectomy, NOS, 28 Polypectomy-endoscopic or 29 Polypectomy-surgical excision WITH 21 PDT, 22 Electrocautery, 23 Cryosurgery, or 24 Laser ablation

21

 

 

Photodynamic therapy (PDT)

22

 

 

Electrocautery

23

   

Cryosurgery

24

   

Laser ablation

25

 

Laser excision

30

Partial colectomy, segmental resection

SEER Note: Codes 30-32 include but are not limited to the following procedures: Appendectomy (for an appendix primary only), enterocolectomy, ileocolectomy, partial colectomy, NOS, partial resection of transverse colon and flexures, and segmental resection (such as cecectomy or sigmoidectomy). Note that the removal of a short portion of the distal ileum is not “removal of a contiguous organ”.

Plus resection of contiguous organ; example: small bowel, bladder.

32

 

Plus resection of contiguous organ; example: small bowel, bladder

40

Subtotal colectomy/hemicolectomy

Note: Total right or left colon and a portion of transverse colon.

SEER Note: Code 40 includes extended (but less than total) right or left colectomy. Note that the removal of a short portion of the distal ileum is not “removal of a contiguous organ”.

41

 

Plus resection of contiguous organ; example: small bowel, bladder

50

Total colectomy

Note: Removal of colon from cecum to the rectosigmoid junction; may include a portion of the rectum.

SEER Note: Removal of a short portion of the distal ileum is not “removal of a contiguous organ”.

51

 

Plus resection of contiguous organ; example: small bowel, bladder

60

Total proctocolectomy

Note: Removal of colon from cecum to the rectosigmoid junction, including the entire rectum.

SEER Note: commonly used for familial polyposis or polyposis coli.

61

 

Plus resection of contiguous organ; example: small bowel, bladder

SEER Note: Removal of a short portion of the distal ilium is not “removal of a contiguous organ”.

70

Colectomy or coloproctotectomy with resection of contiguous organ(s), NOS (where there is not enough information to code 32, 41, 51, or 61)

Note: Code 70 includes: Any colectomy (partial, hemicolectomy, or total) with a resection of any other organs in continuity with the primary site. Other organs may be partially or totally removed. Other organs may include, but are not limited to, oophorectomy, partial proctectomy, rectal mucosectomy, or pelvic exenteration.

SEER Note: In continuity with or "en bloc" means that all of the tissues were removed during the same procedure, but not necessarily in a single specimen.

80

Colectomy, NOS

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only

 

 

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