SEER Inquiry System - View

Question: 20140007 Status
Final

References
Source 1:   2014 SEER Manual
pgs:  
Notes:   App C
Source 2:  
pgs:  
Notes:  


Question
Surgery of Primary Site--Lung: How is surgery coded when a patient undergoes a mediastinoscopy with mediastinal lymph node sampling and then a later upper lobectomy? See discussion.

Discussion
The mediastinal nodes were submitted as a separate specimen. The patient also had several peribronchial nodes identified within the lobectomy specimen.

Does code 33 (Lobectomy with mediastinal lymph node dissection) require a complete mediastinal lymph node dissection (i.e. the removal of all lymph nodes in mediastinal chain(s) as opposed to a selective sampling/dissection of lymph nodes from multiple mediastinal chains)?

Answer
Assign code 33 in this situation. Code 33 can include mediastinal lymph node sampling.

History


Last Updated
01/15/2014

Date Finalized
02/05/2014