Organization

Field Name

ID

Required

KCR

LN Head and Neck Levels I-III

34073

yes 

SEER

Lymph Nodes H&N Lev I-III

3876

yes 

Note 1 Physician statement of Levels I-III lymph node involvement can be used to code this data item when no other information is available.

Note 2 Head and Neck Lymph Node Involvement is coded in the following data items

  • LN Head and Neck Levels I-III (NAACCR Data Item #3876)
  • LN Head and Neck Levels IV-V (NAACCR Data Item #3877)
  • LN Head and Neck Levels VI-VII (NAACCR Data Item #3878)
  • LN Head and Neck Other (NAACCR Data Item #3879)

Note 3 Code the presence or absence of lymph node involvement for Levels I-III.

  • For more information on Levels I-III lymph nodes, see AJCC 8th edition, Chapter 5 Staging Head and Neck Cancers, Table 5.1

Note 4 Pathological information takes priority over clinical.

Note 5 If involved regional node levels are documented as a range, or if the involved nodes overlap multiple levels, code all levels specified.

Note 6 If information is available on some nodes, but the others are unknown, code what is known.

  • *Example* Multiple lymph nodes involved, level II documented, but the other levels not mentioned. Code 2 to indicate level II involvement.

Code

Description

0

No involvement in Levels I, II, or III lymph nodes

1

Level I lymph node(s) involved

2

Level II lymph node(s) involved

3

Level III lymph node(s) involved

4

Levels I and II lymph nodes involved

5

Levels I and III lymph nodes involved

6

Levels II and III lymph nodes involved

7

Levels I, II and III lymph nodes involved

8

Not applicable: Information not collected for this case
(If this item is required by your standard setter, use of code 8 will result in an edit error)

9

Not documented in medical record
Positive nodes, but level of positive node(s) unknown
Lymph node levels I-III not assessed, or unknown if assessed