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

26

Polypectomy

27

Excisional biopsy

Any combination of 20 with 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

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 Guideline: 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 Guideline: 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 Guideline: 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 Guideline: 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 Guideline: 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. There may be partial or total removal of other organs in continuity with the primary.]

[SEER Guideline: 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