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 |
|
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 |