PANCREAS, HEAD (67250)    ICDO TOPOGRAPHY (164)

Name Value
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
  • NA
    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:   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