(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)
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 Gastrectomy, NOS (partial, subtotal, hemi-)
31 Antrectomy, lower (distal-less than 40% of stomach)***
32 Lower (distal) gastrectomy (partial, subtotal, hemi-)
33 Upper (proximal) gastrectomy (partial, subtotal, hemi-)
Code 30 includes:
Partial gastrectomy, including a sleeve resection of the stomach
Billroth I: anastomosis to duodenum (duodenostomy)
Billroth II: anastomosis to jejunum (jejunostomy)
40 Near-total or total gastrectomy, NOS
41 Near-total gastrectomy
42 Total gastrectomy
A total gastrectomy may follow a previous partial resection of the stomach.
50 Gastrectomy, NOS WITH removal of a portion of esophagus
51 Partial or subtotal gastrectomy
52 Near total or total gastrectomy
Codes 50–52 are used for gastrectomy resection when only portions of esophagus are included in procedure.
60 Gastrectomy with a resection in continuity with the resection of other organs, NOS***
61 Partial or subtotal gastrectomy, in continuity with the resection of other organs***
62 Near total or total gastrectomy, in continuity with the resection of other organs***
63 Radical gastrectomy, in continuity with the resection of other organs***
Codes 60–63 are used for gastrectomy resections with organs other than esophagus. Portions of esophagus may or may not be included in the resection.
80 Gastrectomy, NOS
Specimen sent to pathology from surgical events 20–80.
90 Surgery, NOS
99 Unknown if surgery performed; death certificate ONLY
*** Incidental splenectomy NOT included