VI_2_8 Reason for No Surgery of the Primary Site

VI.2.8 Reason for No Surgery of the Primary Site

Record the reason the patient did not have surgery to the primary site. Reason for No Surgery only applies to the Surgery of the Primary Site field, not Scope of Regional Lymph Node Surgery or Surgery Other Regional/Distant Sites.

Coding Instructions:

If surgery of the primary site was performed, enter 0.
Enter code 1 for the following scenarios:

For sites where "Surgery of the Primary Site" is coded to 00 or 98 (hematopoietic included).
Cases where the treatment plan offered multiple alternative treatment options and the patient selected treatment that did not include surgery of the primary site.
If the option of “no treatment” was accepted by the patient.

The following applies to cases diagnosed January 1, 2003 and forward:

Code 5 - Surgery not performed because patient died was added
Definitions for codes 1, 2, and 6 were modified

Codes:

Code	Description
0	Surgery of the primary site performed.
1	Surgery of the primary site not performed because it was not part of the planned first course treatment.
2	Surgery of the primary site not performed because of contraindications due to patient risk factors (comorbid conditions, advanced age, etc.).
5	Surgery of the primary site was not performed because the patient died prior to planned or recommended surgery (code added in 2003).
6	Surgery of the primary site was recommended but not performed. No reason was noted in the patient's record.
7	Surgery of the primary site was recommended but refused by the patient, family member or guardian. The refusal is noted in the patient's record.
8	Surgery of the primary site was recommended but unknown if performed. Further follow-up is recommended.
9	Not known if surgery of the primary site was recommended or performed; death certificate only, or diagnosed at autopsy.

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