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National Cancer Data Base - Data Dictionary PUF 2015

Diagnostic and Staging Procedure at This Facility

PUF Data Item Name: 
RX_HOSP_DXSTG_PROC
NAACCR Item #: 
740
length: 
2
Allowable values: 
00-07, 09
Description: 
Records the type of surgical diagnostic and/or staging procedure performed at the reporting facility. This data item was added to the 2015 PUF (data released in Fall 2017), and does not appear in prior versions of the PUF data.
Registry Coding Instructions: 
  • Code the type of procedure performed as part of the initial diagnosis and workup at the reporting institution.
  • Code 02 is used if both an incisional biopsy of the primary site and an incisional biopsy of a metastatic site are done.
  • Surgical procedures which aspirate, biopsy, or remove regional lymph nodes in an effort to diagnose and/or stage disease are not coded in this item. The item Scope of Regional Lymph Node Surgery (NAACCR Item #1292) is used to code these procedures.
  • Brushings, washings, cell aspiration, and hematologic findings (peripheral blood smears) as positive cytologic diagnostic confirmation are coded in the data item Diagnostic Confirmation (NAACCR Item #490). These are not considered surgical procedures and are not be coded in this item.
  • Excisional biopsies with clear or microscopic margins are not coded in this data item. Item Surgical Procedure of Primary Site (NAACCR Item #1290) is used to code these procedures.
  • Palliative surgical procedures are not coded in this data item. The item Palliative Procedure (NAACCR Item #3270) is used to code these procedures.

Code Definition
0 No surgical diagnostic or staging procedure was performed
1 A biopsy (incisional, needle, or aspiration) was done to a site other than the primary. No exploratory procedure was done
2 A biopsy (incisional, needle, or aspiration) was done to the primary site
3 A surgical exploration only. The patient was not biopsied or treated
4 A surgical procedure with a bypass was performed, but no biopsy was done
5 An exploratory procedure was performed, and a biopsy of either the primary site or another site was done
6 A bypass procedure was performed, and a biopsy of either the primary site or another site was done
7 A procedure was done, but the type of procedure is unknown
9 No information of whether a diagnostic or staging procedure was performed