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National Program of Cancer Registries - page 81 / 93

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Surgical Procedure of Primary Site: Colon

  • Code 50: Total colectomy

  • Code 51: Total colectomy plus resection of contiguous organ

  • Code 60: Total proctocolectomy

  • Code 61: Total proctocolectomy plus resection of contiguous organ

  • Code 70: Colectomy or proctocolectomy with resection of contiguous organs

Code 50 is assigned for colon when the entire colon is resected, total colectomy. That includes the removal of the colon from the cecum to the rectosigmoid junction and may include a portion of the rectum. When trying to determine if a patient had a segmental resection (30), hemicolectomy (40), or total colectomy (50), carefully review the pathology and operative reports to determine how much of the colon was resected. Code 51 is assigned when total colectomy is performed and a contiguous organ is removed as part of the same procedure. If the procedure was colectomy with removal of the bladder, code 51 would be assigned. Assign code 60 when total proctocolectomy is performed. Total proctocolectomy is removal of the entire colon from the cecum to the rectosigmoid junction and the entire rectum. If total proctocolectomy is performed with removal of a contiguous organ as part of the same procedure, assign code 61. If a patient has a colectomy or proctocolectomy with resection of contiguous organs and there is not enough information in the record to assign code 32, 41, 51, or 61, use code 70.

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