Code

Description

00

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

No specimen sent to pathology from surgical events 10-16.

10

Local tumor destruction, NOS

Note: Without pathology specimen.

11

Photodynamic therapy (PDT)

12

Electrocautery; fulguration

Note: Includes use of hot forceps for tumor destruction.

13

Cryosurgery

14

Laser

15

Intravesical therapy

16

Bacillus Calmette-Guerin (BCG) or other immunotherapy

Clarification: Use code 16 if local tumor destruction occurs via the use of BCG and more extensive surgery is not performed. When BCG is administered via Intravesical Therapy, also use code 16. In addition, also code the item under "Immunotherapy" as code 01.

Specimen sent to pathology from surgical events 20-80.

20

Local tumor excision, NOS

26

Polypectomy

27

Excisional biopsy

Note: Any combination of 20 or 26-27 WITH

[SEER Guideline: 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

Partial cystectomy

50

Simple/total/complete cystectomy

60

Radical cystectomy (male only)

[SEER Guideline: This code is used only for men. It involves removal of bladder and prostate, with or without urethrectomy. The procedure is also called cystoprostatectomy. If a radical cystectomy is the procedure for a woman, use code 71.]

61

Radical cystectomy PLUS ileal conduit

62

Radical cystectomy PLUS continent reservoir or pouch, NOS

63

Radical cystectomy PLUS abdominal pouch (cutaneous)

64

Radical cystectomy PLUS in situ pouch (orthotopic)

Note: When the procedure is described as a pelvic exenteration for males, but the prostate is not removed, the surgery should be coded as a cystectomy (code 60-64).

70

Pelvic exenteration, NOS

71

Radical cystectomy (female only); anterior exenteration

Note: For females, includes removal of bladder, uterus, ovaries, entire vaginal wall, and entire urethra.  For males, includes removal of the prostate.  When a procedure is described as a pelvic exenteration for males, but the prostate is not removed, the surgery should be coded as a cystectomy (code 60-64).

72

Posterior exenteration

Note: For females, also includes removal of vagina, rectum and anus.  For males, also includes prostate, rectum and anus.

73

Total exenteration

Note: Includes all tissue and organs removed for an anterior and posterior exenteration.

Note: The lymph node dissection should also be coded under Scope of Regional Lymph Node Surgery or Scope of Regional Lymph Node Surgery at This Facility.

74

Extended exenteration

Note: Includes pelvic blood vessels or bony pelvis.

80

Cystectomy, NOS

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only