Organization

Field Name

ID

Required

KCR

Biopsy Procedure (DiagStgProc1)

30370

no

KCR

Guidance (DiagStgProc2)

30380

no

KCR

Palpability/Approach (DiagStgProc3)

30390

no

KCR

1st Detect/Bx Other Site (DiagStgProc4)

30400

no


Field Length: 1 (x 4)

Specific diagnostic and staging procedures were defined for breast and prostate cancers only for diagnoses dates between 1/1/1998 and 12/31/2002. They are now optional fields and are no longer required to be coded.

If the primary site is other than breast or prostate, code all data items 0 or leave blank. If more than one code applies, use the highest code (excluding 9).

30370 - Biopsy Procedure (Breast Only)

These are biopsies that do not grossly remove the primary tumor and/or surgical margins were macroscopically involved.

If the primary tumor was grossly removed during the biopsy procedure, code Biopsy Procedure and Guidance items 0 (not done, not a separate procedure).  The biopsy would be coded as cancer-directed surgery.

Code

Description

0

Not done, not a separate procedure

1

Biopsy, NOS

2

Fine needle aspiration (cytology)

3

Core biopsy (histology)

5

Excision of major duct (if procedure removes all gross primary tumor, code as cancer-directed surgery)

9

Unknown if biopsy performed, death certificate only

30380 - Guidance (Breast Only)

Code

Description

0

Not guided, no biopsy of primary site

1

Guided, NOS

2

Radiographic NOS (no dye or dye unknown)

3

Mammographic; wire/needle localization

4

Stereotactic

5

Dye only

6

Dye plus (1-3)

7

Ultrasound

9

Unknown if guided; biopsy performed; death certificate only

30390 - Palpability of Primary (Breast Only)

Code

Description

0

Not palpable

1

Palpable

9

Palpability not stated; death certificate only

30400 - First Detected By (Breast Only)

Record the method by which the breast mass or abnormality was first recognized.

Code

Description

0

Not a breast or prostate primary

1

Patient first felt lump or noted nipple discharge

2

Physician first felt lump

3

Mammography - routine (screening)

4

Occult; incidental finding during other procedure

9

Unknown how first detected

30370 - Biopsy Procedure (Prostate Only)

Code

Description

0

Not done, not a separate procedure

1

Incisional biopsy, NOS

2

Fine needle aspiration (cytology)

3

Needle core biopsy; biopsy gun (histology)

4

6 cores or more of tissue from both lobes of the prostate

9

Unknown if biopsy of primary was done; death certificate only

30380 - Guidance (Prostate Only)

Code

Description

0

Not guided; no biopsy of primary

1

Guided, NOS

2

Radiographic

3

Ultrasound

9

Unknown if guided, biopsy performed; death certificate only

30390 - Approach for Biopsy of Primary (Prostate Only)

Code

Description

0

No biopsy

1

Transrectal

2

Transperineal

3

Transurethral

4

Laparoscopic

5

Open (laparotomy)

9

Unknown approach, but biopsy performed; death certificate only

30340 - Biopsy of Other than Primary (Prostate Only)

Code

Description

0

No biopsy of other than primary

1

Biopsy of seminal vesicle(s), NOS

2

Unilateral

3

Bilateral

4

Other than seminal vesicle

5

4 + 1

6

4 + 2

7

4 + 3

9

Unknown if biopsy of other than primary; death certificate only