| NAME | 
RECTOSIGMOID JUNCTION | 
| SURGERY CODING | 
RECTUM | 
| CODE | 
C19.9 | 
| DEFAULT PRIMARY SITE GROUP | 
COLON | 
| SURGERY CODE GROUP-5TH ED | 
RECTOSIGMOID JUNCTION | 
| 5TH ED-SURGICAL APPROACH CODES | 
- 
- None
 
- CODE:    0
 
 
- 
- Endoscopy, NOS (includes laparoscopic)
 
- CODE:    1
 
 
- 
- Open, NOS
 
- CODE:    4
 
 
- 
- Open, transanal
 
- CODE:    5
 
 
- 
- Open, posterior; coccygeal; trans-sacral; abdominosacral
 
- CODE:    6
 
 
- 
- Open, low anterior (LAR)
 
- CODE:    7
 
 
- 
- Open, abdominal perineal (AP)
 
- CODE:    8
 
 
- 
- Unknown; not stated; death certificate ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH ED-SURGERY PRIMARY SITE | 
- 
- None
 
- CODE:    0
 
- SPS A-CODES:    A000
 
 
- 
- Local tumor excision, cryosurgery
 
- CODE:    23
 
 
- 
- Local tumor excision, laser ablation
 
- CODE:    24
 
 
- 
- Local tumor excision, laser excision
 
- CODE:    25
 
 
- 
- Local tumor excision, polypectomy
 
- CODE:    26
 
- SPS A-CODES:    A260
 
 
- 
- Local tumor excision, excisional biopsy
 
- CODE:    27
 
- SPS A-CODES:    A270
 
 
- 
- Segmental resection; partial proctosigmoidectomy, NOS
 
- CODE:    30
 
- SPS A-CODES:    A300
 
 
- 
- Pull thru WITH sphincter preservation (coloanal anastomosis)
 
- CODE:    40
 
- SPS A-CODES:    A400
 
 
- 
- Total proctectomy
 
- CODE:    50
 
- SPS A-CODES:    A500
 
 
- 
- Total colectomy
 
- CODE:    51
 
- SPS A-CODES:    A510
 
 
- 
- Total proctocolectomy, NOS
 
- CODE:    60
 
- SPS A-CODES:    A600
 
 
- 
- Local tumor destruction, NOS (w/o pathology specimen)
 
- CODE:    10
 
- SPS A-CODES:    A100
 
 
- 
- Colectomy, NOS; Proctectomy, NOS
 
- CODE:    80
 
- SPS A-CODES:    A800
 
 
- 
- Surgery, NOS
 
- CODE:    90
 
- SPS A-CODES:    A900
 
 
- 
- Unknown; death certificate ONLY
 
- CODE:    99
 
- SPS A-CODES:    A990
 
 
- 
- Colectomy/proctocolectomy w/en bloc res; pelvic exenteration
 
- CODE:    70
 
- SPS A-CODES:    A700
 
 
- 
- Segmental; proctosigmoidectomy NOS + contiguous organs
 
- CODE:    31
 
- SPS A-CODES:    A310
 
 
- 
- Total colectomy WITH ileostomy, NOS
 
- CODE:    55
 
- SPS A-CODES:    A550
 
 
- 
- Ileorectal reconstruction
 
- CODE:    56
 
- SPS A-CODES:    A560
 
 
- 
- Total colectomy WITH other pouch; eg Koch pouc
 
- CODE:    57
 
- SPS A-CODES:    A570
 
 
- 
- Total protocolectomy WITH ileostomy, NOS
 
- CODE:    65
 
- SPS A-CODES:    A650
 
 
- 
- Total protocolectomy WITH ileostomy and pouch
 
- CODE:    66
 
- SPS A-CODES:    A660
 
 
- 
- Local tumor destruction, photodynamic therapy (PDT)
 
- CODE:    11
 
 
- 
- Local tumor destruction, electrocautery; fulguration
 
- CODE:    12
 
- SPS A-CODES:    A120
 
 
- 
- Local tumor destruction, cryosurgery
 
- CODE:    13
 
 
- 
- Local tumor destruction, laser ablation
 
- CODE:    14
 
 
- 
- Local tumor excision, NOS (w/ pathology specimen)
 
- CODE:    20
 
- SPS A-CODES:    A200
 
 
- 
- Local tumor excision, photodynamic therapy (PDT)
 
- CODE:    21
 
 
- 
- Local tumor excision, electrocautery
 
- CODE:    22
 
- SPS A-CODES:    A220
 
 
 
 | 
| 5TH ED-SURGICAL MARGINS | 
- 
- All margins grossly and microscopically negative
 
- CODE:    0
 
 
- 
- Margins involved, NOS
 
- CODE:    1
 
 
- 
- Microscopic involvement
 
- CODE:    2
 
 
- 
- Macroscopic involvement
 
- CODE:    5
 
 
- 
- Margins not evaluable
 
- CODE:    7
 
 
- 
- No surgery of primary site
 
- CODE:    8
 
 
- 
- Unk whether margins involved or negative; death cert ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH ED-SCOPE LYMPH NODE SURG | 
- 
- No regional lymph nodes removed
 
- CODE:    0
 
 
- 
- Regional lymph node(s) removed, NOS
 
- CODE:    1
 
 
- 
- Unknown; not stated; death certificate ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH ED-SURGERY OTHER REG SITES | 
- 
- None
 
- CODE:    0
 
 
- 
- Unknown; death certificate ONLY
 
- CODE:    9
 
 
- 
- Surg to other sites/nodes, NOS; unk if regional or distant
 
- CODE:    1
 
 
- 
- Removal of other regional site(s), ONLY
 
- CODE:    2
 
 
- 
- Removal/surgical ablation of single liver metastasis
 
- CODE:    3
 
 
- 
- Removal/surgical ablation of multiple liver metastases
 
- CODE:    4
 
 
- 
- Combination of codes 2 and 3 or 4
 
- CODE:    5
 
 
- 
- Removal of other distant sites or lymph nodes, ONLY
 
- CODE:    6
 
 
- 
- Combination of code 6 WITH 3, 4 or 5
 
- CODE:    7
 
 
- 
- Combination of code 6 WITH 3 or 5
 
- CODE:    8
 
 
 
 | 
| 5TH ED-RECONSTRUCTION | 
- 
- No reconstruction/restoration
 
- CODE:    0
 
 
- 
- Colostomy (permanent)
 
- CODE:    1
 
 
- 
- Ileostomy, NOS
 
- CODE:    2
 
 
- 
- Ileostomy WITHOUT a reservoir or pouch
 
- CODE:    3
 
 
- 
- Ileostomy WITH an abdominal reservoir or pouch
 
- CODE:    4
 
 
- 
- Ileostomy WITH anal reservoir or pouch; artificial sphincter
 
- CODE:    5
 
 
- 
- Unknown; not stated; death certificate ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH ED-BIOPSY PROCEDURE CODES | 
- 
- Not a breast or prostate primary
 
- CODE:    0
 
 
 
 | 
| 5TH ED-GUIDANCE CODES | 
- 
- Not a breast or prostate primary
 
- CODE:    0
 
 
 
 | 
| T & N CODES | 
COLON, CECUM | 
| TYPE | 
- 
- RECTOSIGMOID, NOS
 
 
- 
- RECTOSIGMOID COLON
 
 
- 
- COLON AND RECTUM
 
 
- 
- PELVIRECTAL JUNCTION
 
 
 
 | 
| AJCC STAGING GROUP | 
COLON & RECTUM | 
| EXTENSION CODE SET-1ST ED | 
RECTOSIGMOID, RECTUM | 
| EXTENSION CODE SET-2ND ED | 
RECTOSIGMOID, RECTUM | 
| EXTENSION CODE SET-3RD ED | 
RECTOSIGMOID, RECTUM | 
| LYMPH NODE CODE SET-1ST ED | 
RECTOSIGMOID, RECTUM | 
| LYMPH NODE CODE SET-2ND ED | 
RECTOSIGMOID, RECTUM | 
| LYMPH NODE CODE SET-3RD ED | 
RECTOSIGMOID, RECTUM | 
| SURGERY CODE SET-1ST ED | 
SG18 RECTUM/ANUS | 
| SURGERY CODE SET-2ND ED | 
SG18 RECTUM/ANUS |