| NAME | 
CERVIX, ENDOCERVIX | 
| SURGERY CODING | 
CERVIX | 
| SEX | 
FEMALE ONLY | 
| CODE | 
C53.0 | 
| DEFAULT PRIMARY SITE GROUP | 
CERVIX | 
| 5TH EDITION T-CODES | 
- 
- CBA
 
- CODE:    TX
 
 
- 
- Clinically visible lesion > 4.0 cm
 
- CODE:    T1b2
 
 
- 
- Inv beyond uterus but not pelvic wall or lower 3rd
 
- CODE:    T2
 
 
- 
- Tumor w/o parametrial invasion
 
- CODE:    T2a
 
 
- 
- Tumor w parametrial invasion
 
- CODE:    T2b
 
 
- 
- Ext to pelvic wall/lower 3rd/hydronephrosis
 
- CODE:    T3
 
 
- 
- Lower 3rd/no ext to pelvic wall
 
- CODE:    T3a
 
 
- 
- Ext to pelvic wall/hydronephrosis
 
- CODE:    T3b
 
 
- 
- Inv mucosa of bladder or rectum/ext beyond pelvis
 
- CODE:    T4
 
 
- 
- NA
 
- CODE:    NA
 
 
- 
- NET
 
- CODE:    T0
 
 
- 
- Carcinoma 'in situ'
 
- CODE:    Tis
 
 
- 
- Confined to uterus
 
- CODE:    T1
 
 
- 
- Inv carcinoma dx by microscopy
 
- CODE:    T1a
 
 
- 
- Stromal inv 3.0 mm or less depth/7.0 or less horizontal
 
- CODE:    T1a1
 
 
- 
- Stromal inv > 3 mm/not > 5 mm w hor spread 7 mm or less
 
- CODE:    T1a2
 
 
- 
- Clinically visible lesion/micro lesion > T1a2
 
- CODE:    T1b
 
 
- 
- Clinically visible lesion 4.0 cm or less
 
- CODE:    T1b1
 
 
 
 | 
| 5TH EDITION T-CODE HELP | 
Primary Tumor (T)
             and 7.0 mm or less in horizontal spread
T1a2  IA2  Measured stromal invasion more than 3.0 mm and not more
             than 5.0 mm with a horizontal spread 7.0 mm or less
T1b   IB   Clinically visible lesion confined to the cervix or
             microscopic lesion greater than T1a2/IA2
T1b1  IB1  Clinically visible lesion 4.0 cm or less in greatest dimension
T1b2  IB2  Clinically visible lesion more than 4.0 cm in greatest dimension
T2    II   Cervical carcinoma invades beyond uterus but not 
             to pelvic wall or to the lower third of vagina
T2a   IIA  Tumor without parametrial invasion
T2b   IIB  Tumor with parametrial invasion
T3    III  Tumor extends to pelvic wall, and/or involves the lower third of the
           vagina, and/or causes hydronephrosis or nonfunctioning kidney
T3a   IIIA Tumor involves lower third of the vagina,
             no extension to pelvic wall
T3b   IIIB Tumor extends to pelvic wall, and/or causes
             hydronephrosis or nonfunctioning kidney
T4    IVA  Tumor invades mucosa of the bladder or rectum and/or
             extends beyond true pelvis
TNM  FIGO
TX         Primary tumor cannot be assessed
T0         No evidence of primary tumor
Tis   0    Carcinoma 'in situ'
T1    I    Cervical carcinoma confined to uterus
T1a   IA   Invasive carcinoma diagnosed only by microscopy
T1a1  IA1  Measured stromal invasion 3.0 mm or less in depth
 | 
| SURGERY CODE GROUP-5TH ED | 
CERVIX, ENDOCERVIX | 
| 5TH ED-SURGICAL APPROACH CODES | 
- 
- None
 
- CODE:    0
 
 
- 
- Vaginal, NOS
 
- CODE:    1
 
 
- 
- Vaginal, not assisted by endoscopy
 
- CODE:    2
 
 
- 
- Vaginal, assisted by colposcopy
 
- CODE:    3
 
 
- 
- Vaginal, assisted by laparoscopy
 
- CODE:    4
 
 
- 
- Open, NOS
 
- 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)
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:    A000
 
 
- 
- Local tumor excision, cryosurgery
 
- CODE:    22
 
- SPS A-CODES:    A220
 
 
- 
- Local tumor excision, laser
 
- CODE:    23
 
- SPS A-CODES:    A230
 
 
- 
- Local tumor excision, cone biopsy w/gross excision of lesion
 
- CODE:    24
 
- SPS A-CODES:    A240
 
 
- 
- Local tumor excis, dilation + curettage; endocerv curettage
 
- CODE:    25
 
- SPS A-CODES:    A250
 
 
- 
- Local tumor excision, excisional biopsy, NOS
 
- CODE:    26
 
- SPS A-CODES:    A260
 
 
- 
- Local tumor excision, cone biopsy
 
- CODE:    27
 
- SPS A-CODES:    A270
 
 
- 
- Local tumor excision, LEEP
 
- CODE:    28
 
- SPS A-CODES:    A280
 
 
- 
- Local tum exc, trachelectomy; rem cervical stump; cervicect
 
- CODE:    29
 
- SPS A-CODES:    A290
 
 
- 
- Total hysterectomy WITHOUT removal of tubes and ovaries
 
- CODE:    30
 
- SPS A-CODES:    A300
 
 
- 
- Total hysterectomy WITH removal of tubes and ovaries
 
- CODE:    40
 
- SPS A-CODES:    A400
 
 
- 
- Local tumor destruction, NOS (w/o pathology specimen)
 
- CODE:    10
 
- SPS A-CODES:    A100
 
 
- 
- Mod rad/ext hysterectomy; rad hysterectomy; ext rad hysterec
 
- CODE:    50
 
- SPS A-CODES:    A500
 
 
- 
- Modified radical hysterectomy
 
- CODE:    51
 
- SPS A-CODES:    A510
 
 
- 
- Extended hysterectomy
 
- CODE:    52
 
- SPS A-CODES:    A520
 
 
- 
- Radical hysterectomy; Wertheim's procedure
 
- CODE:    53
 
- SPS A-CODES:    A530
 
 
- 
- Extended radical hysterectomy
 
- CODE:    54
 
- SPS A-CODES:    A540
 
 
- 
- Hysterectomy, NOS, WITH or WITHOUT removal of tubes/ovaries
 
- CODE:    60
 
- SPS A-CODES:    A600
 
 
- 
- Hysterectomy, WITHOUT removal of tubes and ovaries
 
- CODE:    61
 
- SPS A-CODES:    A610
 
 
- 
- Hysterectomy, WITH removal of tubes and ovaries
 
- CODE:    62
 
- SPS A-CODES:    A620
 
 
- 
- Pelvic exenteration
 
- CODE:    70
 
- SPS A-CODES:    A700
 
 
- 
- Anterior exenteration
 
- CODE:    71
 
- SPS A-CODES:    A710
 
 
- 
- Local tumor destruction, photodynamic therapy (PDT)
 
- CODE:    11
 
- SPS A-CODES:    A110
 
 
- 
- Posterior exenteration
 
- CODE:    72
 
- SPS A-CODES:    A720
 
 
- 
- Total exenteration
 
- CODE:    73
 
- SPS A-CODES:    A730
 
 
- 
- Extended exenteration
 
- CODE:    74
 
- SPS A-CODES:    A749
 
 
- 
- Surgery, NOS
 
- CODE:    90
 
- SPS A-CODES:    A900
 
 
- 
- Unknown; death certificate ONLY
 
- CODE:    99
 
- SPS A-CODES:    A990
 
 
- 
- Local tumor destruction, laser ablation
 
- CODE:    16
 
- SPS A-CODES:    A160
 
 
- 
- Local tumor destruction, thermal ablation
 
- CODE:    17
 
- SPS A-CODES:    A170
 
 
- 
- Local tumor destruction, electrocautery; fulguration
 
- CODE:    12
 
- SPS A-CODES:    A120
 
 
- 
- Local tumor destruction, cryosurgery
 
- CODE:    13
 
- SPS A-CODES:    A130
 
 
- 
- Local tumor destruction, laser
 
- CODE:    14
 
- SPS A-CODES:    A140
 
 
- 
- Local tumor destruction, LEEP
 
- CODE:    15
 
- SPS A-CODES:    A150
 
 
- 
- Local tumor excision, NOS (w/ pathology specimen)
 
- CODE:    20
 
- SPS A-CODES:    A200
 
 
- 
- Local tumor excision, electrocautery
 
- CODE:    21
 
- SPS A-CODES:    A210
 
 
 
 | 
| 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), NOS
 
- CODE:    3
 
 
- 
- Periaortic lymph nodes
 
- CODE:    4
 
 
- 
- Distant site(s)
 
- CODE:    5
 
 
- 
- Combination of 5 WITH 4
 
- CODE:    6
 
 
- 
- Combination of 5 WITH 2 or 3
 
- CODE:    7
 
 
- 
- Unknown; not stated; death certificate ONLY
 
- CODE:    9
 
 
 
 | 
| 5TH ED-RECONSTRUCTION | 
- 
- No reconstruction/restoration
 
- CODE:    0
 
 
- 
- Vaginal reconstruction
 
- CODE:    1
 
 
- 
- Urinary reconstruction
 
- CODE:    2
 
 
- 
- Bowel reconstruction/restoration
 
- CODE:    3
 
 
- 
- Combination of 3 WITH 1 or 2
 
- CODE:    4
 
 
- 
- 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:    Visible lesion more than 4 cm
 
- CODE:    T1b2
 
 
- 
- DESCRIPTION:    Beyond uterus but not pelvic wall-lower 3rd vagina
 
- CODE:    T2
 
 
- 
- DESCRIPTION:    Without parametrial invasion
 
- CODE:    T2a
 
 
- 
- DESCRIPTION:    With parametrial invasion
 
- CODE:    T2b
 
 
- 
- DESCRIPTION:    Pelvic wall/lower vagina/hydronephrosis/kidneys
 
- CODE:    T3
 
 
- 
- DESCRIPTION:    Lower 3rd of vagina, no extension to pelvic wall
 
- CODE:    T3a
 
 
- 
- DESCRIPTION:    Pelvic wall/hydronephrosis/non-functioning kidneys
 
- CODE:    T3b
 
 
- 
- DESCRIPTION:    Mucosa of bladder or rectum/beyond true pelvis
 
- CODE:    T4
 
 
- 
- DESCRIPTION:    NA
 
- CODE:    NA
 
 
- 
- DESCRIPTION:    NET
 
- CODE:    T0
 
 
- 
- DESCRIPTION:    TIS
 
- CODE:    Tis
 
 
- 
- DESCRIPTION:    Confined to uterus
 
- CODE:    T1
 
 
- 
- DESCRIPTION:    Invasive ca diagnosed only by microscopy
 
- CODE:    T1a
 
 
- 
- DESCRIPTION:    Stromal invasion 3 mm in depth/7 mm in spread
 
- CODE:    T1a1
 
 
- 
- DESCRIPTION:    Stromal invasion 3 - 5 mm in depth/7 mm in spread
 
- CODE:    T1a2
 
 
- 
- DESCRIPTION:    Visible lesion or microscopic lesion > T1a/IA2
 
- CODE:    T1b
 
 
- 
- DESCRIPTION:    Visible lesion 4 cm or less
 
- CODE:    T1b1
 
 
 
 | 
| 7TH EDITION (T) CODES | 
- 
- T-CODE:    X
 
 
- 
- T-CODE:    1B2
 
 
- 
 
- 
- T-CODE:    2A
 
 
- 
- T-CODE:    2A1
 
 
- 
- T-CODE:    2A2
 
 
- 
- T-CODE:    2B
 
 
- 
 
- 
- T-CODE:    3A
 
 
- 
- T-CODE:    3B
 
 
- 
 
- 
 
- 
 
- 
- T-CODE:    IS
 
 
- 
 
- 
- T-CODE:    1A
 
 
- 
- T-CODE:    1A1
 
 
- 
- T-CODE:    1A2
 
 
- 
- T-CODE:    1B
 
 
- 
- T-CODE:    1B1
 
 
 
 | 
| 7TH EDITION (T) CODE HELP | 
Primary Tumor (T)
       epithelium and a horizontal spread of 7.0 mm or less. Vascular
       space involvement, venous or lymphatic, does not affect
       classification
T1a1  Measured stromal invasion 3.0 mm or less in depth and 7.0 mm or less
       in horizontal spread
T1a2  Measured stromal invasion more than 3.0 mm and not more than 5.0 mm
       with a horizontal spread 7.0 mm or less
T1b   Clinically visible lesion confined to the cervix or microscopic
       lesion greater than T1a/IA2
T1b1  Clinically visible lesion 4.0 cm or less in greatest dimension
 
T1b2  Clinically visible lesion more than 4.0 cm in greatest dimension
T2    Cervical carcinoma invades beyond uterus but not to pelvic wall or
      to lower third of vagina
T2a   Tumor without parametrial invasion
T2a1  Clinically visible lesion 4.0 cm or less in greatest dimension
T2a2  Clinically visible lesion more than 4.0 cm in greatest dimension
T2b   Tumor with parametrial invasion
T3    Tumor extends to pelvic wall and/or involves lower third of vagina,
       and/or causes hydronephrosis or non-functioning kidney
T3a   Tumor involves lower third of vagina, no extension to pelvic wall
TX    Primary tumor cannot be assessed
T3b   Tumor extends to pelvic wall and/or causes hydronephrosis or 
       non-functioning kidney
T4    Tumor invades mucosa of bladder or rectum, and/or extends beyond
       true pelvis (bullous edema is not sufficient to classify a tumor as
       T4)
T0    No evidence of primary tumor
Tis   Carcinoma in situ (preinvasive carcinoma)
T1    Cervical carcinoma confined to uterus (extension to corpus should be
       disregarded)
T1a   Invasive carcinoma diagnosed only by microscopy. Stromal invasion
       with a maximum depth of 5.0 mm measured from the base of the
 | 
| 7TH EDITION (M) CODES | 
 | 
| 7TH EDITION (M) CODE HELP | 
Distant Metastasis (M)
 
M0  No distant metastasis
M1  Distant metastasis (including peritoneal spread, involvement of
    supraclavicular, mediastinal, or paraaortic lymph nodes, lung, liver,
    or bone)
 | 
| T & N CODES | 
CERVIX, ENDOCERVIX | 
| TYPE | 
- 
- CERVICAL CANAL
 
 
- 
- ENDOCERVICAL CANAL
 
 
- 
- ENDOCERVICAL GLAND
 
 
- 
- NABOTHIAN GLAND
 
 
 
 | 
| AJCC STAGING GROUP | 
CERVIX UTERI | 
| T-CLASS ENCODING | 
- 
- CBA
 
- CODE:    TX
 
- ACOS CODE:    TX
 
 
- 
- W/o parametrial invasion
 
- CODE:    T2a
 
- ACOS CODE:    T2A
 
 
- 
- With parametrial invasion
 
- CODE:    T2b
 
- ACOS CODE:    T2B
 
 
- 
- Cervical ca to pelvic wall/lower 1/3 vagina
 
- CODE:    T3
 
- ACOS CODE:    T3
 
 
- 
- Lower 1/3 vagina/no pelvic wall
 
- CODE:    T3a
 
- ACOS CODE:    T3A
 
 
- 
- Pelvic wall/hydronephrosis/nonfunc kidney
 
- CODE:    T3b
 
- ACOS CODE:    T3B
 
 
- 
- Mucosa of bladder/rectum/beyond pelvis
 
- CODE:    T4
 
- ACOS CODE:    T4
 
 
- 
- NA
 
- CODE:    NA
 
- ACOS CODE:    NA
 
 
- 
- NET
 
- CODE:    T0
 
- ACOS CODE:    T0
 
 
- 
- Carcinoma 'in situ'
 
- CODE:    Tis
 
- ACOS CODE:    TIS
 
 
- 
- Cervical ca confined to uterus
 
- CODE:    T1
 
- ACOS CODE:    T1
 
 
- 
- Preclinical invasive ca, dx by microscopy
 
- CODE:    T1a
 
- ACOS CODE:    T1A
 
 
- 
- Min micro stromal invasion
 
- CODE:    T1a1
 
- ACOS CODE:    T1A1
 
 
- 
- 5 mm or less depth/7 mm or less spread
 
- CODE:    T1a2
 
- ACOS CODE:    T1A2
 
 
- 
- Larger than T1a2
 
- CODE:    T1b
 
- ACOS CODE:    T1B
 
 
- 
- Cervical ca beyond uterus/not pelvic wall
 
- CODE:    T2
 
- ACOS CODE:    T2
 
 
 
 | 
| 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 | 
CERVIX UTERI | 
| EXTENSION CODE SET-2ND ED | 
CERVIX UTERI | 
| EXTENSION CODE SET-3RD ED | 
CERVIX UTERI | 
| LYMPH NODE CODE SET-1ST ED | 
CERVIX UTERI | 
| LYMPH NODE CODE SET-2ND ED | 
CERVIX UTERI | 
| LYMPH NODE CODE SET-3RD ED | 
CERVIX UTERI | 
| SURGERY CODE SET-1ST ED | 
SG43 CERVIX | 
| SURGERY CODE SET-2ND ED | 
SG43 CERVIX |