RX Summ--Surg Oth Reg/Dis [1294]
Organization | Field Name | ID | Required |
|---|---|---|---|
KCR | RX Summ--Surg Oth Reg/Dis [1294] (NASurgOthRegDis) | 60320 | No |
NAACCR | RX Summ--Surg Oth Reg/Dis | No |
Field Length: 1
This is a calculated field which records the surgical removal of distant lymph nodes or other tissue(s)/organ(s) beyond the primary site performed at any facility. These codes are hierarchical; if multiple procedures to distant lymph nodes or sites were performed, the highest code (excluding 9) predominates.
Surgical Procedure of Other Site describes the surgical removal of distant lymph node(s) or other tissue(s) or organ(s) beyond the primary site.
Code | Description |
|---|---|
0 | None. Diagnosed at autopsy. |
1 | Non-primary surgical resection to other site(s), unknown if regional or distant. |
2 | Resection of regional site. |
3 | Resection of distant lymph node(s). |
4 | Resection of distant site. |
5 | Any combination of codes 2, 3, or 4 |
9 | Unknown or death certificate only. |
Coding Instructions
1. Do not code tissue or organs such as an appendix that were removed incidentally, and the organ was not involved with cancer
Note: Incidental removal of organs means that tissue was removed for reasons other than removing cancer or preventing the spread of cancer. Examples of incidental removal of organ(s) would be removal of appendix, gallbladder, etc., during abdominal surgery.
2. Do not code removal of uninvolved contralateral breast in this data item. See Surgery Codes for Breast in Appendix C.
3. For this data item, do not include organs beyond the primary site that are included in the Surgery of Primary Site 2023 codes.
Example: A hemicolectomy including removal of the small bowel. Surgery of Primary Site 2023 code A410 for colon includes resection of contiguous organ such as small bowel or bladder. Do not code removal of small bowel or bladder performed with a subtotal colectomy/hemicolectomy in Surgical Procedure of Other Site.
4. Assign code 0 when
a. No surgical procedures were performed that removed distant lymph node(s) or other tissue(s) or organ(s) beyond the primary site, or
b. First course of treatment was active surveillance/watchful waiting
5. The codes are hierarchical
a. Codes 1-5 have priority over codes 0 and 9
6. Assign code 1 when
a. Any surgery is performed to remove tumors for any case coded to primary site C420, C421, C423, C424, C760-C768, C770-C779, or C809
i. Excluding cases coded to the schema Cervical Lymph Nodes and Unknown Primary 00060
For more information about schemas and schema IDs, go to the SSDI Manual, Appendix A.
7. Assign code 2 for sites that are regional. Include sites that are regional in the current AJCC Staging Manual or EOD.
8. Assign code 4 for sites that are distant. Include sites that are distant in the current AJCC Staging Manual or EOD.
9. Assign code 9 for death certificate only (DCO) cases