If you are analyzing Bladder data prior to 2010, please refer to the surgical codes in the appropriate version of the FORDS manual, as some descriptions have changed. Earlier FORDS versions may be found here: https://www.facs.org/quality-programs/cancer/ncdb/registrymanuals/cocman....
(Except for non-solid tumors)
00 None; no surgery of primary site; autopsy ONLY
10 Local tumor destruction, NOS
11 Photodynamic therapy (PDT)
12 Electrocautery; fulguration (includes use of hot forceps for tumor destruction)
15 Intravesical therapy
16 Bacillus Calmette-Guerin (BCG) or other immunotherapy
Also code the introduction of immunotherapy in the immunotherapy items. If immunotherapy is followed by surgery of the type coded 20-80, code that surgery instead and code the immunotherapy only in the immunotherapy item.
No specimen sent to pathology from surgical events 10–16.
20 Local tumor excision, NOS
27 Excisional biopsy
Combination of 20 or 26–27 WITH
21 Photodynamic therapy (PDT)
24 Laser ablation
25 Laser excision
30 Partial cystectomy
50 Simple/total/complete cystectomy
60 Radical cystectomy (male only)
61 Radical cystectomy PLUS ileal conduit
62 Radical cystectomy PLUS continent reservoir or pouch, NOS
63 Radical cystectomy PLUS abdominal pouch (cutaneous)
64 Radical cystectomy PLUS in situ pouch (orthotopic)
When the procedure is described as a pelvic exenteration for males, but the prostate is not removed, the surgery should be coded as a cystectomy (code 60-64).
70 Pelvic exenteration, NOS
71 Radical cystectomy including anterior exenteration
For females, includes removal of bladder, uterus, ovaries, entire vaginal wall, and entire urethra. For males, removal of the prostate. When a procedure is described as a pelvic exenteration for males, but the prostate is not removed, the surgery should be coded as a cystectomy (60-64).
72 Posterior exenteration
For females, also includes removal of vagina, rectum and anus. For males, also includes prostate, rectum and anus.
73 Total exenteration
Includes all tissue and organs removed for an anterior and posterior exenteration.
The lymph node dissection should also be coded under Scope of Regional Lymph Node Surgery (NAACCR Item #1292) or Scope of Regional Lymph Node Surgery at This Facility (NAACCR Item #672).
74 Extended exenteration
Includes pelvic blood vessels or bony pelvis.
80 Cystectomy, NOS
Specimen sent to pathology from surgical events 20–80.
90 Surgery, NOS
99 Unknown if surgery performed; death certificate ONLY