Q.2: RECTUM

For Cases Diagnosed on or after January 1, 2003

C20.9

(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

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

28

 

Curette and fulguration

30

Wedge or segmental resection; partial proctectomy, NOS

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

  • Anterior resection

  • Hartmann operation

  • Low anterior resection (LAR)

  • Transsacral rectosigmoidectomy

  • Total mesorectal excision (TME)

40

Pull through with sphincter preservation (coloanal 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, Turnbul'ls operation.

50

Total proctectomy

Note: Procedure coded 50 includes, but is not limited to, Abdominoperineal resection (Miles Procedure)

SEER Note Also called anterior/posterior (A/P) resection/Mile's operation, Rankin's operation

60

Total proctocolectomy, NOS

70

Proctectomy or proctocolectomy with resection in continuity with other organs; 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

Proctectomy, NOS

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only

 

 

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