RX Summ--Surg/Rad Seq [1380]
Organization | Field Name | ID | Required |
|---|---|---|---|
KCR | RX Summ--Surg/Rad Seq [1380] (NASurgRadSeq) | 60420 | No |
NAACCR | RX Summ--Surg/Rad Seq | No |
Field Length: 1
This data item records the order in which surgery and radiation therapies were administered for those patients who had both surgery and radiation. For the purpose of coding the data item Radiation Sequence with Surgery, ‘Surgery’ is defined as a Surgery of Primary Site 2023 (codes A100-A900 or B100-B900) or Scope of Regional Lymph Node Surgery (codes 2-7) or Surgical Procedure of Other Site (codes 1-5).
Code | Description |
|---|---|
0 | No radiation and/or no cancer-directed surgery |
2 | Radiation before surgery |
3 | Radiation after surgery |
4 | Radiation both before and after surgery |
5 | Intraoperative radiation |
6 | Intraoperative radiation with other radiation given before and/or after surgery |
7 | Surgery both before and after radiation (for cases diagnosed 01/01/2012 and later) |
9 | Both surgery and radiation given, but sequence unknown |
Coding Instructions
1. Assign code 0 when
a. The patient did not have either surgery or radiation
b. The patient had surgery but not radiation
c. The patient had radiation but not surgery
d. It is unknown whether or not the patient had surgery and/or radiation
i. For death certificate only (DCO) cases
2. Assign codes 2-9 when first course of therapy includes both cancer-directed surgery and radiation therapy
a. Assign code 4 when there are at least two phases, episodes, or fractions of radiation therapy given before and at least two more after surgery to the primary site, scope of regional lymph node surgery (excluding code 1), surgery to other regional site(s), distant site(s), or distant lymph node(s)
Example
1. Preoperative radiation therapy was administered to shrink a large, bulky lesion
2. Resection was performed
3. Postoperative radiation therapy was administered after resection
b. Assign code 7 when there are at least two surgeries; radiation was administered between one surgical procedure and a subsequent surgical procedure
Example 1
1. Sentinel lymph node biopsy
2. Radiation therapy
3. Surgery of primary site
Code Radiation Sequence with Surgery as 7 (surgery both before and after radiation).
Example 2
1. Two regional lymph nodes removed
2. Radiation
3. Surgery of primary site
Code Radiation Sequence with Surgery as 7 (surgery both before and after radiation) because regional lymph node removal is coded in Scope of Regional Lymph Node Surgery.