California Cancer Reporting System Standards Volume I: Abstracting and Coding Procedures for Hospitals
Code the sequence in which radiation and surgical procedures were performed as part of the first course of treatment. Use the following codes:
Code |
Description |
0 |
NOT APPLICABLE - Treatment did not include both surgery and radiation, or unknown whether both were administered; diagnosed at autopsy |
2 |
RADIATION BEFORE SURGERY |
3 |
RADIATION AFTER SURGERY |
4 |
RADIATION BOTH BEFORE AND AFTER SURGERY Note: At least two courses of radiation therapy must be given to assign code 4. |
5 |
INTRAOPERATIVE RADIATION |
6 |
INTRAOPERATIVE RADIATION WITH OTHER RADIATION GIVEN BEFORE and/or AFTER SURGERY |
7 |
Surgery both before and after radiation |
9 |
SEQUENCE UNKNOWN, BUT BOTH SURGERY AND RADIATION WERE GIVEN |
Use codes 2-9 if the first course of treatment includes codes 10–90 in Surgery of the Primary Site fields, codes 1-7 in the Scope of Regional Lymph Node Surgery fields, and codes 1-8 in the Surgery of Other Regional Site(s), Distant Site(s), or Distant Lymph Node(s) fields) and radiation.
For all other cases, use code 0.