NAME |
PANCREAS, HEAD |
SURGERY CODING |
PANCREAS |
CODE |
C25.0 |
DEFAULT PRIMARY SITE GROUP |
PANCREAS |
5TH EDITION T-CODES |
-
- CBA
- CODE: TX
-
- NET
- CODE: T0
-
- Carcinoma 'in situ'
- CODE: Tis
-
- Limited to pancreas 2 cm or less
- CODE: T1
-
- Limited to pancreas > 2 cm
- CODE: T2
-
- Duodenum, bile duct, peripancreatic tissues
- CODE: T3
-
- Stomach, spleen, colon, or adj large vessels
- CODE: T4
-
- NA
- CODE: NA
|
5TH EDITION N-CODES |
-
- NCA
- CODE: NX
- ACOS CODE: NX
-
- NRN
- CODE: N0
- ACOS CODE: N0
-
- Regional lymph node metastasis
- CODE: N1
- ACOS CODE: N1
-
- Metastasis in a single regional lymph node
- CODE: N1a
- ACOS CODE: N1A
-
- Metastasis in multiple regional lymph nodes
- CODE: N1b
- ACOS CODE: N1B
-
- NA
- CODE: NA
- ACOS CODE: NA
|
5TH EDITION T-CODE HELP |
Primary Tumor (T)
T3 Tumor extends directly into any of the following:
duodenum, bile duct, peripancreatic tissues
T4 Tumor extends directly into any of the following:
stomach, spleen, colon, adjacent large vessels
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
Tis 'In situ' carcinoma
T1 Tumor limited to the pancreas 2 cm or less
in greatest dimension
T2 Tumor limited to the pancreas more than
2 cm in greatest dimension
|
SURGERY CODE GROUP-5TH ED |
PANCREAS, HEAD |
5TH ED-SURGICAL APPROACH CODES |
-
- None
- CODE: 0
-
- Endoscopy, 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
N1a Metastasis in a single regional lymph node
N1b Metastasis in multiple regional lymph nodes
|
5TH ED-SURGERY PRIMARY SITE |
-
- None
- CODE: 0
- SPS 2023 CODE: A000
-
- Pancreatectomy, NOS
- CODE: 80
- SPS 2023 CODE: A800
-
- Surgery, NOS
- CODE: 90
- SPS 2023 CODE: A900
-
- Unknown; death certificate ONLY
- CODE: 99
- SPS 2023 CODE: A990
-
- Local excision of tumor, NOS
- CODE: 25
- SPS 2023 CODE: A250
-
- Partial pancreatectomy, NOS
- CODE: 30
- SPS 2023 CODE: A300
-
- Local pancreatectomy/duodenectomy
- CODE: 35
- SPS 2023 CODE: A350
-
- Local pancreatectomy/duodenectomy W/O partial gastrectomy
- CODE: 36
- SPS 2023 CODE: A360
-
- Local pancreatectomy/duodenectomy W partial gastrectomy
- CODE: 37
- SPS 2023 CODE: A370
-
- Local excision of tumor, NOS (ROADS)
- CODE: 10
-
- Partial pancreatectomy, NOS (ROADS)
- CODE: 20
-
- Total pancreatectomy
- CODE: 40
- SPS 2023 CODE: A400
-
- Local/partial pancreatectomy and duodenectomy (ROADS)
- CODE: 50
-
- Local/part pancreatec-/duodenectomy w/o gastrectomy (ROADS)
- CODE: 51
-
- Local/part pancreatectomy/duodenectomy w/gastrectomy (ROADS)
- CODE: 52
-
- Total pancreatectomy and subtotal gastrectomy/duodenectomy
- CODE: 60
- SPS 2023 CODE: A600
-
- Extended pancreatoduodenectomy
- CODE: 70
- SPS 2023 CODE: A700
|
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
-
- Extended lymphadenectomy
- CODE: 2
-
- 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
-
- Removal of other regional sites, ONLY
- CODE: 2
-
- Removal of distant node(s)
- CODE: 3
-
- Removal of distant site
- CODE: 4
-
- Combination of 2 WITH 3 and/or 4
- CODE: 5
-
- Unknown; not stated; death certificate ONLY
- CODE: 9
|
5TH ED-RECONSTRUCTION |
|
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: TIS
- CODE: Tis
-
- DESCRIPTION: Limited to pancreas 2 cm or less
- CODE: T1
-
- DESCRIPTION: Limited to pancreas > 2 cm
- CODE: T2
-
- DESCRIPTION: Beyond pancreas w/o celiac/mesenteric involvement
- CODE: T3
-
- DESCRIPTION: Celiac axis/superior mesenteric artery
- CODE: T4
-
- DESCRIPTION: NA
- CODE: NA
|
6TH EDITION (T) CODE HELP |
Primary Tumor (T)
T3 Tumor extends beyond the pancreas but without
involvement of the celiac axis or the superior
mesenteric artery
T4 Tumor involves the celiac axis or the superior
mesenteric artery (unresectable primary tumor)
TX Primary tumor cannot be assessed
T0 No evidence of primary tumor
Tis Carcinoma 'in situ'
T1 Tumor limited to the pancreas, 2 cm or less in
greatest dimension
T2 Tumor limited to the pancreas, more than 2 cm in
greatest dimension
|
6TH EDITION (N) CODES |
-
- DESCRIPTION: NCA
- CODE: NX
-
- DESCRIPTION: NRN
- CODE: N0
-
- DESCRIPTION: Regional lymph node metastasis
- CODE: N1
-
- DESCRIPTION: NA
- CODE: NA
|
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
|
T & N CODES |
PANCREAS, HEAD |
AJCC STAGING GROUP |
EXOCRINE PANCREAS |
T-CLASS ENCODING |
-
- CBA
- CODE: TX
- ACOS CODE: TX
-
- NET
- CODE: T0
- ACOS CODE: T0
-
- Limited to the pancreas
- CODE: T1
- ACOS CODE: T1
-
- 2 cm or less
- CODE: T1a
- ACOS CODE: T1A
-
- > 2 cm
- CODE: T1b
- ACOS CODE: T1B
-
- Duodenum, bile duct, peripancreatic tissues
- CODE: T2
- ACOS CODE: T2
-
- Stomach, spleen, colon, or adj large vessels
- 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
-
- Regional lymph node metastasis
- CODE: N1
- ACOS CODE: N1
-
- NA
- CODE: NA
- ACOS CODE: NA
|
EXTENSION CODE SET-1ST ED |
PANCREAS, HEAD, BODY, AND TAIL |
EXTENSION CODE SET-2ND ED |
PANCREAS: HEAD, BODY, AND TAIL |
EXTENSION CODE SET-3RD ED |
PANCREAS: HEAD, BODY, AND TAIL |
LYMPH NODE CODE SET-1ST ED |
PANCREAS, HEAD, BODY, AND TAIL |
LYMPH NODE CODE SET-2ND ED |
PANCREAS, HEAD, BODY, AND TAIL |
LYMPH NODE CODE SET-3RD ED |
PANCREAS, HEAD, BODY, AND TAIL |
SURGERY CODE SET-1ST ED |
SG23 PANCREAS,EXOCRINE |
SURGERY CODE SET-2ND ED |
SG23 PANCREAS,EXOCRINE |