LIVER (67220)    ICDO TOPOGRAPHY (164)

Name Value
NAME LIVER
SURGERY CODING OTHER/MISCELLANEOUS
CODE C22.0
DEFAULT PRIMARY SITE GROUP LIVER
5TH EDITION T-CODE HELP
Primary Tumor (T)
      a solitary tumor more than 2 cm in greatest dimension without
      vascular invasion
T3  Solitary tumor more than 2 cm in greatest dimension with vascular
      invasion, or multiple tumors limited to one lobe, none more than
      2 cm in greatest dimension, with vascular invasion, or a multiple
      tumors limited to one lobe, any more than 2 cm in greatest
      dimension, with or without vascular invasion
T4  Multiple tumors in more than one lobe or tumor(s) involve(s) a major
      branch of the portal or hepatic vein(s) or invasion of adjacent
      organs other than the gallbladder or perforation of the visceral
     
      peritoneum
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
T1  Solitary tumor 2 cm or less in greatest dimension without vascular
      invasion
T2  Solitary tumor 2 cm or less in greatest dimension with vascular
      invasion, or multiple tumors limited to one lobe, none more
      than 2 cm in greatest dimension without vascular invasion, or
SURGERY CODE GROUP-5TH ED LIVER
5TH ED-SURGICAL APPROACH CODES
  • None
    CODE:   0
  • Endoscopy ONLY, NOS (laparoscopy)
    CODE:   1
  • Endoscopy, not image guided
    CODE:   2
  • Endoscopy, image guided
    CODE:   3
  • Open, NOS
    CODE:   4
  • Open, not assisted by endoscopy
    CODE:   5
  • Open, assisted by endoscopy
    CODE:   6
  • Unknown; not stated; death certificate ONLY
    CODE:   9
5TH EDITION N-CODE HELP
Regional Lymph Nodes (N)

NX  Regional lymph node(s) cannot be assessed
N0  No regional lymph node metastasis
N1  Regional lymph node metastasis
5TH ED-SURGERY PRIMARY SITE
  • None
    CODE:   0
    SPS 2023 CODE:   A000
  • Wedge or segmental resection, NOS
    CODE:   20
    SPS 2023 CODE:   A200
  • Lobectomy, NOS
    CODE:   30
    SPS 2023 CODE:   A300
  • Lobectomy, simple (ROADS)
    CODE:   31
  • Lobectomy, extended (ROADS)
    CODE:   32
  • Excision of bile duct (intrahepatic bile duct only) (ROADS)
    CODE:   40
  • Total hepatectomy with transplant (ROADS)
    CODE:   70
  • Hepatectomy, NOS (ROADS)
    CODE:   80
  • Surgery, NOS
    CODE:   90
    SPS 2023 CODE:   A900
  • Unknown; death certificate ONLY
    CODE:   99
    SPS 2023 CODE:   A990
  • Wedge resection
    CODE:   21
    SPS 2023 CODE:   A210
  • Local tumor destruction, NOS
    CODE:   10
    SPS 2023 CODE:   A100
  • Segmental resection, NOS
    CODE:   22
    SPS 2023 CODE:   A220
  • Segmental resection, one
    CODE:   23
    SPS 2023 CODE:   A230
  • Segmental resection, two
    CODE:   24
    SPS 2023 CODE:   A240
  • Segmental resection, three
    CODE:   25
    SPS 2023 CODE:   A250
  • Segmental resection AND local tumor destruction
    CODE:   26
    SPS 2023 CODE:   A260
  • Right lobectomy
    CODE:   36
    SPS 2023 CODE:   A360
  • Left lobectomy
    CODE:   37
    SPS 2023 CODE:   A370
  • Lobectomy AND local tumor destruction
    CODE:   38
    SPS 2023 CODE:   A380
  • Extended lobectomy, NOS
    CODE:   50
    SPS 2023 CODE:   A500
  • Extended right lobectomy
    CODE:   51
    SPS 2023 CODE:   A510
  • Local tumor destruction, photodynamic therapy (PDT)
    CODE:   11
    SPS 2023 CODE:   A110
  • Extended left lobectomy
    CODE:   52
    SPS 2023 CODE:   A520
  • Extended lobectomy AND local tumor destruction
    CODE:   59
    SPS 2023 CODE:   A590
  • Hepatectomy, NOS
    CODE:   60
    SPS 2023 CODE:   A600
  • Total hepatectomy and transplant
    CODE:   61
    SPS 2023 CODE:   A610
  • Excision of a bile duct
    CODE:   65
    SPS 2023 CODE:   A650
  • Excision of intrahepatic bile duct PLUS partial hepatectomy
    CODE:   66
    SPS 2023 CODE:   A660
  • Extrahepatic bile duct and hepatectomy WITH transplant
    CODE:   75
    SPS 2023 CODE:   A750
  • Local tumor destruction, electrocautery; fulguration
    CODE:   12
    SPS 2023 CODE:   A120
  • Local tumor destruction, cryosurgery
    CODE:   13
    SPS 2023 CODE:   A130
  • Local tumor destruction, laser
    CODE:   14
    SPS 2023 CODE:   A140
  • Local tumor destruction, alcohol (PEI)
    CODE:   15
    SPS 2023 CODE:   A150
  • Heat, Radio frequency ablation (RFA)
    CODE:   16
    SPS 2023 CODE:   A160
  • Local tumor destruction, other (ultrasound, acetic acid)
    CODE:   17
    SPS 2023 CODE:   A170
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
  • Surg to other sites/nodes, NOS; unk if regional or distant
    CODE:   1
  • Other regional sites
    CODE:   2
  • Distant lymph nodes; includes inferior phrenic lymph nodes
    CODE:   3
  • Distant site(s)
    CODE:   4
  • Combination of 4 WITH 2 or 3
    CODE:   5
  • Unknown; not stated; death certificate ONLY
    CODE:   9
5TH ED-RECONSTRUCTION
  • No reconstruction/restoration
    CODE:   0
  • Rioux-en-Y; hepatojejunostomy including stent
    CODE:   1
  • Liver transplant
    CODE:   2
  • 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
6TH EDITION (T) CODES
  • DESCRIPTION:   CBA
    CODE:   TX
  • DESCRIPTION:   NET
    CODE:   T0
  • DESCRIPTION:   Solitary tumor w/o vascular invasion
    CODE:   T1
  • DESCRIPTION:   Solitary w inv/mult tumor not > 5 cm
    CODE:   T2
  • DESCRIPTION:   Multiple > 5 cm/portal or hepatic veins
    CODE:   T3
  • DESCRIPTION:   Invasion/not gallbladder or peritoneum
    CODE:   T4
  • DESCRIPTION:   NA
    CODE:   NA
6TH EDITION (T) CODE HELP
Primary Tumor (T)
      vein(s)
T4  Tumor(s) with direct invasion of adjacent
      organs other than the gallbladder or with
      perforation of visceral peritoneum
     
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
T1  Solitary tumor without vascular invasion
T2  Solitary tumor with vascular invasion or
      multiple tumors none more than 5 cm
T3  Multiple tumors more than 5 cm or tumor
      involving a major branch of the portal or hepatic
7TH EDITION (T) CODES
  • T-CODE:   X
  • T-CODE:   3A
  • T-CODE:   3B
7TH EDITION (T) CODE HELP
Primary Tumor (T)
      of the portal vein or hepatic vein
T4   Tumor(s) with direct invasion of adjacent organs other than the 
      gallbladder or with perforation of visceral peritoneum
 
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
T1   Solitary tumor without vascular invasion
T2   Solitary tumor with vascular invasion or multiple tumors none more
      than 5 cm
T3a  Multiple tumors more than 5 cm
T3b  Single tumor or multiple tumors of any size involving a major branch
T & N CODES LIVER
TYPE
  • HEPATIC
  • HEPATIC, NOS
AJCC STAGING GROUP LIVER
T-CLASS ENCODING
  • CBA
    CODE:   TX
    ACOS CODE:   TX
  • Multiple tumors/branch of portal/hepatic vein
    CODE:   T4
    ACOS CODE:   T4
  • NA
    CODE:   NA
    ACOS CODE:   NA
  • NET
    CODE:   T0
    ACOS CODE:   T0
  • 2 cm or less w/o vascular invasion
    CODE:   T1
    ACOS CODE:   T1
  • 2 cm or less w vas inv/> 2 cm w/o vas inv
    CODE:   T2
    ACOS CODE:   T2
  • More than 2 cm w vascular invasion
    CODE:   T3
    ACOS CODE:   T3
N-CLASS ENCODING
  • NCA
    CODE:   NX
    ACOS CODE:   NX
  • NRN
    CODE:   N0
    ACOS CODE:   N0
  • Regional lymph node metastasis
    CODE:   N1
    ACOS CODE:   N1
  • NA
    CODE:   NA
    ACOS CODE:   NA
EXTENSION CODE SET-1ST ED LIVER, INTRAHEPATIC BILE DUCTS
EXTENSION CODE SET-2ND ED LIVER, INTRAHEPATIC BILE DUCTS
EXTENSION CODE SET-3RD ED LIVER, INTRAHEPATIC BILE DUCTS
LYMPH NODE CODE SET-1ST ED LIVER, INTRAHEPATIC BILE DUCTS
LYMPH NODE CODE SET-2ND ED LIVER AND INTRAHEPATIC BILE DUCTS
LYMPH NODE CODE SET-3RD ED LIVER AND INTRAHEPATIC BILE DUCTS
SURGERY CODE SET-1ST ED SG57 OTHER/MISCELLANEOUS
SURGERY CODE SET-2ND ED SG57 OTHER/MISCELLANEOUS