PROSTATE (67619)    ICDO TOPOGRAPHY (164)

Name Value
NAME PROSTATE
SURGERY CODING PROSTATE
SEX MALE ONLY
CODE C61.9
4TH EDITION T-CLASS ENCODING
  • CBA
    CODE:   TX
    ACOS CODE:   TX
  • Fixed; invades adj structures
    CODE:   T4
    ACOS CODE:   T4
  • Inv bladder neck/ext sphincter/rectum
    CODE:   T4a
    ACOS CODE:   T4A
  • Inv levator muscles/fixed pelvic wall
    CODE:   T4b
    ACOS CODE:   T4B
  • NA
    CODE:   NA
    ACOS CODE:   NA
  • NET
    CODE:   T0
    ACOS CODE:   T0
  • Inapparent/not palpable or visible
    CODE:   T1
    ACOS CODE:   T1
  • Incidental <=5% tissue resected
    CODE:   T1a
    ACOS CODE:   T1A
  • Incidental >5% tissue resected
    CODE:   T1b
    ACOS CODE:   T1B
  • Needle biopsy identified
    CODE:   T1c
    ACOS CODE:   T1C
  • Confined w/i gland
    CODE:   T2
    ACOS CODE:   T2
  • Involves <=1/2 lobe
    CODE:   T2a
    ACOS CODE:   T2A
  • Involves >1/2 lobe
    CODE:   T2b
    ACOS CODE:   T2B
  • Involves both lobes
    CODE:   T2c
    ACOS CODE:   T2C
  • Extends thru prostatic capsule
    CODE:   T3
    ACOS CODE:   T3
  • Unilateral extracapsular extension
    CODE:   T3a
    ACOS CODE:   T3A
  • Bilateral extracapsular extension
    CODE:   T3b
    ACOS CODE:   T3B
  • Invades seminal vesicle(s)
    CODE:   T3c
    ACOS CODE:   T3C
DEFAULT PRIMARY SITE GROUP PROSTATE
5TH EDITION T-CODES
  • CBA
    CODE:   TX
  • Extends through capsule
    CODE:   T3
  • Extracapsular extension
    CODE:   T3a
  • Invades seminal vesicle(s)
    CODE:   T3b
  • Fixed/inv adj structures
    CODE:   T4
  • NA
    CODE:   NA
  • NET
    CODE:   T0
  • Clinically inapparent
    CODE:   T1
  • Incidental 5% or less
    CODE:   T1a
  • Incidental > 5%
    CODE:   T1b
  • Identified by needle biopsy
    CODE:   T1c
  • Confined w/i prostate
    CODE:   T2
  • Involves 1 lobe
    CODE:   T2a
  • Involves both lobes
    CODE:   T2b
5TH EDITION N-CODES
  • Regional lymph nodes cannot be assessed
    CODE:   NX
    ACOS CODE:   NX
  • NRN
    CODE:   N0
    ACOS CODE:   N0
  • Metastasis in regional lymph node or nodes
    CODE:   N1
    ACOS CODE:   N1
  • NA
    CODE:   NA
    ACOS CODE:   NA
5TH EDITION T-CODE HELP 
Primary Tumor, Clinical (T)
T2a Tumor involves one lobe
T2b Tumor involves both lobes
T3  Tumor extends through the prostate capsule**
T3a Extracapsular extension (unilateral or bilateral)
T3b Tumor invades seminal vesicle(s)
T4  Tumor is fixed or invades adjacent structures other than seminal vesicles:
      bladder neck, external sphincter, rectum, levator muscles, and/or pelvic
      wall

*Note: Tumor found in one or both lobes by needle biopsy, but not palpable or

reliably visible by imaging, is classfied as T1c.
**Note: Invasion into the prostatic apex or into (but not beyond) the
prostatic capsule is not classified as T3, but as T2.
TX  Primary tumor cannot be assessed
T0  No evidence of primary tumor
T1  Clinically inapparent tumor not palpable nor visible by imaging
T1a Tumor incidental histologic finding in 5% or less of tissue resected
T1b Tumor incidental histologic finding in more than 5% of tissue resected
T1c Tumor identified by needle biopsy (e.g., because of elevated PSA)
T2  Tumor confined within prostate*
SURGERY CODE GROUP-5TH ED PROSTATE
5TH ED-SURGICAL APPROACH CODES
  • None
    CODE:   0
  • Endoscopy, NOS (transurethral)
    CODE:   1
  • Laparoscopic, NOS
    CODE:   2
  • Open, NOS
    CODE:   3
  • Open, suprapubic
    CODE:   4
  • Open, perineal
    CODE:   5
  • Open, trans-sacral
    CODE:   7
  • Open, retropubic
    CODE:   8
  • Unknown; not stated; death cert 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  Metastasis in regional lymph node or nodes
5TH EDITION M-CODE HELP 
Distant Metastasis (M)

MX   Distant metastasis cannot be assessed
M0   No distant metastasis
M1   Distant metastasis
M1a  Nonregional lymph node(s)
M1b  Bone(s)
M1c  Other site(s)
5TH ED-SURGERY PRIMARY SITE
  • None; no surgery; autopsy ONLY
    CODE:   0
    SPS 2023 CODE:   A000
  • Subtotal, segmental, or simple prostatectomy
    CODE:   30
    SPS 2023 CODE:   A300
  • Less than total prostatectomy, NOS (ROADS)
    CODE:   40
  • Radical prostatectomy, NOS; total prostatectomy, NOS
    CODE:   50
    SPS 2023 CODE:   A500
  • Prostatectomy WITH resection of other organs
    CODE:   70
    SPS 2023 CODE:   A700
  • Prostatectomy, NOS
    CODE:   80
    SPS 2023 CODE:   A800
  • 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:   18
    SPS 2023 CODE:   A180
  • Transurethral resection (TURP) NOS, no specimen sent to path
    CODE:   19
    SPS 2023 CODE:   A190
  • Local tumor excision, NOS
    CODE:   20
    SPS 2023 CODE:   A200
  • Local tumor destruction, NOS
    CODE:   10
    SPS 2023 CODE:   A100
  • Transurethral resection (TURP) NOS, specimen sent to path
    CODE:   21
    SPS 2023 CODE:   A210
  • Local tumor excision, NOS - TURP (ca found during surgery)
    CODE:   22
    SPS 2023 CODE:   A220
  • Local tumor excision, NOS - TURP (patient has known cancer)
    CODE:   23
    SPS 2023 CODE:   A230
  • TURP WITH cryosurgery
    CODE:   24
    SPS 2023 CODE:   A240
  • TURP WITH laser
    CODE:   25
    SPS 2023 CODE:   A250
  • TURP WITH hyperthermia
    CODE:   26
    SPS 2023 CODE:   A260
  • Transurethral resection (TURP), NOS (ROADS)
    CODE:   11
  • TURP - cancer finding during surg for benign disease (ROADS)
    CODE:   12
  • TURP - patient has suspected/known cancer (ROADS)
    CODE:   13
  • Local tumor destruction/excision, cryoprostatectomy
    CODE:   14
    SPS 2023 CODE:   A140
  • Local tumor destruction/excision, laser
    CODE:   15
    SPS 2023 CODE:   A150
  • Local tumor destruction/excision, hyperthermia
    CODE:   16
    SPS 2023 CODE:   A160
  • Local tumor destruction/excision, other method
    CODE:   17
    SPS 2023 CODE:   A170
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, NOS
    CODE:   5
  • Margins not evaluable (TURP)
    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 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
  • Combination of 4 WITH 2 or 3
    CODE:   5
  • Unknown; not stated; death cert ONLY
    CODE:   9
5TH ED-RECONSTRUCTION
  • No reconstruction/restoration
    CODE:   0
  • Reconstruction/restoration, NOS
    CODE:   1
  • Collagen injection for incontinence
    CODE:   2
  • Penile prosthesis
    CODE:   3
  • Artificial urinary sphincter
    CODE:   4
  • Combinations of 4 WITH 2 or 3
    CODE:   5
  • Unknown; not stated; death cert ONLY
    CODE:   9
5TH ED-BIOPSY PROCEDURE CODES
  • Not done, not separate proc
    CODE:   0
  • Incisional biopsy, NOS
    CODE:   1
  • Fine needle aspiration (cytology)
    CODE:   2
  • Needle core/biopsy gun (histology)
    CODE:   3
  • Sextant biopsy
    CODE:   4
  • Unknown/death cert only
    CODE:   9
5TH ED-GUIDANCE CODES
  • Not guided, no biopsy
    CODE:   0
  • Guided, NOS
    CODE:   1
  • Radiographic
    CODE:   2
  • Ultrasound
    CODE:   3
  • Unknown/death cert only
    CODE:   9
6TH EDITION (T) CODES
  • DESCRIPTION:   CBA
    CODE:   TX
  • DESCRIPTION:   Involves both lobes
    CODE:   T2c
  • DESCRIPTION:   Extends through the prostate capsule
    CODE:   T3
  • DESCRIPTION:   Extracapsular extension
    CODE:   T3a
  • DESCRIPTION:   Invades seminal vesicle(s)
    CODE:   T3b
  • DESCRIPTION:   Fixed or invades adjacent structures
    CODE:   T4
  • DESCRIPTION:   NA
    CODE:   NA
  • DESCRIPTION:   NET
    CODE:   T0
  • DESCRIPTION:   Inapparent neither palpable nor visible by imaging
    CODE:   T1
  • DESCRIPTION:   Incidental histologic finding in 5% or less
    CODE:   T1a
  • DESCRIPTION:   Incidental histologic finding in more than 5%
    CODE:   T1b
  • DESCRIPTION:   Identified by needle biopsy
    CODE:   T1c
  • DESCRIPTION:   Confined within prostate
    CODE:   T2
  • DESCRIPTION:   Involves one-half of one lobe or less
    CODE:   T2a
  • DESCRIPTION:   Involves > one-half of one lobe but not both lobes
    CODE:   T2b
6TH EDITION (T) CODE HELP 
Primary Tumor, Clinical (T)
T2a  Tumor involves one-half of one lobe or less
T2b  Tumor involves more than one-half of one lobe but not both lobes
T2c  Tumor involves both lobes
T3   Tumor extends through the prostate capsule
T3a  Extracapsular extension (unilateral or bilateral)
T3b  Tumor invades seminal vesicle(s)
T4   Tumor is fixed or invades adjacent structures other than seminal
       vesicles: bladder neck, external sphincter, rectum, levator muscles,
       and/or pelvic wall
 
TX   Primary tumor cannot be assessed
T0   No evidence of primary tumor
T1   Clinically inapparent tumor not palpable nor visible by imaging
T1a  Tumor incidental histologic finding in 5% or less of tissue resected
T1b  Tumor incidental histologic finding in more than 5% of tissue resected
T1c  Tumor identified by needle biopsy (e.g., because of elevated PSA)
T2   Tumor confined within prostate
6TH EDITION (N) CODES
  • DESCRIPTION:   Regional lymph nodes were not assessed
    CODE:   NX
  • DESCRIPTION:   NRN
    CODE:   N0
  • DESCRIPTION:   MET
    CODE:   N1
  • DESCRIPTION:   NA
    CODE:   NA
6TH EDITION (N) CODE HELP 
Regional Lymph Nodes, Clinical (N)

NX  Regional lymph nodes were not assessed
N0  No regional lymph node metastasis
N1  Metastasis in regional lymph node(s)
T & N CODES PROSTATE
AJCC STAGING GROUP PROSTATE
T-CLASS ENCODING
  • CBA
    CODE:   TX
    ACOS CODE:   TX
  • Fixed, invades adj structures
    CODE:   T4
    ACOS CODE:   T4
  • NA
    CODE:   NA
    ACOS CODE:   NA
  • NET
    CODE:   T0
    ACOS CODE:   T0
  • Incidental histologic finding
    CODE:   T1
    ACOS CODE:   T1
  • <=3 microscopic foci ca
    CODE:   T1a
    ACOS CODE:   T1A
  • >3 microscopic foci ca
    CODE:   T1b
    ACOS CODE:   T1B
  • Limited to gland
    CODE:   T2
    ACOS CODE:   T2
  • <=1.5 cm, normal tissue 3 sides
    CODE:   T2a
    ACOS CODE:   T2A
  • >1.5 cm/involves > 1 lobe
    CODE:   T2b
    ACOS CODE:   T2B
  • Extends thru prostatic capsule, not fixed
    CODE:   T3
    ACOS CODE:   T3
N-CLASS ENCODING
  • NCA
    CODE:   NX
    ACOS CODE:   NX
  • NRN
    CODE:   N0
    ACOS CODE:   N0
  • Single, 2 cm or less
    CODE:   N1
    ACOS CODE:   N1
  • Single, < 2 cm, not > 5 cm/multiple not > 5 cm
    CODE:   N2
    ACOS CODE:   N2
  • > 5 cm
    CODE:   N3
    ACOS CODE:   N3
  • NA
    CODE:   NA
    ACOS CODE:   NA
EXTENSION CODE SET-1ST ED PROSTATE GLAND
EXTENSION CODE SET-2ND ED PROSTATE GLAND
EXTENSION CODE SET-3RD ED PROSTATE GLAND--CLINICAL
LYMPH NODE CODE SET-1ST ED PROSTATE GLAND
LYMPH NODE CODE SET-2ND ED PROSTATE GLAND
LYMPH NODE CODE SET-3RD ED PROSTATE GLAND--CLINICAL
SURGERY CODE SET-1ST ED SG50 PROSTATE
SURGERY CODE SET-2ND ED SG50 PROSTATE