LUNG, MAIN BRONCHUS (67340)    ICDO TOPOGRAPHY (164)

Name Value
NAME LUNG, MAIN BRONCHUS
SURGERY CODING LUNG NOS
PAIRED ORGAN LATERALITY CODE REQUIRED
CODE C34.0
DEFAULT PRIMARY SITE GROUP LUNG NOS
5TH EDITION T-CODE HELP
Primary Tumor (T)
      proximal than the lobar bronchus, (i.e.,not in the main bronchus)
T2  Tumor with any of the following features of size or extent:
      More than 3 cm in greatest dimension
      Involves main bronchus, 2 cm or more distal to the carina
      Invades the visceral pleura
      Associated with atelectasis or obstructive pneumonitis that extends
      to the hilar region but does not involve the entire lung
T3  Tumor of any size that directly invades any of the following: chest wall,
      (including superior sulcus tumors), diaphragm, medistinal pleura,
      parietal pericardium; or tumor in the main bronchus less than 2 cm
     
      distal to the carina, but without involvement of the carina; or
      associated atelectasis or obstructive pneumonitis of the entire lung
T4  Tumors of any size that invades any of the following: mediastinum, heart,
      great vessels, trachea, esophagus, vertebral body, carina; or separate
      tumor nodules in the same lobe; or tumor with a malignant pleural
      effusion
TX  Primary tumor cannot be assessed, or tumor proven by the presence of
      malignant cells in sputum or bronchial washings but not visualized
      by imaging or bronchoscopy
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor 3 cm or less in greatest dimension, surrounded by lung or
      visceral pleura, without bronchoscopic evidence of invasion more
SURGERY CODE GROUP-5TH ED LUNG, MAIN BRONCHUS
5TH ED-SURGICAL APPROACH CODES
  • None
    CODE:   0
  • Endoscopy, NOS
    CODE:   1
  • Endoscopy, bronchoscopy
    CODE:   2
  • Endoscopy, mediastinoscopy
    CODE:   3
  • Endoscopy, thoracoscopy
    CODE:   4
  • Open, NOS (thoracotomy, sternotomy)
    CODE:   5
  • Open, not assisted by endoscopy
    CODE:   6
  • Open, assisted by endoscopy
    CODE:   7
  • Unknown; not stated; death certificate ONLY
    CODE:   9
5TH EDITION N-CODE HELP
Regional Lymph Nodes (N)
N2  Metastasis to ipsilateral mediastinal and/or
      subcarinal lymph node(s)
N3  Metastasis to contralateral mediastinal,
      contralateral hilar, ipsilateral or 
      contralateral scalene, or supraclavicular
      lymph node(s)

NX  Regional lymph node(s) cannot be assessed
N0  No regional lymph node metastasis
N1  Metastasis to ipsilateral peribronchial
      and/or ipsilateral hilar lymph nodes,
      and intrapulmonary nodes including 
      involvement by direct extension of the
      primary tumor
5TH EDITION M-CODE HELP
Distant Metastasis (M)

MX  Distant metastasis cannot be assessed
M0  No distant metastasis
M1  Distant metastasis present

Note: M1 includes separate tumor nodule(s) in a
      different lobe (ipsilateral or contralateral).
5TH ED-SURGERY PRIMARY SITE
  • None
    CODE:   0
    SPS 2023 CODE:   A000
  • Resection of lobe or bilobectomy, < whole lung
    CODE:   30
    SPS 2023 CODE:   A300
  • Res at least 1 lobe, < whole lung; lobectomy (ROADS)
    CODE:   31
  • Res at least 1 lobe, < whole lung; bilobectomy (ROADS)
    CODE:   32
  • Resection of whole lung (ROADS)
    CODE:   40
  • Resection of lung w/en bloc resection other organs (ROADS)
    CODE:   50
  • Resection of lung; wedge resection (ROADS)
    CODE:   51
  • Resection of lung; lobectomy (ROADS)
    CODE:   52
  • Resection of lung; bilobectomy (ROADS)
    CODE:   53
  • Resection of lung; pneumonectomy (ROADS)
    CODE:   54
  • Radical pneumonectomy (ROADS)
    CODE:   60
  • Local tumor destruction or excision, NOS (ROADS)
    CODE:   10
  • Extended radical pneumonectomy
    CODE:   70
    SPS 2023 CODE:   A700
  • Resection of lung, 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 tumor destruction or excision, NOS
    CODE:   19
    SPS 2023 CODE:   A190
  • Local tumor destruction, NOS; RFA
    CODE:   15
    SPS 2023 CODE:   A150
  • Excision, NOS
    CODE:   23
    SPS 2023 CODE:   A230
  • Laser excision
    CODE:   24
    SPS 2023 CODE:   A240
  • Bronchial sleeve resection ONLY
    CODE:   25
    SPS 2023 CODE:   A250
  • Lobectomy WITH mediastinal lymph node dissection
    CODE:   33
    SPS 2023 CODE:   A330
  • Excision (ROADS)
    CODE:   11
  • Lobe or bilobectomy extended, NOS
    CODE:   45
    SPS 2023 CODE:   A450
  • Lobe or bilobectomy extended, WITH chest wall
    CODE:   46
    SPS 2023 CODE:   A460
  • Lobe or bilobectomy extended, WITH pericardium
    CODE:   47
    SPS 2023 CODE:   A470
  • Lobe or bilobectomy extended, WITH diaphragm
    CODE:   48
    SPS 2023 CODE:   A480
  • Pneumonectomy, NOS
    CODE:   55
    SPS 2023 CODE:   A550
  • Pneumonectomy WITH mediastinal lymph node dissection
    CODE:   56
    SPS 2023 CODE:   A560
  • Extended pneumonectomy
    CODE:   65
    SPS 2023 CODE:   A650
  • Extended pneumonectomy plus pleura or diaphragm
    CODE:   66
    SPS 2023 CODE:   A660
  • Laser ablation or cryosurgery
    CODE:   12
    SPS 2023 CODE:   A120
  • Electrocautery; fulguration
    CODE:   13
    SPS 2023 CODE:   A130
  • Bronchial sleeve resection ONLY (ROADS)
    CODE:   14
  • Excision or resection of less than one lobe
    CODE:   20
    SPS 2023 CODE:   A200
  • Resection of less than one lobe; wedge resection
    CODE:   21
    SPS 2023 CODE:   A210
  • Res of < than 1 lobe; segmental resection, inc lingulectomy
    CODE:   22
    SPS 2023 CODE:   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
  • Intrapulmonary , ipsilateral hilar/peribronchial nodes
    CODE:   2
  • Ipsilateral mediastinal and/or subcarinal nodes
    CODE:   3
  • Combination of 2 and 3
    CODE:   4
  • Contralateral medi,hilar,ipsi/contra scalene supraclavicular
    CODE:   5
  • Combination of 5 WITH 2 or 3
    CODE:   6
  • 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
  • Surgery to a regional site ONLY
    CODE:   2
  • Removal of solitary lesion in same lung (primary), diff lobe
    CODE:   3
  • Resec of metastasis dist site/resec of dist lymph nodes, NOS
    CODE:   4
  • Removal of a solitary lesion in the contralateral lung
    CODE:   5
  • Removal of solitary lesion in dist site/dist lymph node, NOS
    CODE:   6
  • Removal of multiple lesions in distant site(s)
    CODE:   7
  • Unknown; not stated; death certificate ONLY
    CODE:   9
5TH ED-RECONSTRUCTION
  • No reconstruction/restoration
    CODE:   0
  • Chest wall reconstruction/restoration, NOS
    CODE:   1
  • 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
7TH EDITION (T) CODES
  • T-CODE:   X
  • T-CODE:   IS
  • T-CODE:   1A
  • T-CODE:   1B
  • T-CODE:   2A
  • T-CODE:   2B
7TH EDITION (T) CODE HELP
Primary Tumor (T)
T1b  Tumor > 2 cm but < or = 3 cm in greatest dimension
T2   Tumor > 3 cm but < or = 7 cm or tumor with any of the following
      features (T2 tumors with these features are classified T2a if < or =
      5 cm)
     Involves main bronchus, > or = 2 cm distal to the carina
     Invades visceral pleura (PL1 or PL2)
     Associated with atelectasis or obstructive pneumonitis that extends
      to the hilar region but does not involve the entire lung
T2a  Tumor > 3 cm but < or = 5 cm in greatest dimension
T2b  Tumor > 5 cm but < or = 7 cm in greatest dimension
 
T3   Tumor > 7 cm or one that directly invades any of the following:
      parietal pleural (PL3) chest wall (including superior sulcus
      tumors), diaphragm, phrenic nerve, mediastinal pleura, parietal
      pericardium; or tumor in the main bronchus (< 2 cm distal to the
      carina but without involvement of the carina; or associated
      atelectasis or obstructive pneumonitis of the entire lung or
      separate tumor nodule(s) in the same lobe
T4   Tumor of any size that invades any of the following: mediastinum,
      heart, great vessels, trachea, recurrent laryngeal nerve, esophagus,
      vertebral body, carina, separate tumor nodule(s) in a different
TX   Primary tumor cannot be assessed
      ipsilateral lobe
T0   No evidence of primary tumor
Tis  Carcinoma in situ
T1   Tumor < or = 3 cm in greatest dimension, surrounded by lung or
      visceral pleura, without bronchoscopic evidence of invasion more
      proximal than the lobar bronchus (i.e., not in the main bronchus)
T1a  Tumor < or = 2 cm in greatest dimension
7TH EDITION (M) CODES
  • M-CODE:   1A
  • M-CODE:   1B
7TH EDITION (M) CODE HELP
Distant Metastasis (M)
 
M0   No distant metastasis
M1   Distant metastasis
M1a  Separate tumor nodule(s) in a contralateral lobe; tumor with pleural 
      nodules or malignant pleural (or pericardial) effusion
M1b  Distant metastasis (in extrathoracic organs)
T & N CODES LUNG, MAIN BRONCHUS
TYPE
  • BRONCHUS
  • CARINA
  • HILUS OF LUNG
AJCC STAGING GROUP LUNG
T-CLASS ENCODING
  • CBA
    CODE:   TX
    ACOS CODE:   TX
  • NET
    CODE:   T0
    ACOS CODE:   T0
  • Carcinoma 'in situ'
    CODE:   Tis
    ACOS CODE:   TIS
  • 3 cm or less/visceral pleura/not main bron
    CODE:   T1
    ACOS CODE:   T1
  • > 3 cm/2 cm or more distal to carina
    CODE:   T2
    ACOS CODE:   T2
  • Chest wall/diaphargm/mediastinal pleura etc
    CODE:   T3
    ACOS CODE:   T3
  • Mediastinum/heart/great vessels/trachea etc
    CODE:   T4
    ACOS CODE:   T4
  • NA
    CODE:   NA
    ACOS CODE:   NA
N-CLASS ENCODING
  • NCA
    CODE:   NX
    ACOS CODE:   NX
  • NRN
    CODE:   N0
    ACOS CODE:   N0
  • Ipsilateral peribronchial/hilar, inc dir ext
    CODE:   N1
    ACOS CODE:   N1
  • Ipsilateral mediastinal/subcarinal lymph node(s)
    CODE:   N2
    ACOS CODE:   N2
  • Contralateral mediastinal/hilar/scalene/supr
    CODE:   N3
    ACOS CODE:   N3
  • NA
    CODE:   NA
    ACOS CODE:   NA
EXTENSION CODE SET-1ST ED LUNG, MAIN STEM BRONCHUS
EXTENSION CODE SET-2ND ED BRONCHUS AND LUNG
EXTENSION CODE SET-3RD ED BRONCHUS AND LUNG
LYMPH NODE CODE SET-1ST ED LUNG, MAIN STEM BRONCHUS
LYMPH NODE CODE SET-2ND ED LUNG, MAIN STEM BRONCHUS
LYMPH NODE CODE SET-3RD ED LUNG, MAIN STEM BRONCHUS
SURGERY CODE SET-1ST ED SG31 LUNG
SURGERY CODE SET-2ND ED SG31 LUNG