| NAME | 
BILE DUCT, EXTRAHEPATIC | 
| SURGERY CODING | 
OTHER/MISCELLANEOUS | 
| CODE | 
C24.0 | 
| DEFAULT PRIMARY SITE GROUP | 
EXTRAHEPATIC BILE DUCTS | 
| 5TH EDITION T-CODES | 
- 
- CBA
 
- CODE:    TX
 
 
- 
- NET
 
- CODE:    T0
 
 
- 
- Carcinoma 'in situ'
 
- CODE:    Tis
 
 
- 
- Inv subepithelial tiss/fibromuscular layer
 
- CODE:    T1
 
 
- 
- Invades subepithelial connective tissue
 
- CODE:    T1a
 
 
- 
- Invades fibromuscular layer
 
- CODE:    T1b
 
 
- 
- Invades perifibromuscular connective tissue
 
- CODE:    T2
 
 
- 
- TIAS
 
- CODE:    T3
 
 
- 
- NA
 
- CODE:    NA
 
 
 
 | 
| 5TH EDITION T-CODE HELP | 
Primary Tumor (T)
T1b Tumor invades fibromuscular layer
T2  Tumor invades perifibromuscular connective
      tissue
T3  Tumor invades adjacent structures: liver,
      pancreas, duodenum, gallbladder, colon,
      stomach
     
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor invades subepithelial connective
      tissue or fibromuscular layer
T1a Tumor invades subepithelial connective
      tissue
 | 
| SURGERY CODE GROUP-5TH ED | 
LARYNGOPHARYNX | 
| 5TH EDITION N-CODE HELP | 
Regional Lymph Nodes (N)
      superior mesentric and/or posterior
      pancreaticoduodenal lymph nodes
NX  Regional lymph node(s) cannot be assessed
N0  No regional lymph node metastasis
N1  Metastasis in cystic duct, pericholedochal
      and/or hilar lymph nodes (i.e., in the
      hepatoduodenal ligament)
N2  Metastasis in peripancreatic (head only),
      peridoudenal, periportal, celiac, and/or
 | 
| 6TH EDITION (T) CODES | 
- 
- DESCRIPTION:    CBA
 
- CODE:    TX
 
 
- 
- DESCRIPTION:    NET
 
- CODE:    T0
 
 
- 
- DESCRIPTION:    TIS
 
- CODE:    Tis
 
 
- 
- DESCRIPTION:    Confined to bile duct
 
- CODE:    T1
 
 
- 
- DESCRIPTION:    Beyond wall of bile duct
 
- CODE:    T2
 
 
- 
- DESCRIPTION:    Liver, gallbladder, pancreas, etc.
 
- CODE:    T3
 
 
- 
- DESCRIPTION:    Main portal vein, hepatic artery, etc.
 
- CODE:    T4
 
 
- 
- DESCRIPTION:    NA
 
- CODE:    NA
 
 
 
 | 
| 6TH EDITION (T) CODE HELP | 
Primary Tumor (T)
    left) or hepatic artery (right or left)
T4  Tumor invades any of the following: main portal
    vein or its branches bilaterally, common hepatic ar-
    tery, or other adjacent structures, such as the colon,
    stomach, duodenum, or abdominal wall       
     
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor confined to the bile duct histologically
T2  Tumor invades beyond the wall of the bile duct
T3  Tumor invades the liver, gallbladder, pancreas, and/
    or unilateral branches of the portal vein (right or
 | 
| 6TH EDITION (N) CODES | 
- 
- DESCRIPTION:    NCA
 
- CODE:    NX
 
 
- 
- DESCRIPTION:    NRN
 
- CODE:    N0
 
 
- 
- DESCRIPTION:    Regional lymph node metastasis
 
- CODE:    N1
 
 
 
 | 
| 6TH EDITION (N) CODE HELP | 
Regional Lymph Nodes (N)
NX  Regional lymph nodes cannot be assessed
N0  No regional lymph node metastasis
N1  Regional lymph node metastasis
 
 | 
| 7TH EDITION (T) CODES | 
- 
- T-CODE:    X
 
 
- 
 
- 
- T-CODE:    IS
 
 
- 
 
- 
- T-CODE:    2A
 
 
- 
- T-CODE:    2B
 
 
- 
 
- 
 
- 
 
 
 | 
| 7TH EDITION (T) CODE HELP | 
Primary Tumor (T)
T2b  Tumor invades adjacent hepatic parenchyma
T3   Tumor invades unilateral branches of the portal vein or hepatic
       artery
T4   Tumor invades main portal vein or its branches bilaterally; or the
       common hepatic artery; or the second-order biliary radicals
       bilaterally; or unilateral second-order biliary radicals with
       contralateral portal vein or hepatic artery involvement
 
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
Tis  Carcinoma in situ
T1   Tumor confined to the bile duct, with extension up to the muscle
       layer or fibrous tissue
T2a  Tumor invades beyond the wall of the bile duct to surrounding adipose
       tissue 
 | 
| 7TH EDITION (N) CODES | 
 | 
| 7TH EDITION (N) CODE HELP | 
Regional Lymph Nodes (N)
 
NX  Regional lymph nodes cannot be assessed
N0  No regional lymph node metastasis
N1  Regional lymph node metastasis (including nodes along the cystic
      duct, common bile duct, hepatic artery, and portal vein)
N2  Metastasis to periaortic, pericaval, superior mesentery artery,
      and/or celiac artery lymph nodes
 | 
| SCHEMA DISCRIMINATOR CODE | 
- 
- CODE:    010
 
 
- 
- CODE:    020
 
 
- 
- CODE:    030
 
 
- 
- CODE:    040
 
 
- 
- CODE:    050
 
 
- 
- CODE:    060
 
 
- 
- CODE:    070
 
 
- 
 
- 
 
 
 | 
| SCHEMA DISCRIMINATOR HELP | 
Schema Discriminator: Subsite of Extrahepatic Bile Ducts
050  Diffuse involvement 
     More than one subsite involved, subsite of origin not stated 
060  Subsite of extrahepatic bile ducts not stated, but treated with 
     combined hepatic and hilar resection
070  Subsite of extrahepatic bile ducts not stated, but treated with 
     pancreaticoduodenectomy 
100  OBSOLETE DATA RETAINED V0200
     C24.0 - originally coded in CSv1
999  Subsite of extrahepatic bile ducts not stated and not classifiable in
     codes 050-070 
 
010  Perihilar bile duct(s)
     Proximal extrahepatic bile duct(s)
     Hepatic duct(s) 
020  Stated as Klatskin tumor 
030  Cystic bile duct; cystic duct 
040  Common bile duct
     Common duct, NOS 
 | 
| T & N CODES | 
BILE DUCT, EXTRAHEPATIC | 
| TYPE | 
- 
- CHOLEDOCHAL DUCT
 
 
- 
- SPHINCTER OF ODDI
 
 
- 
- BILE DUCT, NOS
 
 
- 
- BILIARY DUCT, NOS
 
 
- 
- COMMON BILE DUCT
 
 
- 
- COMMON DUCT
 
 
- 
- CYSTIC BILE DUCT
 
 
- 
- CYSTIC DUCT
 
 
- 
- HEPATIC BILE DUCT
 
 
- 
- HEPATIC DUCT
 
 
 
 | 
| AJCC STAGING GROUP | 
EXTRAHEPATIC BILE DUCTS | 
| T-CLASS ENCODING | 
- 
- CBA
 
- CODE:    TX
 
- ACOS CODE:    TX
 
 
- 
- NET
 
- CODE:    T0
 
- ACOS CODE:    T0
 
 
- 
- Carcinoma 'in situ'
 
- CODE:    Tis
 
- ACOS CODE:    TIS
 
 
- 
- Invades the mucosa or muscle layer
 
- CODE:    T1
 
- ACOS CODE:    T1
 
 
- 
- Invades the mucosa
 
- CODE:    T1a
 
- ACOS CODE:    T1A
 
 
- 
- Invades the muscle layer
 
- CODE:    T1b
 
- ACOS CODE:    T1B
 
 
- 
- Invades the perimuscular connective tissue
 
- CODE:    T2
 
- ACOS CODE:    T2
 
 
- 
- TIAS
 
- CODE:    T3
 
- ACOS CODE:    T3
 
 
- 
- NA
 
- CODE:    NA
 
- ACOS CODE:    NA
 
 
 
 | 
| N-CLASS ENCODING | 
- 
- NCA
 
- CODE:    NX
 
- ACOS CODE:    NX
 
 
- 
- NRN
 
- CODE:    N0
 
- ACOS CODE:    N0
 
 
- 
- Cystic duct, pericholedochal/hilar lymph nodes
 
- CODE:    N1
 
- ACOS CODE:    N1
 
 
- 
- Peripancreatic, periduodenal, periportal etc
 
- CODE:    N2
 
- ACOS CODE:    N2
 
 
- 
- NA
 
- CODE:    NA
 
- ACOS CODE:    NA
 
 
 
 | 
| EXTENSION CODE SET-1ST ED | 
EXTRAHEPATIC BILE DUCT(S) | 
| EXTENSION CODE SET-2ND ED | 
EXTRAHEPATIC BILE DUCT(S) | 
| EXTENSION CODE SET-3RD ED | 
EXTRAHEPATIC BILE DUCT(S) | 
| LYMPH NODE CODE SET-1ST ED | 
EXTRAHEPATIC BILE DUCT(S) | 
| LYMPH NODE CODE SET-2ND ED | 
EXTRAHEPATIC BILE DUCT(S) | 
| LYMPH NODE CODE SET-3RD ED | 
EXTRAHEPATIC BILE DUCT(S) | 
| SURGERY CODE SET-1ST ED | 
SG57 OTHER/MISCELLANEOUS | 
| SURGERY CODE SET-2ND ED | 
SG57 OTHER/MISCELLANEOUS |