(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)
14 Laser ablation
No specimen sent to pathology from surgical events 10–14.
20 Local tumor excision, NOS
27 Excisional biopsy
Any combination of 20 or 26–27 WITH
21 Photodynamic therapy (PDT)
24 Laser ablation
25 Laser excision
30 Biopsy of primary tumor followed by a gross excision of the lesion (does not have to be done under the same anesthesia)
31 Shave biopsy followed by a gross excision of the lesion
32 Punch biopsy followed by a gross excision of the lesion
33 Incisional biopsy followed by a gross excision of the lesion
34 Mohs surgery, NOS
35 Mohs with 1-cm margin or less
36 Mohs with more than 1-cm margin
45 Wide excision or reexcision of lesion or minor (local) amputation with margins more than 1 cm, NOS. Margins MUST be microscopically negative.
46 WITH margins more than 1 cm and less than or equal to 2 cm
47 WITH margins greater than 2 cm
If the excision does not have microscopically negative margins greater than 1 cm, use the appropriate code, 20–36.
60 Major amputation
Specimen sent to pathology from surgical events 20–60.
90 Surgery, NOS
99 Unknown if surgery performed; death certificate ONLY