Q.2: OVARY

For Cases Diagnosed on or after January 1, 2003

C56.9

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

 

SURGERY OF PRIMARY SITE

 

Codes:

Code

Description

00

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

17

Local tumor destruction, NOS

Note: No specimen sent to pathology from surgical event 17.

Specimen sent to pathology from surgical events 25-80.

25

Total removal of tumor or (single) ovary, NOS

26

 

Resection of ovary (wedge, subtotal, or partial) only, NOS; unknown if hysterectomy done

27

 

Without hysterectomy

28

 

With hysterectomy

SEER Note: Assign code 28 for current unilateral (salpingo-)oophorectomy with previous history of hysterectomy

35

Unilateral (salpingo-)oophorectomy; unknown if hysterectomy done

36

 

Without hysterectomy

37

 

With hysterectomy

SEER Note: Use code 37 for current unilateral (salpingo-)oophorectomy with previous history of hysterectomy

50

Bilateral (salpingo-)oophorectomy; unknown if hysterectomy done

51

 

Without hysterectomy

52

 

With hysterectomy

SEER Note: Use code 52 for current bilateral (salpingo-) oophorectomy with previous history of hysterectomy

55

Unilateral or bilateral (salpingo-)oophorectomy with OMENTECTOMY, NOS; partial or total; unknown if hysterectomy done

56

 

Without hysterectomy

57

 

With hysterectomy

SEER Note: Use code 57 for current unilateral (salpingo-) oophorectomy with previous history of hysterectomy

60

Debulking; cytoreductive surgery, NOS

Note: Debulking is a partial or total removal of the tumor mass and can involve the removal of multiple organ sites. It may include removal of ovaries and/or the uterus (a hysterectomy). The pathology report may or may not identify ovarian tissue. A debulking is usually followed by another treatment modality such as chemotherapy.

SEER Note: Debulking or cytoreductive surgery is implied by the following phrases in the operative report, pathology report, discharge summary, or consultation. (This is not intended to be a complete list. Other phrases may also imply debulking).

Adjuvant treatment pending surgical reduction of tumor

Ovaries, tubes buried in tumor

Tumor burden

Tumor cakes

Very large tumor mass

Do not code debulking or cytoreductive surgery based on: multiple biopsies alone, the mention of “multiple tissue fragments” or “removal of multiple implants.” Multiple biopsies and multiple specimens confirm the presence or absence of metastasis.

61

 

With colon (including appendix) and/or small intestine resection (not incidental)

62

 

With partial resection of urinary tract (not incidental)

63

 

Combination of 61 and 62

70

Pelvic exenteration, NOS

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

71

 

Anterior exenteration

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

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 nodes.

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.

80

(Salpingo-)oophorectomy, NOS

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only

 

 

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