Site-Specific Coding Modules: Collaborative Stage Manual Part II

Appendix C

Site-Specific Coding Modules

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SEER Program Coding and Staging Manual 2004, Revision 1


Table of Contents

Site-Specific Coding Modules......................................................................................................C-1

Lip, Upper ...........................................................................................................................................C-3
Lip, Lower ........................................................................................................................................C-11
Other Lip...........................................................................................................................................C-19
Base of Tongue, Lingual Tonsil........................................................................................................C-29
Anterior 2/3 of Tongue, Tip, Border, and Tongue, NOS ..................................................................C-37
Gum, Upper.......................................................................................................................................C-47
Gum, Lower and Retromolar Area Retromolar Gingiva (Trigone) ..................................................C-55
Gum, NOS ........................................................................................................................................C-63
Floor of Mouth..................................................................................................................................C-71
Hard Palate........................................................................................................................................C-83
Soft Palate, Uvula .............................................................................................................................C-91
Other Mouth....................................................................................................................................C-101
Cheek (Buccal) Mucosa, Vestibule.................................................................................................C-109
Parotid Gland ..................................................................................................................................C-119
Submandibular Gland .....................................................................................................................C-127
Other and Unspecified Major Salivary Glands ...............................................................................C-135
Tonsil, Oropharynx .........................................................................................................................C-145
Anterior Surface of Epiglottis .........................................................................................................C-155
Nasopharynx ...................................................................................................................................C-165
Pyriform Sinus, Hypopharynx, Laryngopharynx............................................................................C-173
Pharynx, NOS, and Other Ill-Defined Oral Cavity Sites ................................................................C-181
Esophagus .......................................................................................................................................C-193
Small Intestine ................................................................................................................................C-211
Colon...............................................................................................................................................C-219
Rectosigmoid, Rectum ....................................................................................................................C-231
Anus Anal Canal; Anus, NOS; Other Parts of Rectum...................................................................C-239
Liver and Intrahepatic Bile Ducts ...................................................................................................C-249
Extrahepatic Bile Duct(s)................................................................................................................C-261
Ampulla of Vater ............................................................................................................................C-265
Other Biliary and Biliary, NOS.......................................................................................................C-269
Pancreas: Head................................................................................................................................C-275
Pancreas: Body and Tail .................................................................................................................C-281
Pancreas: Other and Unspecified ....................................................................................................C-287
Other and Ill-Defined Digestive Organs .........................................................................................C-291
Nasal Cavity....................................................................................................................................C-299
Middle Ear ......................................................................................................................................C-307
Maxillary Sinus...............................................................................................................................C-317
Ethmoid Sinus.................................................................................................................................C-325
Accessory (Paranasal) Sinuses........................................................................................................C-333
Glottic Larynx.................................................................................................................................C-343
Supraglottic Larynx ........................................................................................................................C-351
Subglottic Larynx............................................................................................................................C-359
Larynx .............................................................................................................................................C-367
Trachea............................................................................................................................................C-377
Lung ................................................................................................................................................C-383
Heart, Mediastinum.........................................................................................................................C-395
Pleura ..............................................................................................................................................C-399
Other and Ill-Defined Respiratory Sites and Intrathoracic Organs .................................................C-405
Bone ................................................................................................................................................C-411

Appendix C Site-Specific Coding Modules C-i

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SEER Program Coding and Staging Manual 2004, Revision 1


Skin .................................................................................................................................................C-419
Skin of Eyelid .................................................................................................................................C-425
Malignant Melanoma of Skin, Vulva, Penis, Scrotum....................................................................C-431
Mycosis Fungoides and Sezary Disease of Skin, Vulva, Penis, Scrotum .......................................C-443
Peripheral Nerves and Autonomic Nervous System; Connective,
Subcutaneous, and Other Soft Tissues ......................................................................................C-455
Retroperitoneum and Peritoneum ...................................................................................................C-461
Breast ..............................................................................................................................................C-469
Vulva...............................................................................................................................................C-487
Vagina .............................................................................................................................................C-491
Cervix Uteri ....................................................................................................................................C-497
Corpus Uteri; Uterus, Nos (Excluding Placenta .............................................................................C-505
Ovary ..............................................................................................................................................C-513
Fallopian Tube ................................................................................................................................C-521
Broad and Round Ligaments, Parametrium, Uterine Adnexa.........................................................C-527
Other and Unspecified Female Genital Organs ..............................................................................C-533
Placenta ...........................................................................................................................................C-537
Penis................................................................................................................................................C-545
Prostate............................................................................................................................................C-551
Testis ...............................................................................................................................................C-565
Other and Unspecified Male Genital Organs ..................................................................................C-571
Scrotum ...........................................................................................................................................C-575
Kidney, Renal Pelvis, and Ureter....................................................................................................C-583
Bladder............................................................................................................................................C-595
Urethra ............................................................................................................................................C-609
Paraurethral Gland, Overlapping Lesion of Urinary Organs,
and Unspecified Urinary Organs...............................................................................................C-613
Conjunctiva .....................................................................................................................................C-619
Malignant Melanoma of Conjunctiva .............................................................................................C-619
Cornea, Retina, Choroid, Ciliary Body
Iris, Lens, Sclera, Uveal Tract), Eyeball, Overlapping
and Other Eye [Excluding Melanoma and Retinoblastoma].....................................................C-627
Malignant Melanoma of Iris and Ciliary Body ...............................................................................C-631
Malignant Melanoma of Choroid....................................................................................................C-637
Malignant Melanoma of Other Eye ................................................................................................C-641
Lacrimal Gland ...............................................................................................................................C-645
Orbit ................................................................................................................................................C-649
Retinoblastoma ...............................................................................................................................C-653
Brain [and Other Parts of Central Nervous System].......................................................................C-661
Brain and Cerebral Meninges .........................................................................................................C-663
Other Parts of Central Nervous System ..........................................................................................C-669
Thyroid Gland.................................................................................................................................C-675
Thymus, Adrenal (Suprarenal) Gland, and Other Endocrine Glands .............................................C-683
Kaposi Sarcoma of All Sites ...........................................................................................................C-691
Lymph Nodes..................................................................................................................................C-699
Hodgkin and Non-Hodgkin Lymphomas of All Sites (Excl. Mycosis Fungoides
and Sezary Disease) .................................................................................................................C-701
Hematopoietic, Reticuloendothelial, Immunoproliferative,
and Myeloproliferative Neoplasms ...........................................................................................C-709



C- ii Site-Specific Coding Modules Appendix C

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SEER Program Coding and Staging Manual 2004, Revision 1


Appendix C

Site-Specific Coding Modules

The site-specific coding modules are stand-alone coding manuals that include SEER Coding Guidelines,
Collaborative Staging Coding Instructions and Surgery of Primary Site codes. In the past, site-specific instructions
were scattered throughout the SEER Program Code Manual. Collaborative Staging and Surgery codes were in two
separate manuals. As part of the SEER commitment to continuing Quality Improvement, this appendix brings
together the site-specific instructions needed to abstract a case, facilitating efficiency and accuracy. General
instructions in the main manual are applicable in the absence of site-specific instructions. All modules include
collaborative staging and surgery codes. Some modules include site-specific coding guidelines in addition to the
collaborative staging and surgery codes. The goal is to have complete stand-alone modules for every anatomic site.
SEER will continue to work toward this goal by enhancing site-specific guidelines as modules are expanded and
revised.

The site-specific coding guidelines contain instructions for various data items other than collaborative stage and
surgery of primary site. The Guidelines are a collaborative effort between NCI/SEER and the SEER Quality
Control staff from the SEER registries. We gratefully acknowledge the valuable input provided by the SEER QC
staff.

Part II of the Collaborative Staging manual is included in this appendix. For an introduction to Collaborative
Staging, see Part I of the Collaborative Staging Manual and Coding Instructions, version 1.0.

The surgery codes are based on the American College of Surgeons Commission on Cancer’s Facility Oncology
Registry Data System, American College of Surgeons, Chicago, IL, 2004 (FORDS), Appendix B: Site-specific
Surgery Codes (Revised 2004). The surgery codes in this document are identical to the FORDS manual; only
formatting and annotations may vary. The SEER Notes that appear in the Surgery Code sections contain
information or instructions not found in FORDS or that are different from FORDS.

Appendix C Site-Specific Coding Modules
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SEER Program Coding and Staging Manual 2004, Revision 1


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C-2
Site-Specific Coding Modules
Appendix C

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SEER Program Coding and Staging Manual 2004, Revision 1


Collaborative Staging Codes
Lip, Upper
Lip (Vermilion or Labial Mucosa)
C00.0, C00.3
C00.0 External upper lip
C00.3 Mucosa of upper lip
Note: AJCC includes labial mucosa (C00.3) with buccal mucosa (C06.0)
CS Tumor Size
CS Site-Specific Factor 1 - Size of
The following tables are available
CS Extension
Lymph Nodes
at the collaborative staging
CS TS/Ext-Eval
CS Site-Specific Factor 2 -
website:
CS Lymph Nodes
Extracapsular Extension, Lymph Nodes
Histology Exclusion Table
CS Reg Nodes Eval
for Head and Neck
AJCC Stage
Reg LN Pos
CS Site-Specific Factor 3 - Levels I-
Extension Size Table
Reg LN Exam
III, Lymph Nodes for Head and Neck
Lymph Nodes Size Table
CS Mets at DX
CS Site-Specific Factor 4 - Levels IV-
CS Mets Eval
V and Retropharyngeal Lymph Nodes
for Head and Neck
CS Site-Specific Factor 5 - Levels VI-
VII and Facial Lymph Nodes for Head
and Neck
CS Site-Specific Factor 6 -
Parapharyngeal, Parotid, Preauricular,
and Sub-Occipital Lymph Nodes,
Lymph Nodes for Head and Neck


Lip, Upper
CS Tumor Size
SEE STANDARD TABLE

Lip, Upper
CS Extension
Code
Description
TNM
SS77
SS2000
00
In situ; noninvasive; intraepithelial
Tis
IS
IS
10
Invasive tumor confined to:
* L L
Labial mucosa (inner lip)
Lamina propria
Multiple foci
Submucosa (superficial invasion)
Vermilion surface
Superficial extension to:
Skin of lip
Subcutaneous soft tissue of lip
20 Musculature
* L L
30 Localized,
NOS
* L L
50
Buccal mucosa (inner cheek)
* RE
RE
Commissure
Opposite (both) lip(s)
51 Gingiva
* RE RE
Appendix C Site-Specific Coding Modules
C-3

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SEER Program Coding and Staging Manual 2004, Revision 1


70 Maxilla
T4 RE RE
74
Upper lip/commissure: Nose
T4
RE
D
75 Tongue
T4 D D
76 Skin
of
face/neck
T4 D D
77
Cortical bone (other than code 70)
T4 D D
Floor of mouth
Inferior alveolar nerve
80 Further
contiguous
extension
T4 D D
95
No evidence of primary tumor
T0
U
U
99 Unknown
extension
TX U U
Primary tumor cannot be assessed
Not documented in patient record
*For Extension codes 10, 20, 30, 50, and 51 ONLY, the T category is assigned based on the value of CS Tumor
Size, as shown in the Extension Size Table for this site.

Lip, Upper
CS TS/Ext-Eval
SEE STANDARD TABLE

Lip, Upper
CS Lymph Nodes
Note 1: For head and neck schemas, this field includes all lymph nodes defined as Levels I-VII and Other by
AJCC. The complete definitions are provided in the General Instructions.
Note 2: For head and neck schemas, additional information about lymph nodes (size of involved nodes,
extracapsular extension, and levels involved) is coded in Site-Specific Factors 1-6.
Note 3: If laterality of lymph nodes is not specified, assume nodes are ipsilateral. Midline nodes are considered
ipsilateral.
Note 4: For head and neck cancers, if lymph nodes are described only as "supraclavicular", try to determine if they
are in Level IV (deep to the sternocleidomastoid muscle, in the lower jugular chain) or Level V (in the posterior
triangle, inferior to the transverse cervical artery) and code appropriately. If the specific level cannot be determined,
consider them as Level V nodes.

Code
Description
TNM
SS77
SS2000
00
None; no regional lymph node involvement
N0
NONE
NONE
10
Single positive ipsilateral regional node:
* RN
RN

Other groups

Facial

Buccinator (buccal)

Nasolabial

Parotid
Infra-auricular
Intraparotid
Periparotid
Preauricular
Regional lymph node, NOS
11
Single positive ipsilateral regional node:
* D RN

Level I node

Submandibular (submaxillary)
C-4 Site-Specific Coding Modules—page updated July 1, 2005
Appendix C

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SEER Program Coding and Staging Manual 2004, Revision 1



Submental
11,
Level II node
cont’d
Jugulodigastric (subdigastric)

Upper deep cervical

Upper jugular

Level III node

Middle deep cervical

Mid jugular

Level IV node

Jugulo-omohyoid (supraomohyoid)

Lower deep cervical
Lower jugular
Cervical, NOS
Deep cervical, NOS
Internal jugular, NOS
12
Single positive ipsilateral regional node:
* D D

Level V node

Posterior cervical

Posterior triangle (spinal accessory and transverse cervical)

(upper, middle, and lower corresponding to the levels that

define upper, middle, and lower jugular nodes)

Level VI node

Anterior deep cervical

Laterotracheal

Paralaryngeal

Paratracheal

Prelaryngeal

Pretracheal

Recurrent laryngeal

Level VII node

Upper mediastinum (for other mediastinal nodes see CS Mets

at DX)

Other groups

Parapharyngeal

Retropharyngeal
Sub-occipital


Supraclavicular, NOS (See Note 4)



18
Stated as N1, no other information
N1
RN
RN
19
Stated as N2a, no other information
N2a
RN
RN
20
Multiple positive ipsilateral nodes listed in code 10
*
RN
RN
21
Multiple positive ipsilateral nodes listed in code 11
*
D
RN
22
Multiple positive ipsilateral nodes listed in code 12
*
D
D
29
Stated as N2b, no other information
N2b
RN
RN
30
Regional lymph nodes as listed in code 10:
* RN
RN
Positive ipsilateral node(s), not stated if single or multiple
31
Regional lymph nodes as listed in code 11:
* D RN
Positive ipsilateral node(s), not stated if single or multiple
32
Regional lymph nodes as listed in code 12:
* D D
Positive ipsilateral node(s), not stated if single or multiple
Appendix C Site-Specific Coding Modules—page updated July 1, 2005
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SEER Program Coding and Staging Manual 2004, Revision 1



40
Regional lymph nodes as listed in code 10:
* RN
RN
Positive bilateral or contralateral nodes
41
Regional lymph nodes as listed in code 11:
* D RN
Positive bilateral or contralateral nodes
42
Regional lymph nodes as listed in code 12:
* D D
Positive bilateral or contralateral nodes
49
Stated as N2c, no other information
N2c
RN
RN
50
Regional lymph nodes as listed in code 10:
* RN
RN
Positive node(s) not stated if ipsilateral, or bilateral, or contralateral
AND not stated if single or multiple
51
Regional lymph nodes as listed in code 11:
* D RN
Positive node(s) not stated if ipsilateral, or bilateral, or contralateral
AND not stated if single or multiple
52
Regional lymph nodes as listed in code 12:
* D D
Positive node(s), not stated if ipsilateral, or bilateral, or contralateral
AND not stated if single or multiple
60
Stated as N2, NOS
N2NOS
RN
RN
70
Stated as N3, no other information
N3
RN
RN
80
Lymph nodes, NOS, no other information
*
RN
RN
99 Unknown;
not
stated
NX U U
Regional lymph node(s) cannot be assessed
Not documented in patient record
* For codes 10-12, 20-22, 30-32, 40-42, 50-52, and 80 ONLY, the N category is assigned based on the value of Site-
Specific Factor 1, Size of Lymph Nodes, using the extra table, Lymph Nodes Size Table for this site.

Lip, Upper
CS Reg Nodes Eval
SEE STANDARD TABLE

Lip, Upper
Reg LN Pos
SEE STANDARD TABLE

Lip, Upper
Reg LN Exam
SEE STANDARD TABLE


C-6 Site-Specific Coding Modules—page updated July 1, 2005
Appendix C

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