Q.2: RECTOSIGMOID

For Cases Diagnosed on or after January 1, 2003

C19.9

(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 ablation

Specimen sent to pathology from surgical events 20-80.

20

Local tumor excision, NOS

27

 

Excisional biopsy

26

 

Polypectomy

Any combination of 20 with 26 - 27 WITH

Clarification: The following codes include local tumor excision, polypectomy or excisional biopsy

21

 

 

Photodynamic therapy (PDT)

22

 

 

Electrocautery

23

   

Cryosurgery

24

   

Laser ablation

25

 

Laser excision

30

Wedge or segmental resection; partial proctosigmoidectomy, NOS

Note: Procedures coded 30 include, but are not limited to:

  • Anterior resection

  • Hartmann operation

  • Low anterior resection (LAR)

  • Partial colectomy, NOS

  • Rectosigmoidectomy, NOS

  • Sigmoidectomy

31

 

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

40

Pull through with  sphincter preservation (colo-anal anastomosis)

SEER Note: Procedures coded 40 include but are not limited to: Altemeier's operation, Duhamel's operation, Soave's submucosal resection, Swenson's operation, Turnbull's operation

50

Total proctectomy

SEER Note: Procedures coded 50 include but are not limited to: abdominoperineal resection (A & P resection), anterior/posterior resection (A/P resection)/Mile's operation, Rankin's operation

51

Total colectomy

SEER Note: Removal of the colon from cecum to rectosigmoid or portion of rectum

55

Total colectomy with  ileostomy, NOS

56

 

Ileorectal reconstruction

57

 

Total colectomy with  other pouch; example: Koch pouch

60

Total proctocolectomy, NOS

SEER Note: Combination of 50 and 51

Note: Removal of the colon from cecum to the rectosigmoid or a portion of the rectum.

65

 

Total proctocolectomy with  ileostomy, NOS

66

 

Total proctocolectomy with ileostomy and pouch

70

Colectomy or proctocolectomy resection in continuity with other organs; pelvic exenteration

SEER Note: Procedures that may be part of an en bloc resection include, but are not limited to: an oophorectomy and a rectal mucosectomy. Code 70 includes any colectomy (partial, hemicolectomy or total) with an en bloc resection of any other organs. The “other organs” may be partially or totally resected. “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; Proctectomy, NOS

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only

 

 

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