| NAME | 
SKIN, LIP NOS | 
| SURGERY CODING | 
SKIN | 
| CODE | 
C44.0 | 
| DEFAULT PRIMARY SITE GROUP | 
SKIN | 
| 5TH EDITION T-CODE HELP | 
Primary Tumor (T)
T4  Tumor invades deep extradermal structures
    (i.e., cartilage, skeletal muscle, or bone)
Note: In the case of multiple simultaneous tumors,
the tumor with the highest T category will be
classified.
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
Tis Carcinoma 'in situ'
T1  Tumor 2 cm or less in greatest dimension
T2  Tumor more than 2 cm but not more
      than 5 cm in greatest dimension
T3  Tumor more than 5 cm in greatest dimension
 | 
| SURGERY CODE GROUP-5TH ED | 
SKIN, LIP NOS | 
| 5TH ED-SURGICAL APPROACH CODES | 
- 
- None
 
- CODE:    0
 
 
- 
- Open approach
 
- CODE:    4
 
 
- 
- Death certificate ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH 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
 
 | 
| 5TH ED-SURGERY PRIMARY SITE | 
- 
- None
 
- CODE:    0
 
- SPS A-CODES:    B000
 
- SPS B-CODES:    B000
 
 
- 
- Local tumor excision, cryosurgery
 
- CODE:    23
 
 
- 
- Local tumor excision, laser ablation
 
- CODE:    24
 
 
- 
- Local tumor excision, laser excision
 
- CODE:    25
 
 
- 
- Local tumor excision, polypectomy
 
- CODE:    26
 
 
- 
- Local tumor excision, excisional biopsy
 
- CODE:    27
 
 
- 
- Biopsy of primary tumor followed by gross excision of lesion
 
- CODE:    30
 
 
- 
- Shave biopsy followed by gross excision of lesion
 
- CODE:    31
 
 
- 
- Punch biopsy followed by gross excision of lesion
 
- CODE:    32
 
 
- 
- Incisional biopsy followed by gross excision of lesion
 
- CODE:    33
 
 
- 
- Wide excision/re-excision of lesion/minor amp, NOS (ROADS)
 
- CODE:    40
 
 
- 
- Local tumor destruction, NOS (w/o pathology specimen)
 
- CODE:    10
 
- SPS A-CODES:    B100
 
- SPS B-CODES:    B100
 
 
- 
- Radical excision of a lesion, 1 cm or more, NOS (ROADS)
 
- CODE:    50
 
 
- 
- Major amputation
 
- CODE:    60
 
- SPS A-CODES:    B600
 
- SPS B-CODES:    B600
 
 
- 
- Surgery, NOS
 
- CODE:    90
 
- SPS A-CODES:    B900
 
- SPS B-CODES:    B900
 
 
- 
- Unknown; death certificate ONLY
 
- CODE:    99
 
- SPS A-CODES:    B990
 
- SPS B-CODES:    B990
 
 
- 
- Mohs surgery, NOS
 
- CODE:    34
 
- SPS A-CODES:    B300
 
- SPS B-CODES:    B300
 
 
- 
- Mohs with 1-cm margin or less
 
- CODE:    35
 
 
- 
- Mohs with more than 1-cm margin
 
- CODE:    36
 
 
- 
- Wide excision of lesion or minor amp w margins > 1 cm, NOS
 
- CODE:    45
 
 
- 
- Wide excision of lesion or minor amp w margins > 1 & < 2 cm
 
- CODE:    46
 
 
- 
- Wide excision of lesion or minor amp w margins > 2 cm
 
- CODE:    47
 
 
- 
- Local tumor destruction, photodynamic therapy (PDT)
 
- CODE:    11
 
- SPS A-CODES:    B110
 
- SPS B-CODES:    B110
 
 
- 
- Local tumor excision, NOS; Excisional biopsy, NOS
 
- SPS A-CODES:    B200
 
- SPS B-CODES:    B200
 
 
- 
- Local tumor excision, shave biopsy, NOS
 
- SPS A-CODES:    B220
 
- SPS B-CODES:    B220
 
 
- 
- Local tumor excision, punch biopsy, NOS
 
- SPS A-CODES:    B230
 
- SPS B-CODES:    B230
 
 
- 
- Local tumor excision, elliptical biopsy (fusiform)
 
- SPS A-CODES:    B240
 
- SPS B-CODES:    B240
 
 
- 
- Mohs surgery (all Mohs procedures same day)
 
- SPS A-CODES:    B310
 
- SPS B-CODES:    B310
 
 
- 
- Mohs surgery (each Mohs procedure different day)
 
- SPS A-CODES:    B320
 
- SPS B-CODES:    B320
 
 
- 
- Biopsy NOS of primary tumor; wide excision; re-excision
 
- SPS A-CODES:    B500
 
- SPS B-CODES:    B500
 
 
- 
- Incisional biopsy followed by wide excision
 
- SPS A-CODES:    B510
 
- SPS B-CODES:    B510
 
 
- 
- Shave biopsy followed by wide excision
 
- SPS A-CODES:    B520
 
- SPS B-CODES:    B520
 
 
- 
- Punch biopsy followed by wide excision
 
- SPS A-CODES:    B530
 
- SPS B-CODES:    B530
 
 
- 
- Local tumor destruction, electrocautery; fulguration
 
- CODE:    12
 
- SPS A-CODES:    B120
 
- SPS B-CODES:    B120
 
 
- 
- Elliptical biopsy followed by wide excision
 
- SPS A-CODES:    B540
 
- SPS B-CODES:    B540
 
 
- 
- Local tumor destruction, cryosurgery
 
- CODE:    13
 
- SPS A-CODES:    B130
 
- SPS B-CODES:    B130
 
 
- 
- Local tumor destruction, laser ablation
 
- CODE:    14
 
- SPS A-CODES:    B140
 
- SPS B-CODES:    B140
 
 
- 
- Local tumor excision, NOS (w/ pathology specimen)
 
- CODE:    20
 
 
- 
- Local tumor excision, photodynamic therapy (PDT)
 
- CODE:    21
 
 
- 
- Local tumor excision, electrocautery
 
- CODE:    22
 
 
 
 | 
| 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
 
 
- 
- Sentinel node, NOS
 
- CODE:    1
 
 
- 
- Regional lymph nodes removed, NOS
 
- 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
 
 
- 
- Other regional sites
 
- CODE:    2
 
 
- 
- Distant lymph node(s)
 
- CODE:    3
 
 
- 
- Distant site(s)
 
- CODE:    4
 
 
- 
- Combination of 4 WITH 2 or 3
 
- CODE:    5
 
 
- 
- Unknown; not stated; death certificate ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH ED-RECONSTRUCTION | 
- 
- No reconstruction/restoration
 
- CODE:    0
 
 
- 
- Pedicle flap, free flap, skin graft, NOS
 
- CODE:    1
 
 
- 
- 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
 
 
 
 | 
| 7TH EDITION (T) CODES | 
 | 
| 7TH EDITION (T) CODE HELP | 
Primary Tumor (T)
T3   Tumor with invasion of maxilla, orbit, or temporal bone
T4   Tumor with invasion of skeleton (axial or appendicular) or perineural
      invasion of skull base
T88  NA
 
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
Tis  Tis Carcinoma in situ
T1   Tumor 2 cm or less in greatest dimension with less than two high risk
      features
T2   Tumor greater than 2 cm in greatest dimension or
     Tumor any size with two or more high risk features
 | 
| 7TH EDITION (N) CODES | 
- 
- N-CODE:    X
 
 
- 
 
- 
 
- 
 
- 
- N-CODE:    2A
 
 
- 
- N-CODE:    2B
 
 
- 
- N-CODE:    2C
 
 
- 
 
- 
 
 
 | 
| 7TH EDITION (N) CODE HELP | 
Regional Lymph Nodes (N)
      bilateral or contralateral lymph nodes, none more than 6 cm in
      greatest dimension
N2a  Metastasis in a single ipsilateral lymph node, more than 3 cm but not
      more than 6 cm in greatest dimension
N2b  Metastasis in multiple ipsilateral lymph nodes, none more than 6 cm
     in greatest dimension
N2c  Metastasis in bilateral or contralateral lymph nodes, none more than
      6 cm in greatest dimension
N3   Metastasis in a lymph node, more than 6 cm in greatest dimension
N88  NA
 
NX   Regional lymph nodes cannot be assessed
N0   No regional lymph node metastasis
N1   Metastasis in a single ipsilateral lymph node, 3 cm or less in
      greatest dimension
N2   Metastasis in a single ipsilateral lymph node, more than 3 cm but not
      more than 6 cm in greatest dimension; or in multiple ipsilateral
      lymph nodes, none more than 6 cm in greatest dimension; or in
 | 
| MM SKIN | 
Applicable | 
| T & N CODES | 
SKIN, LIP NOS | 
| TYPE | 
- 
- LIP
 
 
- 
- MELANOMA
 
 
- 
- SKIN OF LOWER LIP
 
 
- 
- SKIN OF UPPER LIP
 
 
 
 | 
| AJCC STAGING GROUP | 
SKIN CARCINOMA | 
| T-CLASS ENCODING | 
- 
- CBA
 
- CODE:    TX
 
- ACOS CODE:    TX
 
 
- 
- NET
 
- CODE:    T0
 
- ACOS CODE:    T0
 
 
- 
- Carcinoma 'in situ'
 
- CODE:    Tis
 
- ACOS CODE:    TIS
 
 
- 
- 2 cm or less
 
- CODE:    T1
 
- ACOS CODE:    T1
 
 
- 
- > 2 but not > 5 cm
 
- CODE:    T2
 
- ACOS CODE:    T2
 
 
- 
- > 5 cm
 
- CODE:    T3
 
- ACOS CODE:    T3
 
 
- 
- Invades deep extradermal structures
 
- 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
 
 
- 
- Regional lymph node metastasis
 
- CODE:    N1
 
- ACOS CODE:    N1
 
 
- 
- NA
 
- CODE:    NA
 
- ACOS CODE:    NA
 
 
 
 | 
| EXTENSION CODE SET-1ST ED | 
SKIN (EXCL. MALIGNANT MELANOMA, ETC.) | 
| EXTENSION CODE SET-2ND ED | 
SKIN (EXCL. MALIGNANT MELANOMA, ETC.) | 
| EXTENSION CODE SET-3RD ED | 
SKIN (EXCL. MALIGNANT MELANOMA, ETC.) | 
| LYMPH NODE CODE SET-1ST ED | 
SKIN (EXCL. MALIGNANT MELANOMA, ETC.) | 
| LYMPH NODE CODE SET-2ND ED | 
SKIN (EXCL. MALIGNANT MELANOMA, ETC.) | 
| LYMPH NODE CODE SET-3RD ED | 
SKIN (EXCL. MALIGNANT MELANOMA, ETC.) | 
| SURGERY CODE SET-1ST ED | 
SG38 SKIN | 
| SURGERY CODE SET-2ND ED | 
SG38 SKIN |