CERVIX, ENDOCERVIX (67530)    ICDO TOPOGRAPHY (164)

Name Value
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 2023 CODE:   A000
  • Local tumor excision, cryosurgery
    CODE:   22
    SPS 2023 CODE:   A220
  • Local tumor excision, laser
    CODE:   23
    SPS 2023 CODE:   A230
  • Local tumor excision, cone biopsy w/gross excision of lesion
    CODE:   24
    SPS 2023 CODE:   A240
  • Local tumor excis, dilation + curettage; endocerv curettage
    CODE:   25
    SPS 2023 CODE:   A250
  • Local tumor excision, excisional biopsy, NOS
    CODE:   26
    SPS 2023 CODE:   A260
  • Local tumor excision, cone biopsy
    CODE:   27
    SPS 2023 CODE:   A270
  • Local tumor excision, LEEP
    CODE:   28
    SPS 2023 CODE:   A280
  • Local tum exc, trachelectomy; rem cervical stump; cervicect
    CODE:   29
    SPS 2023 CODE:   A290
  • Total hysterectomy WITHOUT removal of tubes and ovaries
    CODE:   30
    SPS 2023 CODE:   A300
  • Total hysterectomy WITH removal of tubes and ovaries
    CODE:   40
    SPS 2023 CODE:   A400
  • Local tumor destruction, NOS (w/o pathology specimen)
    CODE:   10
    SPS 2023 CODE:   A100
  • Mod rad/ext hysterectomy; rad hysterectomy; ext rad hysterec
    CODE:   50
    SPS 2023 CODE:   A500
  • Modified radical hysterectomy
    CODE:   51
    SPS 2023 CODE:   A510
  • Extended hysterectomy
    CODE:   52
    SPS 2023 CODE:   A520
  • Radical hysterectomy; Wertheim's procedure
    CODE:   53
    SPS 2023 CODE:   A530
  • Extended radical hysterectomy
    CODE:   54
    SPS 2023 CODE:   A540
  • Hysterectomy, NOS, WITH or WITHOUT removal of tubes/ovaries
    CODE:   60
    SPS 2023 CODE:   A600
  • Hysterectomy, WITHOUT removal of tubes and ovaries
    CODE:   61
    SPS 2023 CODE:   A610
  • Hysterectomy, WITH removal of tubes and ovaries
    CODE:   62
    SPS 2023 CODE:   A620
  • Pelvic exenteration
    CODE:   70
    SPS 2023 CODE:   A700
  • Anterior exenteration
    CODE:   71
    SPS 2023 CODE:   A710
  • Local tumor destruction, photodynamic therapy (PDT)
    CODE:   11
    SPS 2023 CODE:   A110
  • Posterior exenteration
    CODE:   72
    SPS 2023 CODE:   A720
  • Total exenteration
    CODE:   73
    SPS 2023 CODE:   A730
  • Extended exenteration
    CODE:   74
    SPS 2023 CODE:   A749
  • Surgery, NOS
    CODE:   90
    SPS 2023 CODE:   A900
  • Unknown; death certificate ONLY
    CODE:   99
    SPS 2023 CODE:   A990
  • Local tumor destruction, laser ablation
    CODE:   16
    SPS 2023 CODE:   A160
  • Local tumor destruction, thermal ablation
    CODE:   17
    SPS 2023 CODE:   A170
  • Local tumor destruction, electrocautery; fulguration
    CODE:   12
    SPS 2023 CODE:   A120
  • Local tumor destruction, cryosurgery
    CODE:   13
    SPS 2023 CODE:   A130
  • Local tumor destruction, laser
    CODE:   14
    SPS 2023 CODE:   A140
  • Local tumor destruction, LEEP
    CODE:   15
    SPS 2023 CODE:   A150
  • Local tumor excision, NOS (w/ pathology specimen)
    CODE:   20
    SPS 2023 CODE:   A200
  • Local tumor excision, electrocautery
    CODE:   21
    SPS 2023 CODE:   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