SKIN, LIP NOS (67440)    ICDO TOPOGRAPHY (164)

Name Value
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 2023 CODE:   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 2023 CODE:   B100
  • Radical excision of a lesion, 1 cm or more, NOS (ROADS)
    CODE:   50
  • Major amputation
    CODE:   60
    SPS 2023 CODE:   B600
  • Surgery, NOS
    CODE:   90
    SPS 2023 CODE:   B900
  • Unknown; death certificate ONLY
    CODE:   99
    SPS 2023 CODE:   B990
  • Mohs surgery, NOS
    CODE:   34
    SPS 2023 CODE:   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 2023 CODE:   B110
  • Local tumor excision, NOS; Excisional biopsy, NOS
    SPS 2023 CODE:   B200
  • Local tumor excision, shave biopsy, NOS
    SPS 2023 CODE:   B220
  • Local tumor excision, punch biopsy, NOS
    SPS 2023 CODE:   B230
  • Local tumor excision, elliptical biopsy (fusiform)
    SPS 2023 CODE:   B240
  • Mohs surgery (all Mohs procedures same day)
    SPS 2023 CODE:   B310
  • Mohs surgery (each Mohs procedure different day)
    SPS 2023 CODE:   B320
  • Biopsy NOS of primary tumor; wide excision; re-excision
    SPS 2023 CODE:   B500
  • Incisional biopsy followed by wide excision
    SPS 2023 CODE:   B510
  • Shave biopsy followed by wide excision
    SPS 2023 CODE:   B520
  • Punch biopsy followed by wide excision
    SPS 2023 CODE:   B530
  • Local tumor destruction, electrocautery; fulguration
    CODE:   12
    SPS 2023 CODE:   B120
  • Elliptical biopsy followed by wide excision
    SPS 2023 CODE:   B540
  • Local tumor destruction, cryosurgery
    CODE:   13
    SPS 2023 CODE:   B130
  • Local tumor destruction, laser ablation
    CODE:   14
    SPS 2023 CODE:   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
  • T-CODE:   X
  • T-CODE:   IS
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