Organization | Field Name | ID | Required |
|---|---|---|---|
KCR | Surgery Breast (SurgBreast) | 50136 | Yes |
Field Length: 4
Description:
Record the surgical procedure of the primary site. This data item is required for 2022 breast cases only. The data item is part of a field study for updating the surgery codes in Appendix A to support the Synoptic Operative Reporting and allow for more descriptive surgery codes.
- Review the operative report or procedure note to code the appropriate surgical code.
- Code the surgical resection code for Breast primary.
- Reconstruction that is performed immediately after surgical resection (codes B200-B900) should be coded in Reconstruction Breast field.
- For codes B200 to B760, code in order of hierarchy, the response positions are hierarchical. Last-listed responses take precedence over responses written above.
- Use codes B800 and B900 only if more precise information about the surgery performed is not available.
- Excisional biopsies (those that remove the entire tumor and/or leave only microscopic margins) are to be coded in this item using code 210.
- Surgery to remove regional tissue or organs is coded in this item only if the tissue/organs are removed in continuity with the primary site.
- If contralateral breast reveals a second primary, each breast is abstracted separately.
Code | Description |
|---|---|
| B000 | None; no surgery of primary site; autopsy ONLY |
| B200 | Partial mastectomy; less than total mastectomy; lumpectomy, segmental mastectomy, quadrantectomy, tylectomy, with or without nipple resection |
| B210 | Excisional breast biopsy - Diagnostic excision, no pre-operative biopsy proven diagnosis of cancer |
| B215 | Excisional breast biopsy, for atypia |
| B240 | Re-excision of margins from primary tumor site for gross or microscopic residual disease when less than total mastectomy performed |
| B290 | Central lumpectomy, only performed for a prior diagnosis of cancer, which includes removal of the nipple areolar complex |
| B300 | Skin-sparing mastectomy |
| B310 | Skin-sparing mastectomy WITHOUT removal of uninvolved contralateral breast |
| B320 | Skin-sparing mastectomy WITH removal of uninvolved contralateral breast |
| B400 | Nipple-sparing mastectomy |
| B410 | Nipple-sparing mastectomy WITHOUT removal of uninvolved contralateral breast |
| B420 | Nipple-sparing mastectomy WITH removal of uninvolved contralateral breast |
| B500 | Areolar-sparing mastectomy |
| B510 | Areolar-sparing mastectomy WITHOUT removal of uninvolved contralateral breast |
| B520 | Areolar-sparing mastectomy WITH removal of uninvolved contralateral breast |
| B600 | Total (simple) mastectomy |
| B610 | Total (simple) mastectomy WITHOUT removal of uninvolved contralateral breast |
| B620 | Total (simple) mastectomy WITH removal of uninvolved contralateral breast |
| B700 | Radical mastectomy, NOS |
| B710 | Radical mastectomy WITHOUT removal of uninvolved contralateral breast |
| B720 | Radical mastectomy WITH removal of uninvolved contralateral breast |
| B760 | Bilateral mastectomy for a single tumor involving both breasts, as for bilateral inflammatory carcinoma |
| B800 | Mastectomy, NOS (including extended radical mastectomy) |
| B900 | Surgery, NOS |
| B990 | Unknown if surgery was performed; death certificate ONLY |
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