Q.2: RECTUM

For Cases Diagnosed on or after January 1, 2003

C20.9

(Except for M-9727, 9733, 9741-9742, 9764-9809, 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

 

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

[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

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)

  • Curette and fulguration

  • Transsacral rectosigmoidectomy

  • Total mesorectal excision (TME)

40

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

50

Total proctectomy

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

[SEER Guideline: 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 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

Proctectomy, NOS

90

Surgery, NOS

99

Unknown if surgery performed; death certificate only

 

 

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