Brain: Summary Stage 2018 Coding Manual V2

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BRAINBRAIN8000-8700, 8720-8790, 8802, 8810, 8815, 8850, 8890, 8900, 9064, 9070-9071, 9080, 90849085, 9100-9105, 9120, 9133, 9140, 9180, 9220, 9362, 9364, 9380-9540, 9680, 9699, 97009715, 9751-9759C700, C710-C719C700 Cerebral meningesC710 CerebrumC711 Frontal lobeC712 Temporal lobeC713 Parietal lobeC714 Occipital lobeC715 Ventricle, NOSC716 Cerebellum, NOSC717 Brain stemC718 Overlapping lesion of brainC719 Brain, NOSNote 1: The following sources were used in the development of this chapter SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 0Dig.3rd.pdf)SEER Summary Staging Manual-2000: Codes and Coding 2000/)Collaborative Stage Data Collection System, version lt.aspxChapter 72 Brain and Spinal Cord, in the AJCC Cancer Staging Manual, Eighth Edition(2017) published by Springer International Publishing. Used with permission of theAmerican College of Surgeons, Chicago, Illinois.Note 2: See the following chapters for the listed histologies 8710-8714, 8800-8801, 8803-8806, 8811-8814, 8816-8818, 8820-8842, 8851-8881,8891-8898, 8901-8934, 8940-9063, 9065, 9072-9073, 9081-9083, 9086-9091, 9110,9121-9132, 9135-9138, 9141-9175, 9181-9213, 9221-9361, 9363, 9365-9373, 95419582: Soft Tissue8935-8936: GISTNote 3: Summary Stage is the only applicable staging system for this site/histology/schema.Note 4: Assign code 8 for benign or borderline tumors.Note 5: Codes 0, 3, and 4 are not applicable for this chapter.September 2020Summary Stage 2018 Coding Manual v2.01

Note 6: The tentorium cerebelli is an extension of the dura mater that separates the cerebellumfrom the inferior portion of the occipital lobes. The location of the tumor above or below thetentorium can help in determining the type of tumor; also most adult brain tumors aresupratentorial, and most pediatric brain tumors are infratentorial. In the following list, note thatICD-O-3 codes C71.0 and C71.9 include both supratentorial and infratentorial subsites. The following subsites are Infratentorialo All subsites for codes C716-C717o Hypothalamus (C710)o Pallium (C710)o Posterior cranial fossa (C719)o Thalamus (C710)The following subsites are Supratentorialo All subsites for codes C711-C715o Primary site C710 (excluding hypothalamus, pallium, thalamus)o Anterior cranial fossa (C719)o Corpus callosum (C718)o Middle cranial fossa (C719)o Tapetum (C718)o Suprasellar (C719)Note 7: A midline shift is not the same thing as crossing the midline (code 2) It must state tumor crosses the midlineSUMMARY STAGE1 Localized only (localized, NOS) September 2020Confined to brain, NOSConfined to meninges, NOSConfined to ventricleso Tumor invades or encroaches upon ventricular systemInfratentorial tumor confined too Brain stem or meninges of brain stem (one side) Medulla oblongata Midbrain (mesencephalon) Ponso Cerebellum or meninges of cerebellum (one side or midline) Lateral lobes Median lobe of cerebellum Vermiso Hypothalamuso ThalamusInfratentorial tumoro Both cerebellum and brain stem involved with tumor on one sideSummary Stage 2018 Coding Manual v2.02

Supratentorial tumor confined too Cerebral hemisphere (cerebrum) or meninges of cerebral hemisphere (one side) Frontal lobe Occipital lobe Parietal lobe Temporal lobe2 Regional by direct extension only Bone (skull)Contralateral hemisphereCorpus callosum (including splenium)Major blood vessel(s)Meninges (e.g., dura)Nerves (cranial, NOS)Spinal cord/canalSupratentorial tumor extends infratentorially to involveo Brain stemo Cerebellumo Hypothalamuso Palliumo Posterior cranial fossao ThalamusInfratentorial tumor extends supratentorially to involveo Anterior cranial fossao Cerebrum (cerebral hemisphere) (excluding hypothalamus, pallium, thalamus)o Corpus callosumo Middle cranial fossao Suprasellar braino TapetumTumor crosses the midline7 Distant site(s)/lymph node(s) involved September 2020Distant site(s) (including further contiguous extension)o Circulating cells in cerebral spinal fluid (CSF)o Nasal cavityo Nasopharynxo Other direct extension outside CNSo Posterior pharynxDistant lymph node(s), NOSDistant metastasis, NOSo Carcinomatosiso Distant metastasis WITH or WITHOUT distant lymph node(s)Summary Stage 2018 Coding Manual v2.03

oMetastasis within CNS and CSF pathways "Drop" metastasis Extra-neural metastasis Metastasis outside the CNS8 Benign or borderline brain9 Unknown if extension or metastasisSeptember 2020Summary Stage 2018 Coding Manual v2.04

CNS OTHERC701, C709, C720-C721, C728-C729: 8000-8700, 8720-8790, 8802, 8810, 8815, 8850, 8890,8900, 9064, 9070-9071, 9080, 9084-9085, 9100-9105, 9120, 9133, 9140, 9180, 9220, 9362,9364, 9380-9540, 9680, 9699, 9700-9715, 9751-9759C722, C724-C725: 8000-8700, 8720-8790, 8900, 9064, 9070-9071, 9080, 9084-9085, 9100,9120, 9140, 9220, 9362, 9380-9539, 9680, 9699, 9700-9715, 9751-9759C723: 8000-8700, 8720-8790, 9064, 9070, 9080, 9084-9085, 9100, 9140, 9180, 9362, 93809420, 9423-9472, 9474-9493, 9501-9521, 9523, 9531-9539, 9680, 9699, 9700-9715, 9751-9759C701, C709, C720-C725, C728, C729C701 Spinal meningesC709 Meninges, NOSC720 Spinal cordC721 Cauda equinaC722 Olfactory nerveC723 Optic nerveC724 Acoustic nerveC725 Cranial nerve, NOSC728 Overlapping lesion of brain and central nervous systemC729 Nervous system, NOSNote 1: The following sources were used in the development of this chapter SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 0Dig.3rd.pdf)SEER Summary Staging Manual-2000: Codes and Coding 2000/)Collaborative Stage Data Collection System, version lt.aspxChapter 72 Brain and Spinal Cord, in the AJCC Cancer Staging Manual, Eighth Edition(2017) published by Springer International Publishing. Used with permission of theAmerican College of Surgeons, Chicago, Illinois.Note 2: See the following chapters for the listed histologies September 2020C701, C709, C720-C721, C728-C729 (8710-8714, 8800-8801, 8803-8806, 8811-8814,8816-8818, 8820-8842, 8851-8881, 8891-8898, 8901-8934, 8940-9063, 9065, 90729073, 9081-9083, 9086-9091, 9110, 9121-9132, 9135-9138, 9141-9175, 9181-9213,9221-9361, 9363, 9365-9373, 9541-9582): Soft TissueC722, C724-C725 (8710-8714, 8800-8806, 8810-8898, 8901-8905, 8910, 8912, 89208921, 8930-8934, 8940-8992, 9000-9016, 9020, 9030-9063, 9065, 9072-9073, 90819083, 9086-9091, 9101-9110, 9121-9138, 9141-9213, 9221-9231, 9240-9361, 93639373, 9540-9582): Soft TissueSummary Stage 2018 Coding Manual v2.05

C723 (8710-8714, 8800-8921, 8932-8934, 8940-8990, 9000-9016, 9030-9063, 9065,9071-9073, 9081-9083, 9086-9091, 9101-9138, 9141-9175, 9181-9230, 9240-9361,9363-9373, 9421, 9473, 9500, 9522, 9530, 9540-9582): Orbital SarcomaC723 (8930-8931, 8991-8992, 9020, 9231): Soft Tissue8935-8936: GISTNote 3: Summary Stage is the only applicable staging system for this site/histology/schema.Note 4: Assign code 8 for benign or borderline tumors.Note 5: Codes 0, 3, and 4 are not applicable for this chapter.SUMMARY STAGE1 Localized only (localized, NOS) Confined to tissue or site of origin2 Regional, NOS Adjacent connective/soft tissueAdjacent muscleBrain for cranial nerve tumor(s)Major blood vessel(s)Meningeal tumor infiltrates nerveNerve tumor infiltrates meninges (dura)Sphenoid and frontal sinuses (skull)7 Distant site(s)/lymph node(s) involved Distant site(s) (including further contiguous extension)o Bone other than skullo Brain except for cranial nerve tumor(s)o EyeDistant lymph node(s), NOSDistant metastasis, NOSo Carcinomatosiso Distant metastasis WITH or WITHOUT distant lymph node(s)8 Benign or borderline brain9 Unknown if extension or metastasisSeptember 2020Summary Stage 2018 Coding Manual v2.06

INTRACRANIAL GLAND8000-8700, 8720-8790, 8900, 9064, 9070-9071, 9080, 9084-9085, 9100, 9120, 9140, 9220,9362, 9380-9539, 9680, 9699, 9700-9715, 9751-9759C751-C753C751 Pituitary glandC752 Craniopharyngeal ductC753 Pineal GlandNote 1: The following sources were used in the development of this chapter SEER Extent of Disease 1988: Codes and Coding Instructions (3rd Edition, 0Dig.3rd.pdf)SEER Summary Staging Manual-2000: Codes and Coding 2000/)Collaborative Stage Data Collection System, version lt.aspxChapter 72 Brain and Spinal Cord, in the AJCC Cancer Staging Manual, Eighth Edition(2017) published by Springer International Publishing. Used with permission of theAmerican College of Surgeons, Chicago, Illinois.Note 2: See the following chapters for the listed histologies 8710-8714, 8800-8806, 8810-8898, 8901-8905, 8910, 8912, 8920-8921, 8930-8934,8940-8992, 9000-9016, 9020, 9030-9063, 9065, 9072-9073, 9081-9083, 9086-9091,9101-9110, 9121-9138, 9141-9213, 9221-9231, 9240-9361, 9363-9373, 9540-9582: SoftTissue8935-8936: GISTNote 3: Summary Stage is the only applicable staging system for this site/histology/schema.Note 4: Assign code 8 for benign or borderline tumors.Note 5: Codes 3 and 4 are not applicable for this chapter.SUMMARY STAGE0 In situ, intraepithelial, noninvasive1 Localized only (localized, NOS) September 2020Confined to gland of originSummary Stage 2018 Coding Manual v2.07

2 Regional by direct extension only Adjacent connective/soft tissueAdjacent organ(s)/structure(s) for pituitary and craniopharyngeal ducto Cavernous sinuso Infundibulumo Ponso Sphenoid body and sinusesAdjacent organ(s)/structure(s) for pinealo Infratentorial and central brain7 Distant site(s)/lymph node(s) involved Distant site(s) (including further contiguous extension)Distant lymph node(s), NOSDistant metastasis, NOSo Carcinomatosiso Distant metastasis WITH or WITHOUT distant lymph node(s)8 Benign or borderline brain9 Unknown if extension or metastasisSeptember 2020Summary Stage 2018 Coding Manual v2.08

SEER Summary Staging Manual-2000: Codes and Coding Instructions . Brain and Spinal Cord, in the AJCC Cancer Staging Manual, Eighth Edition (2017) published by Springer International Publishing. Used with permission of the American College of Surgeons, Chicago, Illinois. Note 2: See the following chapters for the listed histologies .

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