Name	Value
NAME	BONES, UPPER LIMB, LONG
SURGERY CODING	BONE
PAIRED ORGAN	LATERALITY CODE REQUIRED
CODE	C40.0
DEFAULT PRIMARY SITE GROUP	BONE
5TH EDITION T-CODE HELP	Primary Tumor (T) TX Primary tumor cannot be assessed T0 No evidence of primary tumor T1 Tumor confined within the cortex T2 Tumor invades beyond the cortex
SURGERY CODE GROUP-5TH ED	BONES, UPPER LIMB, LONG
5TH ED-SURGICAL APPROACH CODES	None CODE: 0 Endoscopy, NOS 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) considered N0 if no clinical involvement is evident. NX Regional lymph nodes cannot be assessed N0 No regional lymph node metastasis N1 Regional lymph node metastasis Note: Because of the rarity of lymph node involvement in sarcomas, the designation NX may not be appropriate and could be
5TH ED-SURGERY PRIMARY SITE	None CODE: 0 SPS 2023 CODE: A000 Major amputation, hindquarter, including ilium/hip bone CODE: 52 SPS 2023 CODE: A520 Major amputation, hemipelvectomy CODE: 53 SPS 2023 CODE: A530 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 CODE: 15 SPS 2023 CODE: A150 Local excision CODE: 25 SPS 2023 CODE: A250 Partial resection CODE: 26 SPS 2023 CODE: A260 Internal hemipelvectomy CODE: 54 SPS 2023 CODE: A540 Local tumor destruction or excision (ROADS) CODE: 10 Partial resection/internal hemipelvectomy (pelvis) (ROADS) CODE: 20 Radical excision or resection of lesion WITH limb salvage CODE: 30 SPS 2023 CODE: A300 Amputation of limb, NOS CODE: 40 SPS 2023 CODE: A400 Partial amputation of limb CODE: 41 SPS 2023 CODE: A410 Total amputation of limb CODE: 42 SPS 2023 CODE: A420 Major amputation, NOS CODE: 50 SPS 2023 CODE: A500 Major amputation, forequarter, including scapula CODE: 51 SPS 2023 CODE: A510
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 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 Other regional site(s) CODE: 2 Distant lymph node(s) CODE: 5 Distant site(s) CODE: 6 Combination of 6 WITH 2, 3, 4 or 5 CODE: 7 Unknown; not stated; death certificate ONLY CODE: 9
5TH ED-RECONSTRUCTION	No reconstruction/restoration CODE: 0 Flaps, grafts, or any 'plasty', NOS CODE: 1 Flaps, grafts, any 'plasty', W/O implant/prosthesis CODE: 2 Flaps, grafts, any 'plasty', W implant/prosthesis CODE: 3 Recommended, unknown if performed CODE: 8 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
6TH EDITION (T) CODES	DESCRIPTION: CBA CODE: TX DESCRIPTION: NET CODE: T0 DESCRIPTION: 8 cm or less CODE: T1 DESCRIPTION: > 8 cm CODE: T2 DESCRIPTION: Discontinuous tumors in primary bone site CODE: T3
6TH EDITION (T) CODE HELP	Primary Tumor (T) TX Primary tumor cannot be assessed T0 No evidence of primary tumor T1 Tumor 8 cm or less in greatest dimension T2 Tumor more than 8 cm in greatest dimension T3 Discontinuous tumors in the primary bone site
6TH EDITION (M) CODES	DESCRIPTION: Distant metastasis cannot be assessed CODE: Mx DESCRIPTION: No distant metastasis CODE: M0 DESCRIPTION: Distant metastasis CODE: M1 DESCRIPTION: Lung CODE: M1a DESCRIPTION: Other distant sites CODE: M1b DESCRIPTION: NA CODE: NA
6TH EDITION (M) CODE HELP	Distant Metastasis (M) MX Distant metastasis cannot be assessed M0 No distant metastasis M1 Distant metastasis M1a Lung M1b Other distant sites M88 NA
T & N CODES	BONES, UPPER LIMB, LONG
TYPE	ARM SCAPULA SHOULDER GIRDLE SHOULDER JOINT HUMERUS RADIUS ULNA ACROMIOCLAVICULAR JOINT BONE OF ARM BONE OF FOREARM BONE OF SHOULDER ELBOW JOINT
AJCC STAGING GROUP	BONE
T-CLASS ENCODING	CBA CODE: TX ACOS CODE: TX NET CODE: T0 ACOS CODE: T0 Confined w/i cortex CODE: T1 ACOS CODE: T1 Invades beyond cortex CODE: T2 ACOS CODE: T2 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	BONE
EXTENSION CODE SET-2ND ED	BONE
EXTENSION CODE SET-3RD ED	BONE
LYMPH NODE CODE SET-1ST ED	BONE
LYMPH NODE CODE SET-2ND ED	BONE
LYMPH NODE CODE SET-3RD ED	BONE
SURGERY CODE SET-1ST ED	SG36 BONE
SURGERY CODE SET-2ND ED	SG36 BONE

BONES, UPPER LIMB, LONG (67400) ICDO TOPOGRAPHY (164)