Organization | Field Name | ID | Required |
---|---|---|---|
KCR | Laterality (Laterality) | 30410 | yes |
NAACCR | Laterality | yes |
Field Length: 1
Enter the one digit code which describes this primary with regard to involvement of one or both sides of paired organs (see list below).
Code | Description |
---|---|
0 | Not a paired site |
1 | Right: origin of primary |
2 | Left: origin of primary |
3 | Only one side involved, right or left origin unspecified |
4 | Bilateral involvement at time of diagnosis, lateral origin unknown for a single primary; or both ovaries involved simultaneously, single histology; bilateral retinoblastoma; bilateral Wilms tumors |
5 | Paired site: Midline tumor (effective with 01/01/2010 dx) |
9 | Paired site, but no information concerning laterality |
Coding Instructions
1. Use code 0 (not a paired organ) when:
a. The primary site is not a paired site
b. Primary site is unknown primary site (C80.9)
c. Laterality is unknown for a death certificate only (DCO) case and the primary site is NOT one o the primary site codes listed in the table below: (Sites for Which Laterality Codes Must Be Recorded)
2. Code laterality using codes 1-9 for all of the sites listed in the table: (Sites for Which Laterality Codes Must Be Recorded)
a. Laterality may be coded for sites other than those required, for example, Thyroid
3. Code the side where the primary tumor originated.
a. Assign code 3 if the laterality is not known but the tumor is confined to a single side of the paired organ.
Example: Pathology report: Patient has a 2cm carcinoma in the upper pole of the kidney. Code laterality as 3 because there is documentation that the disease exists in only one kidney, but it is unknown if the disease originated in the right or left kidney.
4. Code 4 is seldom used EXCEPT for the following:
i. Both ovaries involved simultaneously, single histology
ii. Bilateral retinoblastomas
iii. Bilateral Wilms’ tumor
iv. If both lungs have nodules or tumors and the lung of origin is not known
5. Assign code 5 when the tumor originates in the midline of a site listed in 5.a.
a. C700, C710 - C714, C722 - C725, C443, C444, C445
Example 1:Patient has an excision of a melanoma located just above the umbilicus.
Example 2:Patient has a midline meningioma of the cerebral meninges.
6. Assign code 9 when:
a. The neoplasm originated in a paired site and
1. Laterality is unknown
AND
2. There is no statement that only one side of the paired organ is involved.
Example 1: Admitting history says patient was diagnosed with lung cancer based on positive sputum cytology. Patient is treated for painful bony metastases. There is no information about laterality in the diagnosis of this lung cancer.
Example 2: Widely metastatic ovarian carcinoma surgically debulked. Ovaries could not be identified in the specimen.
b. Laterality is unknown for a death certificate only (DCO)case with primary site C079 -C081, C090-C091, C098-C099, C301, C310, C312, C341-C349, C384, C400-C403, C441-C443, C445-C447, C471-C472, C491-C492, C500-C509, C569, C570, C620-C629 C630-C631, C649, C659, C669, C690-C699, C700, C710-C714, C722-C725, C740-C749, or C754.
LIST OF PAIRED ORGANS
ICD-O
Code | Site |
---|---|
C07.9 | Parotid gland |
C08.0 | Submandibular gland |
C08.1 | Sublingual gland |
C09.8 | Overlapping lesion of tonsil |
C09.9 | Tonsil, NOS |
C30.1 | Middle ear |
C31.0 | Maxillary sinus |
C31.2 | Frontal sinus |
C34.1-C34.9 | Lung |
C38.4 | Pleura |
C40.0 | Long bones of upper limb and scapula |
C40.1 | Short bones of upper limb |
C40.2 | Long bones of lower limb |
C40.3 | Short bones of lower limb |
C44.1 | Skin of eyelid |
C44.2 | Skin of external ear |
C44.3 | Skin of other and unspecified parts of face (if midline, code 5) |
C44.4 | Skin of scalp and neck |
C44.5 | Skin of trunk (if midline, code 5) |
C44.6 | Skin of arm and shoulder |
C44.7 | Skin of leg and hip |
C47.1 | Peripheral nerves and autonomic nervous system of upper limb and shoulder |
C47.2 | Peripheral nerves and autonomic nervous system of lower limb and hip |
C49.1 | Connective, subcutaneous, and other soft tissue of upper limb and shoulder |
C49.2 | Connective, subcutaneous, and other soft tissue of lower limb and hip |
C50.0-C50.9 | Breast (male and female) |
C56.9 | Ovary |
C57.0 | Fallopian tube |
C62.0-C62.9 | Testis |
C63.0 | Epididymis |
C63.1 | Spermatic cord |
C64.9 | Kidney, NOS |
C65.9 | Renal pelvis |
C66.9 | Ureter |
C69.0-C69.9 | Eye and lacrimal gland |
C70.0 | Cerebral meninges |
C71.0 | Cerebrum |
C71.1 | Frontal lobe |
C71.2 | Temporal lobe |
C71.3 | Parietal lobe |
C71.4 | Occipital lobe |
C72.2 | Olfactory nerve |
C72.3 | Optic nerve |
C72.4 | Acoustic nerve |
C72.5 | Cranial nerve, NOS |
C74.0-C74.9 | Suprarenal gland |
C75.4 | Carotid body |