]> M-8247 C60.0 Prepuce C60.1 Glans penis C60.2 Body of penis C60.8 Overlapping lesion of penis C60.9 Penis, NOS Note 1: This schema is used for Merkel cell carcinoma only. &commontumorsizeskinmerkel; CS Extension Note 1: In the case of multiple simultaneous tumors, code the tumor with the greatest extension. Note 2: Skin ulceration does not alter the AJCC T category. Note 3: Satellite nodules/In-transit metastasis are coded in CS Lymph Nodes. Note 4: The assignment of the T1, T2, and T3 categories for Merkel cell carcinomas is based on tumor size. A physician's statement of the T category may be used to code both CS Tumor Size and/or CS Extension if this is the only information in the medical record regarding one or both of these fields. However the two fields are coded independently; for example, the record may document size but not extension. Use codes 320, 560, 630, and 810 as appropriate to code CS Extension based on a statement of T when no other extension information is available. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 Tis Tis IS IS 050 ERROR Ta IS IS 100 ^ T1 L L 105 ^ T1 L L 300 Localized, NOS ^ T1 L L 310 Subcutaneous tissue (through entire dermis) ^ T1 L L 320 ERROR ERROR ERROR ERROR 330 Stated as T1 with no other information on extension ^ T1 L L 350 ERROR ERROR ERROR ERROR 400 ERROR ERROR ERROR ERROR 410 ^ T2 RE RE 500 ^ T1 RE RE 560 Stated as T2 with no other information on extension ^ T2 L L 570 ^ T1 RE RE 600 T4 T3 RE RE 630 ERROR ERROR ERROR ERROR 700 T4 T4 RE RE 710 T4 T4 RE RE 720 T4 T4 D D 730 T4 T4 D D 800 T4 T4 D D 810 Stated as T4 with no other information on extension T4 T4 RE RE 950 No evidence of primary tumor T0 T0 U U 999 TX TX U U ^ For CS Extension codes 100-570 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size as shown in the Extension Size AJCC 7 Table for this site. &generalcstsexteval; CS Lymph Nodes Note 1: Code only regional nodes and nodes, NOS, in this field. Distant nodes are coded in CS Mets at DX. Note 2: Bilateral nodes are considered regional nodes for tumors with bidirectional drainage to primary nodal basins, as shown on lymphoscintigraphy. Clinical assessment of bilateral regional nodal involvement is required for tumors where lymphoscintigraphy is not performed. Note 3: Contiguous or secondary nodal basins are the next nodal drainage basins beyond the primary nodal basins. Secondary basins are considered regional for AJCC staging but may be distant for Summary Stage. Use code 400 for involvement of nodes in secondary nodal basins not otherwise specified. Note 4: In-transit metastasis is defined as a tumor distinct from the primary lesion and located either between the primary lesion and the draining regional lymph nodes or distal to the primary lesion. In-transit metastasis is coded in CS Lymph Nodes. Note 5: Isolated tumor cells (ITCs) should be considered positive nodes. If only ITCs are present, use code 010. Note6: If the only information about lymph nodes is a statement of N1 involvement without a clinical or pathologic designation, use code 170. Code Description TNM 7 Map TNM 6 Map SS77 Map SS2000 Map 000 No regional lymph node involvement N0 N0 NONE NONE 010 Isolated tumor cells (ITCs) only ^ N0 NONE NONE 100 ^ N1 RN RN 110 ^ N1 RN RN 120 ^ N1 RN RN 140 ^ N1 RN RN 150 ^ N1 RN RN 160 ^ N1 RN RN 200 ^ N2 RN RN 300 ^ N3 RN RN 400 ^ N3 RN RN 410 N2 N0 RE RE 420 N2 N1 RE RE 440 N2 N1 RE+RN RE+RN 460 N2 N2 RE+RN RE+RN 480 N2 N3 RE+RN RE+RN 500 Regional lymph node(s), NOS ^ N1 RN RN 520 N2 N1 RE+RN RE+RN 550 N2 N1 RE RE 800 Lymph nodes, NOS N1NOS N1 RN RN 999 NX NX U U ^ When CS Lymph Nodes Eval is coded, for CS Lymph Nodes codes 010-400 and 500 ONLY, the N category for AJCC 7staging is assigned based on the value of CS Lymph Nodes Eval and CS Site-Specific Factor 3, Status of Lymph Node Mets, as shown in the Lymph Nodes and Nodal Status Eval AJCC 7 Table. When CS Lymph Nodes Eval is blank, for CS Lymph Nodes codes 010-400 and 500 ONLY, the N category for AJCC 7staging is assigned based on the value of CS Site-Specific Factor 3, Status of Lymph Node Mets, and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Eval Blank AJCC 7 Table. &commonregnodesevalmerkelcell; &commonreglnpos_active; &generalreglnexam; &commonmetsatdxmerkelcellscrotum; &generalmetseval; &commonssf1merkelcell; ¬appssfactor2; &commonssf3merkelcell; ¬appssfactor4; ¬appssfactor5; ¬appssfactor6; ¬appnewssf7; ¬appnewssf8; ¬appnewssf9; ¬appnewssf10; ¬appnewssf11; ¬appnewssf12; ¬appnewssf13; ¬appnewssf14; ¬appnewssf15; &commonssf16merkelcell; &commonssf17merkelcell; &commonssf18merkelcell; &commonssf19merkelcell; &commonssf20merkelcell; &commonssf21merkelcell; &commonssf22merkelcell; ¬appnewssf23; ¬appnewssf24; ¬appnewssf25; &commonhistinclusionskinmerkelcell; &commonhistologyexclusions1; &commonstagemerkelcelltnm7; &commonstagepenis; &commonsummarystage; Extension Size AJCC 7 Table Note: For CS Extension codes 100-570 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size, as shown in this table. CS Extension CS Tumor Size 000 0 CS Tumor Size 001-020 1 20 CS Tumor Size 021-050 21 50 CS Tumor Size 051-989 51 989 CS Tumor Size 990-991 990 991 CS Tumor Size 992 992 CS Tumor Size 993-994 993 994 CS Tumor Size 995 995 CS Tumor Size 996 996 CS Tumor Size 999 999 100 ERROR T1 T2 T3 T1 T1 T2 T2 T3 TX 105 ERROR T1 T2 T3 T1 T1 T2 T2 T3 TX 300 ERROR T1 T2 T3 T1 T1 T2 T2 T3 TX 310 ERROR T1 T2 T3 T1 T1 T2 T2 T3 TX 330 ERROR T1 T2 T3 T1 T1 T1 T1 T3 T1 410 ERROR T1 T2 T3 T1 T1 T2 T2 T3 TX 500 ERROR T1 T2 T3 T1 T1 T2 T2 T3 TX 560 ERROR T1 T2 T3 T1 T2 T2 T2 T3 T2 570 ERROR T1 T2 T3 T1 T3 T3 T3 T3 T3 Lymph Node and Nodal Status Eval AJCC 7 Table Note: For CS Lymph Nodes codes 010-400 and 500 ONLY, the N category is assigned based on the value of CS Lymph Nodes Eval and CS Site-Specific Factor 3, Clinical Status of Lymph Node Mets, as shown in the following table. CS Lymph Nodes Eval CS Lymph Nodes CS SSF 3 000, 005 0 5 CS SSF 3 010 10 CS SSF 3 020 20 CS SSF 3 100 100 CS SSF 3 150 150 CS SSF 3 888, 988 888 988 CS SSF 3 999 999 0,1,5,9 010 ERROR N1a N1b ERROR N2 ERROR N1a 0,1,5,9 100-400,500 ERROR ERROR N1 ERROR N2 ERROR N1 2,3,6,8 010 ERROR N1a N1b ERROR ERROR ERROR N1a 2,3,6,8 100,110 ERROR N1a N1b ERROR N2 ERROR N1NOS 2,3,6,8 120 ERROR N1a N1b ERROR N2 ERROR N1a 2,3,6,8 140 ERROR N1a N1b ERROR N2 ERROR N1b 2,3,6,8 150-400,500 ERROR N1a N1b ERROR N2 ERROR N1NOS Lymph Node and Nodal Status Eval Blank AJCC 7 Table Note: When CS Lymph Nodes Eval is blank, for CS Lymph Nodes codes 010-400 and 500 ONLY, the N category is assigned based on the value of CS Site-Specific Factor 3, Clinical Status of Lymph Node Mets, and Regional Nodes Positive, as shown in the following table. Regional Nodes Positive CS Lymph Nodes CS SSF 3 000, 005 0 5 CS SSF 3 010 10 CS SSF 3 020 20 CS SSF 3 100 100 CS SSF 3 150 150 CS SSF 3 888, 988 888 988 CS SSF 3 999 999 00,98 010 ERROR N1a N1b ERROR N2 ERROR N1a 00,98 100-400,500 ERROR N1 N1 ERROR N2 ERROR N1 01-90,95,97,99 010 ERROR N1a N1b ERROR N2 ERROR N1a 01-90,95,97,99 100 ERROR N1a N1b ERROR N2 ERROR N1NOS 01-90,95,97,99 110 ERROR N1a N1b ERROR N2 ERROR N1 01-90,95,97,99 120 ERROR N1a N1b ERROR N2 ERROR N1a 01-90,95,97,99 140 ERROR N1a N1b ERROR N2 ERROR N1b 01-90,95,97,99 150-400,500 ERROR N1a N1b ERROR N2 ERROR N1NOS