Name	Value
NAME	KIDNEY NOS
SURGERY CODING	KIDNEY & OTHER URINARY
PAIRED ORGAN	LATERALITY CODE REQUIRED
CODE	C64.9
4TH EDITION T-CLASS ENCODING	CBA CODE: TX ACOS CODE: TX Inv beyond Gerota's fascia CODE: T4 ACOS CODE: T4 NA CODE: NA ACOS CODE: NA NET CODE: T0 ACOS CODE: T0 2.5 cm or less, limited to kidney CODE: T1 ACOS CODE: T1 > 2.5 cm, limited to kidney CODE: T2 ACOS CODE: T2 Ext major veins, adrenal gland, perineph CODE: T3 ACOS CODE: T3 Inv adrenal gland/perineph tissue CODE: T3a ACOS CODE: T3A Inv renal vein/vena cava below diaphragm CODE: T3b ACOS CODE: T3B Vena cava above diaphragm CODE: T3c ACOS CODE: T3C
DEFAULT PRIMARY SITE GROUP	KIDNEY & OTHER URINARY
5TH EDITION T-CODES	CBA CODE: TX NA CODE: NA NET CODE: T0 7 cm or less, limited to kidney CODE: T1 > 7 cm, limited to kidney CODE: T2 Major veins/adrenal gland/perinephric tissues CODE: T3 Inv adrenal gland/perinephric tissues CODE: T3a Renal vein(s)/vena cava below diaphragm CODE: T3b Renal vein(s)/vena cava above diaphragm CODE: T3c Beyond Gerota's fascia CODE: T4
5TH EDITION N-CODES	NCA CODE: NX ACOS CODE: NX NRN CODE: N0 ACOS CODE: N0 Metastasis in a single regional lymph node CODE: N1 ACOS CODE: N1 Metastasis in > 1 regional lymph node CODE: N2 ACOS CODE: N2 NA CODE: NA ACOS CODE: NA
5TH EDITION T-CODE HELP	Primary Tumor (T) adrenal gland or perinephric tissues, but not beyond Gerota's fascia T3a Tumor invades the adrenal gland or perinephric tissues but not beyond Gerota's fascia T3b Tumor grossly extends into the renal vein(s) or vena cava below the diaphragm T3c Tumor grossly extends into the renal vein(s) or vena cava above the diaphragm T4 Tumor invades beyond Gerota's fascia TX Primary tumor cannot be assessed T0 No evidence of primary tumor T1 Tumor 7 cm or less in greatest dimension limited to the kidney T2 Tumor more than 7 cm in greatest dimension limited to the kidney T3 Tumor extends into major veins or invades the
SURGERY CODE GROUP-5TH ED	KIDNEY NOS
5TH ED-SURGICAL APPROACH CODES	None CODE: 0 Endoscopy, NOS CODE: 1 Endoscopy, not image guided CODE: 2 Endoscopy, image guided CODE: 3 Open, NOS CODE: 4 Open, not assisted by endoscopy CODE: 5 Open, assisted by endoscopy CODE: 6 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 metastases N1 Metastasis in a single regional lymph node N2 Metastasis in more than one regional lymph node *Note: Laterality does not affect the N classification.
5TH ED-SURGERY PRIMARY SITE	None CODE: 0 SPS 2023 CODE: A000 Local tumor excision, cryosurgery CODE: 23 SPS 2023 CODE: A230 Local tumor excision, laser ablation CODE: 24 SPS 2023 CODE: A240 Local tumor excision, laser excision CODE: 25 SPS 2023 CODE: A250 Local tumor excision, polypectomy CODE: 26 SPS 2023 CODE: A260 Local tumor excision, excisional biopsy CODE: 27 SPS 2023 CODE: A270 Partial/subtotal nephrectomy or partial ureterectomy CODE: 30 SPS 2023 CODE: A300 Complete/total/simple nephrectomy - kidney parenchyma Nephr CODE: 40 SPS 2023 CODE: A400 Radical nephrectomy CODE: 50 SPS 2023 CODE: A500 Any nephrectomy PLUS en bloc resection of other organs CODE: 70 SPS 2023 CODE: A700 Nephrectomy, NOS; Ureterectomy, NOS CODE: 80 SPS 2023 CODE: A800 Local tumor destruction, NOS (w/o pathology specimen) CODE: 10 SPS 2023 CODE: A100 Surgery, NOS CODE: 90 SPS 2023 CODE: A900 Unknown; death certificate ONLY CODE: 99 SPS 2023 CODE: A990 Local tumor destruction, thermal ablation CODE: 15 SPS 2023 CODE: A150 Local tumor destruction, photodynamic therapy (PDT) CODE: 11 SPS 2023 CODE: A110 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 excision, NOS (w/ pathology specimen) CODE: 20 SPS 2023 CODE: A200 Local tumor excision, photodynamic therapy (PDT) CODE: 21 SPS 2023 CODE: A210 Local tumor excision, electrocautery CODE: 22 SPS 2023 CODE: A220
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 nodes removed, NOS; unknown if bi/unilateral CODE: 1 Unilateral regional lymph nodes removed CODE: 2 Bilateral regional lymph nodes removed CODE: 3 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 Kidney transplant (primary site) CODE: 1 Reconstruction/restoration 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: Vena cava above diaphragm/wall of the vena cava CODE: T3c DESCRIPTION: Beyond Gerota's fascia CODE: T4 DESCRIPTION: NA CODE: NA DESCRIPTION: NET CODE: T0 DESCRIPTION: 7 cm or less, limited to the kidney CODE: T1 DESCRIPTION: 4 cm or less, limited to the kidney CODE: T1a DESCRIPTION: > 4 cm but not > 7 cm, limited to the kidney CODE: T1b DESCRIPTION: > 7 cm, limited to kidney CODE: T2 DESCRIPTION: Major veins/adrenal gland/perinephric tissues CODE: T3 DESCRIPTION: Adrenal gland/perirenal/renal sinus fat CODE: T3a DESCRIPTION: Renal vein/branches/vena cava below diaphragm CODE: T3b
6TH EDITION (T) CODE HELP	Primary Tumor (T) limited to the kidney T2 Tumor more than 7 cm in greatest dimension, limited to the kidney T3 Tumor extends into major veins or invades the adrenal gland or perinephric tissues, but not beyond Gerota's fascia T3a Tumor invades the adrenal gland or perirenal and/or renal sinus fat but not beyond Gerota's fascia T3b Tumor grossly extends into the renal vein or its segmental (muscle-containing) branches, or vena cava below the diaphragm T3c Tumor grossly extends into the vena cava above diaphragm or invades the wall of the vena cava T4 Tumor invades beyond Gerota's fascia TX Primary tumor cannot be assessed T0 No evidence of primary tumor T1 Tumor 7 cm or less in greatest dimension, limited to the kidney T1a Tumor 4 cm or less in greatest dimension, limited to the kidney T1b Tumor more than 4 cm but not more than 7 cm in greatest dimension,
7TH EDITION (T) CODES	T-CODE: X T-CODE: 3A T-CODE: 3B T-CODE: 3C T-CODE: 1A T-CODE: 1B T-CODE: 2A T-CODE: 2B
7TH EDITION (T) CODE HELP	Primary Tumor (T) T2a Tumor more than 7 cm but less than or equal to 10 cm in greatest dimension, limited to the kidney T2b Tumor more than 10 cm, limited to the kidney T3 Tumor extends into major veins or perinephric tissues but not into the ipsilateral adrenal gland and not beyond Gerota's fascia T3a Tumor grossly extends into the renal vein or its segmental (muscle containing) branches, or tumor invades perirenal and/or renal sinus fat but not beyond Gerota's fascia T3b Tumor grossly extends into the vena cava below the diaphragm T3c Tumor grossly extends into the vena cava above the diaphragm or invades the wall of the vena cava T4 Tumor invades beyond Gerota's fascia (including contiguous extension into the ipsilateral adrenal gland) TX Primary tumor cannot be assessed T0 No evidence of primary tumor T1 Tumor 7 cm or less in greatest dimension, limited to the kidney T1a Tumor 4 cm or less in greatest dimension, limited to the kidney T1b Tumor more than 4 cm but not more than 7 cm in greatest dimension limited to the kidney T2 Tumor more than 7 cm in greatest dimension, limited to the kidney
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
T & N CODES	KIDNEY NOS
TYPE	RENAL WILMS KIDNEY PARENCHYMA
AJCC STAGING GROUP	KIDNEY
T-CLASS ENCODING	CBA CODE: TX ACOS CODE: TX NET CODE: T0 ACOS CODE: T0 2.5 cm or less, limited to kidney CODE: T1 ACOS CODE: T1 > 2.5 cm, limited to kidney CODE: T2 ACOS CODE: T2 Ext major veins, adrenal gland, perineph CODE: T3 ACOS CODE: T3 Inv adrenal gland/perineph tissue CODE: T3a ACOS CODE: T3A Inv renal vein/vena cava CODE: T3b ACOS CODE: T3B Inv beyond Gerota's fascia CODE: T4 ACOS CODE: T4 NA CODE: NA ACOS CODE: NA
N-CLASS ENCODING	NCA CODE: NX ACOS CODE: NX NRN CODE: N0 ACOS CODE: N0 2 cm or less, single CODE: N1 ACOS CODE: N1 2-5 cm, single/multi nodes < 5 cm CODE: N2 ACOS CODE: N2 Metastasis in a lymph node(s) CODE: N3 ACOS CODE: N3 NA CODE: NA ACOS CODE: NA
EXTENSION CODE SET-1ST ED	KIDNEY (Renal) Parenchyma
EXTENSION CODE SET-2ND ED	KIDNEY (Renal) Parenchyma
EXTENSION CODE SET-3RD ED	KIDNEY (Renal) Parenchyma
LYMPH NODE CODE SET-1ST ED	KIDNEY (RENAL) PARENCHYMA
LYMPH NODE CODE SET-2ND ED	KIDNEY (RENAL) PARENCHYMA
LYMPH NODE CODE SET-3RD ED	KIDNEY (RENAL) PARENCHYMA
SURGERY CODE SET-1ST ED	SG55 KIDNEY & OTHER URINARY
SURGERY CODE SET-2ND ED	SG55 KIDNEY & OTHER URINARY

KIDNEY NOS (67649) ICDO TOPOGRAPHY (164)