Name	Value
NAME	BREAST, NIPPLE/AREOLA
SURGERY CODING	BREAST
PAIRED ORGAN	LATERALITY CODE REQUIRED
CODE	C50.0
DEFAULT PRIMARY SITE GROUP	BREAST
5TH EDITION T-CODES	CBA CODE: TX Tumor > 5 cm CODE: T3 Tumor w direct ext to chest wall/skin CODE: T4 Extension to chest wall CODE: T4a Edema or ulceration of skin/satellite skin nodules CODE: T4b Both (T4a and T4b) CODE: T4c Inflammatory carcinoma CODE: T4d NA CODE: NA NET CODE: T0 Carcinoma 'in situ' CODE: Tis Tumor 2 cm or less CODE: T1 Microinvasion 0.1 cm or less CODE: T1mi Tumor > 0.1 cm but not > 0.5 cm CODE: T1a Tumor > 0.5 but not > 1 cm CODE: T1b Tumor > 1 cm but not > 2 cm CODE: T1c Tumor > 2 cm but not > 5 cm CODE: T2
5TH EDITION T-CODE HELP	Primary Tumor (T) T1b Tumor more than 0.5 but not more than 1 cm in greatest dimension T1c Tumor more than 1 cm but not more than 2 cm 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 T4 Tumor of any size with direct extension to (a) chest wall or (b) skin, only as described below. T4a Extension to chest wall T4b Edema (including peau d'orange) or ulceration of the skin of the breast or satellite skin nodules confined to the same breast T4c Both (T4a and T4b) T4d Inflammatory carcinoma TX Primary tumor cannot be assessed T0 No evidence of primary tumor Tis Carcinoma 'in situ': Intraductal carcinoma, lobular carcinoma 'in situ', or Paget's disease of the nipple with no tumor T1 Tumor 2 cm or less in greatest dimension T1mi Microinvasion 0.1 cm or less in greatest dimension T1a Tumor more than 0.1 but not more than 0.5 cm in greatest dimension
SURGERY CODE GROUP-5TH ED	BREAST, NIPPLE/AREOLA
5TH ED-SURGICAL APPROACH CODES	None CODE: 0 Open approach, NOS CODE: 4 Open approach, WITHOUT dye or needle localization CODE: 5 Open approach, WITH dye or needle localization CODE: 6 Death certificate ONLY CODE: 9
5TH EDITION N-CODE HELP	Regional Lymph Nodes (N) structures N3 Metastasis to ipsilateral internal mammary lymph node(s) NX Regional lymph nodes cannot be assessed (e.g., previously removed) N0 No regional lymph node metastasis N1 Metastasis to movable ipsilateral axillary lymph node(s) N2 Metastasis to ipsilateral axillary lymph node(s) fixed to one another or to other
5TH EDITION M-CODE HELP	Distant Metastasis (M) MX Distant metastasis cannot be assessed M0 No distant metastasis M1 Distant metastasis (includes metastasis to ipsilateral supraclavicular lymph node[s])
5TH ED-SURGERY PRIMARY SITE	None CODE: 0 SPS 2023 CODE: A000 Subcutaneous mastectomy CODE: 30 SPS 2023 CODE: A300 Total (simple) mastectomy CODE: 40 SPS 2023 CODE: A400 Total mastectomy W/O removal of uninvolved contra breast CODE: 41 SPS 2023 CODE: A410 Total mastectomy W removal of uninvolved contra breast CODE: 42 SPS 2023 CODE: A420 Modified radical mastectomy CODE: 50 SPS 2023 CODE: A500 Modified radical mastectomy W/O removal of uninvolved breast CODE: 51 SPS 2023 CODE: A510 Modified radical mastectomy W removal of uninvolved breast CODE: 52 SPS 2023 CODE: A520 Radical mastectomy, NOS CODE: 60 SPS 2023 CODE: A600 Radical mastectomy W/O removal of uninvolved breast CODE: 61 SPS 2023 CODE: A610 Radical mastectomy W removal of uninvolved breast CODE: 62 SPS 2023 CODE: A620 Partial mastectomy, NOS; < total mastectomy, NOS (ROADS) CODE: 10 Extended rad mastectomy, NOS CODE: 70 SPS 2023 CODE: A700 Extended rad mastectomy, W/O removal of uninvolved breast CODE: 71 SPS 2023 CODE: A710 Extended rad mastectomy, W removal of uninvolved breast CODE: 72 SPS 2023 CODE: A720 Mastectomy, NOS CODE: 80 SPS 2023 CODE: A800 Surgery, NOS CODE: 90 SPS 2023 CODE: A900 Unknown; death cert ONLY CODE: 99 SPS 2023 CODE: A990 Partial mastectomy, NOS; less than total mastectomy CODE: 20 SPS 2023 CODE: A200 Partial mastectomy WITH nipple resection CODE: 21 SPS 2023 CODE: A210 Lumpectomy or excisional biopsy CODE: 22 SPS 2023 CODE: A220 Reexcision of biopsy site for gross/microscopic disease CODE: 23 SPS 2023 CODE: A230 Partial mastectomy, nipple resection (ROADS) CODE: 11 Segmental mastectomy CODE: 24 SPS 2023 CODE: A240 Modified rad mastectomy W/O removal-Reconstruction, NOS CODE: 53 SPS 2023 CODE: A530 Modified rad mastectomy W/O removal-Reconstruction/tissue CODE: 54 SPS 2023 CODE: A540 Modified rad mastectomy W/O removal-Reconstruction/implant CODE: 55 SPS 2023 CODE: A550 Modified rad mastectomy W/O removal-Reconstruction/combined CODE: 56 SPS 2023 CODE: A560 Modified rad mastectomy W removal-Reconstruction, NOS CODE: 57 SPS 2023 CODE: A570 Modified rad mastectomy W removal-Reconstruction/tissue CODE: 58 SPS 2023 CODE: A580 Modified rad mastectomy W removal-Reconstruction/implant CODE: 59 SPS 2023 CODE: A590 Modified rad mastectomy W removal-Reconstruction/combined CODE: 63 SPS 2023 CODE: A630 Radical mastectomy W/O removal-Reconstruction, NOS CODE: 64 SPS 2023 CODE: A640 Partial mastectomy, lumpectomy or excisional biopsy (ROADS) CODE: 12 Radical mastectomy W/O removal-Reconstruction/tissue CODE: 65 SPS 2023 CODE: A650 Radical mastectomy W/O removal-Reconstruction/implant CODE: 66 SPS 2023 CODE: A660 Radical mastectomy W/O removal-Reconstruction/combined CODE: 67 SPS 2023 CODE: A670 Radical mastectomy W removal-Reconstruction, NOS CODE: 68 SPS 2023 CODE: A680 Radical mastectomy W removal-Reconstruction/tissue CODE: 69 SPS 2023 CODE: A690 Radical mastectomy W removal-Reconstruction/implant CODE: 73 SPS 2023 CODE: A730 Radical mastectomy W removal-Reconstruction/combined CODE: 74 SPS 2023 CODE: A740 Local tumor destruction, NOS CODE: 19 SPS 2023 CODE: A190 Total mastectomy W/O removal-Reconstuction, NOS CODE: 43 SPS 2023 CODE: A430 Total mastectomy W/O removal-Reconstuction/tissue CODE: 44 SPS 2023 CODE: A440 Partial mastectomy, re-excision of biopsy site (ROADS) CODE: 13 Total mastectomy W/O removal-Reconstuction/implant CODE: 45 SPS 2023 CODE: A450 Total mastectomy W/O removal-Reconstuction/combined CODE: 46 SPS 2023 CODE: A460 Total mastectomy W removal-Reconstuction, NOS CODE: 47 SPS 2023 CODE: A470 Total mastectomy W removal-Reconstuction/tissue CODE: 48 SPS 2023 CODE: A480 Total mastectomy W removal-Reconstuction/implant CODE: 49 SPS 2023 CODE: A490 Total mastectomy W removal-Reconstuction/combined CODE: 75 SPS 2023 CODE: A750 Bilateral mastectomy for single tumor involving both breasts CODE: 76 SPS 2023 CODE: A760 Partial mastectomy, wedge resection (ROADS) CODE: 14 Partial mastectomy, quadrantectomy (ROADS) CODE: 15 Partial mastectomy, segmental mastectomy (ROADS) CODE: 16 Partial mastectomy, tylectomy (ROADS) CODE: 17
5TH ED-SURGICAL MARGINS	All margins grossly and microscopically negative CODE: 0 Margins involved, NOS CODE: 1 Microscopic involvement CODE: 2 Microscopic involvement, single margin CODE: 3 Microscopic involvement, multiple margins CODE: 4 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 lymph node(s) removed CODE: 1 Reg lymph nodes removed, NOS; axillary NOS; intramammary NOS CODE: 2 Combination of 1 and 2 CODE: 3 Internal mammary CODE: 4 Combination of 4 WITH any of 1-3 CODE: 5 Unknown; not stated; death cert 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: 3 Distant site(s) CODE: 4 Removal of involved contralateral breast (single prim only) CODE: 5 Combination of 4 or 5 WITH 2 or 3 CODE: 6 Unknown; not stated; death certificate ONLY CODE: 9
5TH ED-RECONSTRUCTION	No reconstruction/restoration CODE: 0 Unknown; not stated; death cert ONLY CODE: 9 Reconstruction, NOS (unknown if flap) CODE: 1 Implant; reconstruction WITHOUT flap CODE: 2 Reconstruction W/flap, NOS CODE: 3 Reconstruction W/flap, latissimus dorsi flap CODE: 4 Reconstruction W/flap, abdomminus recti flap CODE: 5 Reconstruction W/flap, NOS+implant CODE: 6 Reconstruction W/flap, latissimus dorsi flap+implant CODE: 7 Reconstruction W/flap, abdomminus recti+implant CODE: 8
5TH ED-BIOPSY PROCEDURE CODES	Not done, not a separate procedure CODE: 0 Biopsy, NOS CODE: 1 Fine needle aspiration (cytology) CODE: 2 Core biopsy (histology) CODE: 3 Excision of major duct CODE: 5 Unknown/death cert only CODE: 9
5TH ED-GUIDANCE CODES	Not guided, no biopsy CODE: 0 Guided, NOS CODE: 1 Radiographic NOS (no dye or dye unknown) CODE: 2 Mammographic, wire/needle localization CODE: 3 Stereotactic CODE: 4 Dye only CODE: 5 Dye plus (1-3) CODE: 6 Ultrasound CODE: 7 Unknown/death cert only CODE: 9
6TH EDITION (N) CODES	DESCRIPTION: NCA CODE: NX DESCRIPTION: Ipsilateral supraclavicular lymph node(s) CODE: N3c DESCRIPTION: NA CODE: NA DESCRIPTION: NRN CODE: N0 DESCRIPTION: Movable ipsilateral axillary lymph node(s) CODE: N1 DESCRIPTION: Ipsilateral axillary lymph node(s) CODE: N2 DESCRIPTION: Ipsilateral axillary lymph node(s) fixed CODE: N2a DESCRIPTION: Clinically apparent ipsilateral axillary node(s) CODE: N2b DESCRIPTION: Infraclavicular/internal mammary/supraclavicular CODE: N3 DESCRIPTION: Ipsilateral infraclavicular lymph node(s) CODE: N3a DESCRIPTION: Ipsilateral mammary/axillary lymph node(s) CODE: N3b
6TH EDITION (N) CODE HELP	Regional Lymph Nodes (N) to one another (matted) or to other structures N2b Metastasis only in clinically apparent ipsilateral internal mammary nodes and in the absence of clinically evident axillary lymph node metastasis N3 Metastasis in ipsilateral infraclavicular lymph node(s) with or without axillary lymph node involvement, or in clinically apparent ipsilateral internal mammary lymph node(s) and in the presence of clinically evident axillary lymph node metastasis; or metastasis in ipsilateral supraclavicular lymph node(s) with or without axillary or internal mammary lymph node involvement N3a Metastasis in ipsilateral infraclavicular lymph node(s) N3b Metastasis in ipsilateral internal mammary lymph node(s) and axillary lymph node(s) N3c Metastasis in ipsilateral supraclavicular lymph node(s) NX Regional lymph nodes cannot be assessed (e.g., previously removed) N0 No regional lymph node metastasis N1 Metastasis to movable ipsilateral axillary lymph node(s) N2 Metastasis to ipsilateral axillary lymph nodes fixed or matted, or in clinically apparent ipsilateral internal mammary nodes in the absence of clinically evident axillary lymph node metastasis N2a Metastasis to ipsilateral axillary lymph nodes fixed
7TH EDITION (T) CODES	T-CODE: X T-CODE: 4A T-CODE: 4B T-CODE: 4C T-CODE: 4D T-CODE: IS T-CODE: 1MI T-CODE: 1A T-CODE: 1B T-CODE: 1C
7TH EDITION (T) CODE HELP	Primary Tumor (T) the underlying breast parenchyma. Carcinomas in the breast parenchyma associated with Paget's disease are categorized based on the size and characteristics of the parenchymal disease, although the presence of Paget's disease should still be noted T1 Tumor <= 20 mm in greatest dimension T1mi Tumor <= 1 mm in greatest dimension T1a Tumor >1 mm but <= 5 mm in greatest dimension T1b Tumor >5 mm but <= 10 mm in greatest dimension T1c Tumor >10 mm but <= 20 mm in greatest dimension T2 Tumor >20 mm but <= 50 mm in greatest dimension T3 Tumor >50 mm in greatest dimension T4 Tumor of any size with direct extension to the chest wall and/or to the skin (ulceration or skin nodules) T4a Extension to the chest wall, not including only pectoralis muscle adherence/invasion T4b Ulceration and/or ipsilateral satellite nodules and/or edema (including peau d'orange) of the skin which do not meet the criteria for inflammatory carcinoma T4c Both T4a and T4b T4d Inflammatory carcinoma TX Primary tumor cannot be assessed T0 No evidence of primary tumor Tis Carcinoma in situ (DCIS) Ductal carcinoma in situ (LCIS) Lobular carcinoma in situ (Paget's) Paget's disease of the nipple is NOT associated with invasive carcinoma and/or carcinoma in situ (DCIS and/or LCIS) in
7TH EDITION (N) CODES	N-CODE: X N-CODE: 3B N-CODE: 3C N-CODE: 0(I-) N-CODE: 0(I+) N-CODE: 0(MOL-) N-CODE: 0(MOL+) N-CODE: 2A N-CODE: 2B N-CODE: 1MI N-CODE: 3A
7TH EDITION (N) CODE HELP	Regional Lymph Nodes (N) N0(i+) Malignant cells in regional lymph node(s) no greater than 0.2 mm (detected by H&E or IHC including ITC) N0(mol-) No regional lymph node metastases histologically, negative molecular findings (RT-PCR) N0(mol+) Positive molecular findings (RT-PCR), but no regional lymph node metastases detected by histology or IHC N1 Metastases to movable ipsilateral level I, II axillary lymph node(s) Micrometastases; or metastases in 1 to 3 axillary lymph nodes; and/or in internal mammary nodes with metastases detected by sentinel lymph node biopsy but not clinically detected N1mi Micrometastases (greater than 0.2 mm and/or more than 200 cells, but none greater than 2.0 mm) N1a Metastases in 1 to 3 axillary lymph nodes, at least one metastasis greater than 2.0 mm N1b Metastases in internal mammary nodes with micrometastases or macrometastases detected by sentinel lymph node biopsy but not clinically detected N1c Metastases in 1 to 3 axillary lymph nodes and in internal mammary lymph nodes with micrometastases or macrometastases detected by NX Regional lymph nodes cannot be assessed (e.g., previously sentinel lymph node biopsy but not clinically detected N2 Metastases in ipsilateral level I, II axillary lymph nodes that are clinically fixed or matted; or in clinically detected ipsilateral internal mammary nodes in the absence of clinically evident axillary lymph node metastases Metastases in 4 to 9 axillary lymph nodes; or in clinically detected internal mammary lymph nodes in the absence of axillary lymph node metastases N2a Metastases in ipsilateral axillary lymph nodes fixed to one another (matted) or to other structures removed) Metastases in 4 to 9 axillary lymph nodes (at least one tumor deposit greater than 2.0 mm) N2b Metastases only in clinically detected ipsilateral internal mammary nodes and in the absence of clinically evident axillary lymph node metastases Metastases in clinically detected internal mammary lymph nodes in the absence of axillary lymph node metastases N3 Metastases in ipsilateral infraclavicular (level III axillary) lymph node(s) with or without level I, II axillary lymph node involvement; or in clinically detected ipsilateral internal Regional lymph nodes cannot be assessed (e.g., previously mammary lymph node(s) with clinically evident level I, II axillary lymph node metastases; or metastases in ipsilateral supraclavicular lymph node(s) with or without axillary or internal mammary lymph node involvement Metastases in 10 or more axillary lymph nodes; or in infraclavicular (level III axillary) lymph nodes; or in clinically detected ipsilateral internal mammary lymph nodes in the presence of 1 or more positive level I, II axillary lymph nodes; or in more than 3 axillary lymph nodes and in internal mammary lymph nodes with micrometastases or macrometastases removed, or not removed for pathologic study) detected by sentinel lymph node biopsy but not clinically detected; or in ipsilateral supraclavicular lymph nodes N3a Metastases in ipsilateral infraclavicular lymph node(s) Metastases in 10 or more axillary lymph nodes (at least one tumor deposit greater than 2.0 mm); or metastases to the infraclavicular (level III axillary lymph) nodes N3b Metastases in ipsilateral internal mammary lymph node(s) and axillary lymph node(s) Metastases in clinically detected ipsilateral internal mammary lymph nodes in the presence of 1 or more positive axillary N0 No regional lymph node metastases lymph nodes; or in more than 3 axillary lymph nodes and in internal mammary lymph nodes with micrometastases or macrometastases detected by sentinel lymph node biopsy but not clinically detected N3c Metastases in ipsilateral supraclavicular lymph node(s) No regional lymph node metastasis identified histologically N0(i-) No regional lymph node metastases histologically, negative IHC
7TH EDITION (M) CODES	M-CODE: 0(I+)
7TH EDITION (M) CODE HELP	Distant Metastasis (M) radiographic means and/or histologically proven larger than 0.2 mm M0 No clinical or radiographic evidence of distant metastases M0(i+) No clinical or radiographic evidence of distant metastases, but deposits of molecularly or microscopically detected tumor cells in circulating blood, bone marrow or other non-regional nodal tissue that are no larger than 0.2 mm in a patient without symptoms or signs of metastases M1 Distant detectable metastases as determined by classic clinical and
RX HOSP AND SUMM SURG BREAST	None; no surgery of primary site; autopsy ONLY CODE: B000 Nipple-sparing mastectomy CODE: B400 Nipple-sparing mastectomy WITHOUT removal of uninvolved contralateral breast CODE: B410 Nipple-sparing mastectomy WITH removal of uninvolved contralateral breast CODE: B420 Areolar-sparing mastectomy CODE: B500 Areolar-sparing mastectomy WITHOUT removal of uninvolved contralateral breast CODE: B510 Areolar-sparing mastectomy WITH removal of uninvolved contralateral breast CODE: B520 Total (simple) mastectomy CODE: B600 Total (simple) mastectomy WITHOUT removal of uninvolved contralateral breast CODE: B610 Total (simple) mastectomy WITH removal of uninvolved contralateral breast CODE: B620 Radical mastectomy, NOS CODE: B700 Partial mastectomy; less than total mastectomy; lumpectomy, segmental mastectomy, quadrantectomy CODE: B200 Radical mastectomy, NOS WITHOUT removal of uninvolved contralateral breast CODE: B710 Radical mastectomy, NOS WITH removal of uninvolved contralateral breast CODE: B720 Bilateral mastectomy for a single tumor involving both breasts, as for bilateral inflammatory carc CODE: B760 Mastectomy, NOS (including extended radical mastectomy) CODE: B800 Surgery, NOS CODE: B900 Unknown if surgery was performed; death certificate ONLY CODE: B990 Excisional breast biopsy - Diagnostic excision, no pre-operative biopsy proven diagnosis of cancer CODE: B210 Excisional breast biopsy, for atypia CODE: B215 Re-excision of margins from primary tumor site for gross or microscopic residual disease < ttl mast CODE: B240 Central lumpectomy, only performed for a prior diagnosis of cancer, inc rem nipple areolar complex CODE: B290 Skin-sparing mastectomy CODE: B300 Skin-sparing mastectomy WITHOUT removal of uninvolved contralateral breast CODE: B310 Skin-sparing mastectomy WITH removal of uninvolved contralateral breast CODE: B320
RX HOSP AND SUMM RECON BREAST	No Reconstruction CODE: A000 Mastectomy reconstruction with autologous tissue, source not specified WITH gluteal tissue CODE: A630 Mastectomy reconstruction with autologous tissue, source not specified WITH back tissue CODE: A640 Reconstruction performed, method unknown CODE: A900 Implant based reconstruction, NOS CODE: A970 Autologous tissue-based reconstruction, NOS CODE: A980 Unknown if reconstruction performed CODE: A990 Tissue expander placement CODE: A100 Direct to implant placement CODE: A200 Oncoplastic tissue rearrangement (not a formal mastopexy/reduction) CODE: A300 Oncoplastic reduction and/or mastopexy CODE: A400 Oncoplastic reconstruction with regional tissue flaps CODE: A500 Mastectomy reconstruction with autologous tissue, source not specified CODE: A600 Mastectomy reconstruction with autologous tissue, source not specified WITH abdominal tissue CODE: A610 Mastectomy reconstruction with autologous tissue, source not specified WITH thigh tissue CODE: A620
T & N CODES	BREAST, NIPPLE/AREOLA
TYPE	AREOLA NIPPLE
AJCC STAGING GROUP	BREAST
T-CLASS ENCODING	CBA CODE: TX ACOS CODE: TX Direct ext to chest wall/skin CODE: T4 ACOS CODE: T4 Extension to chest wall CODE: T4a ACOS CODE: T4A Edema/ulceration of skin/sat skin CODE: T4b ACOS CODE: T4B Both (T4a and T4b) CODE: T4c ACOS CODE: T4C Inflammatory carcinoma CODE: T4d ACOS CODE: T4D NA CODE: NA ACOS CODE: NA NET CODE: T0 ACOS CODE: T0 Carcinoma 'in situ' CODE: Tis ACOS CODE: TIS 2 cm or less CODE: T1 ACOS CODE: T1 0.5 cm or less CODE: T1a ACOS CODE: T1A > 0.5 but not > 1 cm CODE: T1b ACOS CODE: T1B > 1 but not > 2 cm CODE: T1c ACOS CODE: T1C > 2 but not > 5 cm CODE: T2 ACOS CODE: T2 > 5 cm CODE: T3 ACOS CODE: T3
N-CLASS ENCODING	NCA CODE: NX ACOS CODE: NX NRN CODE: N0 ACOS CODE: N0 Movable ipsilateral axillary lymph node(s) CODE: N1 ACOS CODE: N1 Ipsilateral axillary lymph node(s) fixed CODE: N2 ACOS CODE: N2 Ipsilateral mammary lymph node(s) CODE: N3 ACOS CODE: N3 NA CODE: NA ACOS CODE: NA
EXTENSION CODE SET-1ST ED	BREAST
EXTENSION CODE SET-2ND ED	BREAST
EXTENSION CODE SET-3RD ED	BREAST
LYMPH NODE CODE SET-1ST ED	BREAST
LYMPH NODE CODE SET-2ND ED	BREAST
LYMPH NODE CODE SET-3RD ED	BREAST
SURGERY CODE SET-1ST ED	SG41 BREAST
SURGERY CODE SET-2ND ED	SG41 BREAST

BREAST, NIPPLE/AREOLA (67500) ICDO TOPOGRAPHY (164)