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National Program of Cancer Registries - page 85 / 93

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Surgical Procedure of Primary Site: Rectum

  • Code 30: Wedge or segmental resection, partial proctectomy

  • Code 40: Pull through with sphincter preservation

  • Code 50: Total proctectomy

  • Code 60: Total proctocolectomy, NOS

  • Code 70: Proctectomy or proctocolectomy with resection in continuity with other organs; pelvic exenteration

Code 30 for rectum includes those procedures that excise the tumor and some of the surrounding normal tissues of the rectum without resecting the entire rectum. Procedures assigned code 30 for rectal cancer include anterior resection, Hartmann’s procedure, and low anterior resection, and transsacral rectosigmoidectomy. Assign code 40 for cancer of the rectum when the procedure performed is described as pull through with sphincter preservation including coloanal anastamosis. Code 50 is assigned for total proctectomy, removal of the entire rectum. Code 60 is assigned for total proctocolectomy, removal of the colon from the cecum to the rectosigmoid including the entire rectum. Assign code 70 if proctectomy or proctocolecotmy is performed with resection of contiguous organs. Code 70 includes pelvic exenteration, which is removal of the organs and adjacent structures of the pelvis.

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