Name	Value
NAME	UTERUS, LOWER SEGMENT
SURGERY CODING	UTERUS
SEX	FEMALE ONLY
CODE	C54.0
4TH EDITION T-CLASS ENCODING	CBA CODE: TX ACOS CODE: TX Endocervical glandular inv only/FIGO IIA CODE: T2a ACOS CODE: T2A Cervical stromal invasion/FIGO IIB CODE: T2b ACOS CODE: T2B Local/regional spread/FIGO III CODE: T3 ACOS CODE: T3 Serosa/adnexa/ascites/peri wash/FIGO IIIA CODE: T3a ACOS CODE: T3A Vaginal involvement/FIGO IIIB CODE: T3b ACOS CODE: T3B NET CODE: T0 ACOS CODE: T0 Invades bladder/rectum/bowel mucosa/FIGO IVA CODE: T4 ACOS CODE: T4 NA CODE: NA ACOS CODE: NA Carcinoma 'in situ' CODE: Tis ACOS CODE: TIS Confined to corpus uteri/FIGO I CODE: T1 ACOS CODE: T1 Limited to endometrium/FIGO IA CODE: T1a ACOS CODE: T1A Invades 1/2 of myometrium/FIGO IB CODE: T1b ACOS CODE: T1B Invades > 1/2 of myometrium/FIGO IC CODE: T1c ACOS CODE: T1C Invades cervix/not beyond uterus/FIGO II CODE: T2 ACOS CODE: T2
DEFAULT PRIMARY SITE GROUP	UTERUS
5TH EDITION T-CODES	CBA CODE: TX Invasion of stromal connective tissue of cervix CODE: T2b Local and/or regional spread CODE: T3 Serosa/adnexa/cells in ascites/peritoneal washings CODE: T3a Vaginal involvement CODE: T3b Invades bladder mucosa and/or bowel mucosa CODE: T4 NA CODE: NA NET CODE: T0 TIS CODE: Tis Confined to corpus uteri CODE: T1 Limited to endometrium CODE: T1a Invades less than 1/2 of the myometrium CODE: T1b Invades 1/2 or more of the myometrium CODE: T1c Invades cervix but does not extend beyond uterus CODE: T2 Limited to the glandular epithelium of endocervix CODE: T2a
5TH EDITION T-CODE HELP	Primary Tumor (T) (Surgical-Pathologic findings) T2 Tumor invades cervix but does not extend beyond uterus T2a Tumor limited to the glandular epithelium of the endocervix T2b Invasion of the stromal connective tissue of the cervix T3 Local and/or regional spread as defined below T3a Tumor involves serosa and/or adnexa (direct extension or meta- stasis) and/or cancer cells in ascites or peritoneal washings T3b Vaginal involvement (direct extension or metastasis) T4 Tumor invades bladder mucosa and/or bowel mucosa (bullous edema is not sufficient to classify a tumor as T4) TX Primary tumor cannot be assessed T0 No evidence of primary tumor Tis Carcinoma 'in situ' T1 Tumor confined to corpus uteri T1a Tumor limited to endometrium T1b Tumor invades less than one-half of the myometrium T1c Tumor invades one-half or more of the myometrium
SURGERY CODE GROUP-5TH ED	UTERUS, LOWER SEGMENT
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, excisional biopsy CODE: 24 SPS 2023 CODE: A240 Local tumor excision, polypectomy CODE: 25 SPS 2023 CODE: A250 Local tumor excision, myomectomy CODE: 26 SPS 2023 CODE: A260 Subtotal hysterectomy/supracervical hysterectomy/fundectomy CODE: 30 SPS 2023 CODE: A300 Subt/supracervical hysterectomy/fundectomy w/o tubes+ovaries CODE: 31 SPS 2023 CODE: A310 Subtotal/supracervical hysterect/fundectomy w/tubes+ovaries CODE: 32 SPS 2023 CODE: A320 Total hysterectomy WITHOUT removal of tubes and ovaries CODE: 40 SPS 2023 CODE: A400 Total hysterectomy WITH removal of tubes and ovaries CODE: 50 SPS 2023 CODE: A500 Local tumor destruction, NOS (w/o pathology specimen) CODE: 10 SPS 2023 CODE: A100 Mod rad/ext hysterectomy; rad hysterectomy; ext rad hysterec CODE: 60 SPS 2023 CODE: A600 Modified radical hysterectomy CODE: 61 SPS 2023 CODE: A610 Extended hysterectomy CODE: 62 SPS 2023 CODE: A620 Radical hysterectomy; Wertheim's procedure CODE: 63 SPS 2023 CODE: A630 Extended radical hysterectomy CODE: 64 SPS 2023 CODE: A640 Hysterectomy, NOS, W or W/O removal of tubes/ovaries (ROADS) CODE: 70 Hysterectomy, WITHOUT removal of tubes and ovaries (ROADS) CODE: 71 Hysterectomy, WITH removal of tubes and ovaries (ROADS) CODE: 72 Pelvic exenteration (ROADS) CODE: 80 Anterior exenteration (ROADS) CODE: 81 Local tumor destruction, photodynamic therapy (PDT) CODE: 11 SPS 2023 CODE: A110 Posterior exenteration (ROADS) CODE: 82 Total exenteration (ROADS) CODE: 83 Extended exenteration (ROADS) CODE: 84 Surgery, NOS CODE: 90 SPS 2023 CODE: A900 Unknown; death certificate ONLY CODE: 99 SPS 2023 CODE: A990 Local tumor destruction or excision, NOS CODE: 19 SPS 2023 CODE: A190 Local tumor destruction, thermal ablation CODE: 16 SPS 2023 CODE: A160 Hysterectomy WITH or WITHOUT removal of tube(s)/ovary(ies) CODE: 65 SPS 2023 CODE: A650 Hysterectomy WITHOUT removal of tube(s)/ovary(ies) CODE: 66 SPS 2023 CODE: A660 Hysterectomy WITH removal of tube(s)/ovary(ies) CODE: 67 SPS 2023 CODE: A670 Local tumor destruction, electrocautery; fulguration CODE: 12 SPS 2023 CODE: A120 Pelvic exenteration CODE: 75 SPS 2023 CODE: A750 Anterior exenteration CODE: 76 SPS 2023 CODE: A760 Posterior exenteration CODE: 77 SPS 2023 CODE: A770 Total exenteration CODE: 78 SPS 2023 CODE: A780 Extended exenteration CODE: 79 SPS 2023 CODE: A790 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 Pariaortic with or without other regional lymph nodes 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 site(s) 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 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: Invasion of stromal connective tissue of cervix CODE: T2b DESCRIPTION: Local and/or regional spread CODE: T3 DESCRIPTION: Serosa/adnexa/cells in ascites/peritoneal washings CODE: T3a DESCRIPTION: Vaginal involvement CODE: T3b DESCRIPTION: Invades bladder mucosa and/or bowel mucosa CODE: T4 DESCRIPTION: NA CODE: NA DESCRIPTION: NET CODE: T0 DESCRIPTION: TIS CODE: Tis DESCRIPTION: Confined to corpus uteri CODE: T1 DESCRIPTION: Limited to endometrium CODE: T1a DESCRIPTION: Invades less than 1/2 of the myometrium CODE: T1b DESCRIPTION: Invades 1/2 or more of the myometrium CODE: T1c DESCRIPTION: Invades cervix but does not extend beyond uterus CODE: T2 DESCRIPTION: Limited to the glandular epithelium of endocervix CODE: T2a
7TH EDITION (T) CODES	T-CODE: X T-CODE: IS T-CODE: 1A T-CODE: 1B T-CODE: 3A T-CODE: 3B
7TH EDITION (T) CODE HELP	Primary Tumor (T) T2 Tumor invades stromal connective tissue of the cervix but does not extend beyond uterus T3a Tumor involves serosa and/or adnexa (direct extension or metastasis) T3b Vaginal involvement (direct extension or metastasis) or parametrial involvement T4 Tumor invades bladder mucosa and/or bowel mucosa (bullous edema is not sufficient to classify a tumor as T4) TX Primary tumor cannot be assessed T0 No evidence of primary tumor Tis Carcinoma in situ (preinvasive carcinoma) T1 Tumor confined to corpus uteri T1a Tumor limited to endometrium or invades less than one-half of the myometrium T1b Tumor invades one-half or more of the myometrium
7TH EDITION (N) CODES	N-CODE: X
7TH 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 to pelvic lymph nodes N2 Regional lymph node metastasis to para-aortic lymph nodes, with or without positive pelvic lymph nodes
7TH EDITION (M) CODES
7TH EDITION (M) CODE HELP	Distant Metastasis (M) M0 No distant metastasis M1 Distant metastasis (includes metastasis to inguinal lymph nodes intraperitoneal disease, or lung, liver, or bone. It excludes metastasis to para-aortic lymph nodes, vagina, pelvic serosa, or adnexa)
T & N CODES	UTERUS, LOWER SEGMENT
TYPE	ISTHMUS UTERI
AJCC STAGING GROUP	CORPUS UTERI
T-CLASS ENCODING	CBA CODE: TX ACOS CODE: TX NA CODE: NA ACOS CODE: NA NET CODE: T0 ACOS CODE: T0 Carcinoma 'in situ'/FIGO 0 CODE: Tis ACOS CODE: TIS Confined to corpus/FIGO I CODE: T1 ACOS CODE: T1 Uterine cavity 8 cm or less/FIGO IA CODE: T1a ACOS CODE: T1A Uterine cavity > 8 cm/FIGO IB CODE: T1b ACOS CODE: T1B Invades cervix but not beyond uterus/FIGO II CODE: T2 ACOS CODE: T2 Ext beyond uterus/not outside pelvis/FIGO III CODE: T3 ACOS CODE: T3 Mucosa of bladder/rectum/pelvis/FIGO IVA CODE: T4 ACOS CODE: T4
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	CORPUS UTERI, PLACENTA AND UTERUS, NOS
EXTENSION CODE SET-2ND ED	CORPUS UTERI, PLACENTA AND UTERUS, NOS
EXTENSION CODE SET-3RD ED	CORPUS UTERI; UTERUS, NOS (excluding Placenta)
LYMPH NODE CODE SET-1ST ED	CORPUS UTERI, PLACENTA AND UTERUS, NOS
LYMPH NODE CODE SET-2ND ED	CORPUS UTERI, PLACENTA AND UTERUS, NOS
LYMPH NODE CODE SET-3RD ED	CORPUS UTERI, PLACENTA AND UTERUS, NOS
SURGERY CODE SET-1ST ED	SG45 UTERUS
SURGERY CODE SET-2ND ED	SG45 UTERUS

UTERUS, LOWER SEGMENT (67540) ICDO TOPOGRAPHY (164)