Appendix C: Site Specific Coding Modules
2010 and 2011 SEER Coding and Staging Manuals
Appendix C brings together the site-specific instructions needed to abstract a case, facilitating efficiency and accuracy. The site-specific coding modules include SEER Coding Guidelines; Equivalent Terms, Definitions, Tables, Charts and Illustrations; Multiple Primary Rules; Histology Coding Rules; Collaborative Stage Coding Instructions1 and Surgery of Primary Site codes2.
General instructions in the main manual are applicable in the absence of site-specific instructions. All modules include the collaborative stage and surgery codes, and multiple primary and histology coding rules. Some modules include site-specific coding guidelines. The goal is to have stand-alone modules for major anatomic sites.
Collaborative Stage (CS) Data Collection System
Note: The links on this page go to the CS staging schemas in version 02.02 of the the Collaborative Stage Data Collection System. Visit the CS web site for staging schemas in version 02.03.
SEER Recommendations and Requirements for Implementation of CS Version 02.02.00:
Oral Cavity
- MP/H Coding Rules: Head and Neck - (C00.0-C14.8, C30.0-C32.9)
- CS Staging Schemas
- Lip, Upper (C00.0, C00.3)
- Lip, Lower (C00.1, C00.4, C00.6)
- Other Lip (C00.2, C00.5, C00.8-C00.9)
- Base of Tongue, Lingual Tonsil (C01.9, C02.4)
- Anterior 2/3 of Tongue, Tip, Border, and Tongue, NOS (C02.0-C02.3, C02.8-C02.9)
- Gum, Upper (C03.0)
- Gum, Lower and Retromolar Area Retromolar Gingiva (Trigone) (C03.1, C06.2)
- Gum, NOS (C03.9)
- Floor of Mouth (C04.0-C04.1, C04.8-C04.9)
- Hard Palate (C05.0)
- Soft Palate, Uvula (C05.1-C05.2)
- Other Mouth (C05.8-C05.9, C06.8-C06.9)
- Cheek (Buccal) Mucosa, Vestibule (C06.0-C06.1)
- Surgery Codes
- Oral Cavity - (C00.0-C00.9, C01.9, C02.0-C02.9, C03.0-C03.9, C04.0-C04.9, C05.0-C05.9, C06.0-C06.9)
Parotid, Other and Unspecified Glands
- MP/H Coding Rules: see Head and Neck (Oral Cavity)
- CS Staging Schemas
- Surgery Codes
- Parotid and Other Unspecified Glands - (C07.9, C08.0-C08.9)
Pharynx, Tonsil, Oropharynx, Hypopharynx, Pyriform Sinus
- MP/H Coding Rules: see Head and Neck (Oral Cavity)
- CS Staging Schemas
- Tonsil, Oropharynx (C09.0-C09.1, C09.8-C09.9, C10.0, C10.2-C10.4, C10.8-C10.9)
- Anterior Surface of Epiglottis (C10.1)
- Nasopharynx (C11.0-C11.3, C11.8-C11.9)
- Pyriform Sinus, Hypopharynx, Laryngopharynx (C12.9, C13.0-C13.2, C13.8-C13.9)
- Pharynx, NOS, and other Ill-Defined Oral Cavity Sites (C14.0, C14.2, C14.8)
- Surgery Codes
- Pharynx - (C09.0-C09.9, C10.0-C10.9, C11.0-C11.9, C12.9, C13.0-C13.9, C14.0)
- All Other Sites - (C14.2-C14.8)
Esophagus
- Coding Guidelines
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Esophagus (C15.0-C15.5, C15.8-C15.9)
- Surgery Codes
- Esophagus - (C15.0-C15.9)
Stomach
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Esophagus GE Junction (C16.0-C16.3)
- Stomach (C16.1-C16.6, C16.8-C16.9)
- Surgery Codes
- Stomach - (C16.0-C16.9)
Small Intestine
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Small Intestine (C17.0-C17.3, C17.8-C17.9)
- Surgery Codes
- All Other Sites - (C17.0-C17.9)
Colon
- Coding Guidelines
- MP/H Coding Rules: Colon - (C18.0-C18.9)
- CS Staging Scheme
- Colon (C18.0-C18.9 Excluding Appendix (C18.1))
- Appendix (C18.1)
- Surgery Codes
- Colon - (C18.0-C18.9)
Rectosigmoid, Rectum
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Rectosigmoid, Rectum (C19.9, C20.9)
- Surgery Codes
- Rectosigmoid - (C19.9)
- Rectum - (C20.9)
Anus
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Anus - (C210-C218)
Liver, Intrahepatic Bile Ducts
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Liver and Intrahepatic Bile Ducts - (C22.0-C22.1)
Gallbladder, Extrahepatic Bile Ducts, Ampulla of Vater
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Gallbladder (C23.9)
- Extrahepatic Bile Duct(s) (C24.0)
- Ampulla of Vater (C24.1)
- Other Biliary and Biliary, NOS (C24.8-C24.9)
- Surgery Codes
- All Other Sites - (C23.9, C24.0-C24.9)
Pancreas
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Surgery Codes
- Pancreas - (C25.0-C25.9)
Other Digestive
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- All Other Sites - (C26.0-C26.9)
Nasal Cavity, Middle Ear
- MP/H Coding Rules: see Head and Neck (Oral Cavity)
- CS Staging Schemas
- Nasal Cavity (C30.0)
- Middle Ear (C30.1)
- Surgery Codes
- All Other Sites - (C30.0-C30.1)
Sinuses
- MP/H Coding Rules: see Head and Neck (Oral Cavity)
- CS Staging Schemas
- Maxillary Sinus (C31.0)
- Ethmoid Sinus (C31.1)
- Accessory (Paranasal) Sinus (C31.2-C31.3, C31.8-C31.9)
- Surgery Codes
- All Other Sites - (C31.0-C31.9)
Larynx
- MP/H Coding Rules: see Head and Neck (Oral Cavity)
- CS Staging Schemas
- Glottic Larynx (C32.0)
- Supraglottic Larynx (C32.1)
- Subglottic Larynx (C32.2)
- Larynx, Overlapping Lesion or Not Otherwise Specified (C32.3, C32.8-C32.9)
- Surgery Codes
- Larynx - (C32.0-C32.9)
Trachea
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- All Other Sites - (C33.9)
Lung
- Coding Guidelines
- MP/H Coding Rules: Lung - (C34.0-C34.9)
- CS Staging Scheme
- Surgery Codes
- Lung - (C34.0-C34.9)
Heart, Mediastinum, Pleura
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Surgery Codes
- All Other Sites - (C38.0-C38.8, C39.0-C39.9)
Bones, Joints, Cartilage
- Coding Guidelines
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
Skin
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Skin (C44.0, C44.2-C44.9)
- Eyelid (C44.1)
- Surgery Codes
- Skin - (C44.0-C44.9)
Melanoma
- MP/H Coding Rules: Cutaneous Melanoma - (C44.0-C44.9)
- CS Staging Scheme
- Surgery Codes
- Skin - (C44.0-C44.9)
- All Other Sites - (C51.0-C51.9, C60.0-C60.9, C63.2)
Mycosis Fungoides, Sezary Disease
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Skin - (C44.0-C44.9)
- All Other Sites - (C51.0-C51.9, C60.0-C60.9, C63.2)
Nerves, Nervous System, Soft Tissues
- Coding Guidelines: Bones, Joints, Cartilage
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
Retroperitoneum, Peritoneum
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Retroperitoneum, Peritoneum (C48.0-C48.2, C48.8)
- Surgery Codes
- All Other Sites - (C48.0-C48.8)
Breast
- Coding Guidelines: Breast
- MP/H Coding Rules: Breast - (C50.0-C50.9)
- CS Staging Scheme
- Surgery Codes
- Breast (Effective 1/1/2011) (C50.0-C50.9)
Vulva, Vagina
- MP/H Coding Rules: see Other Sites
- CS Staging Schemes
- Vulva (C51.0-C51.2, C51.8-C51.9)
- Vagina (C52.9)
- Surgery Codes
- All Other Sites - (C51.0-C51.9, C52.9)
Cervix Uteri
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Cervix Uteri - (C53.0-C53.9)
Corpus Uteri, Uterus, NOS
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Corpus Uteri; Uterus, NOS (C54.0-C54.3, C54.8-C54.9, C55.9)
- Surgery Codes
- Corpus Uteri - (C54.0-C55.9)
Ovary
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Ovary - (C56.9)
Fallopian Tube, Ligaments, Adnexa
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Surgery Codes
- All Other Sites - (C57.0-C57.4)
Other and Unspecified Female Genital Organs, Placenta
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Surgery Codes
- All Other Sites - (C57.7-C57.9, C58.9)
Penis
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Penis (C60.0-C60.2, C60.8-C60.9)
- Surgery Codes
- All Other Sites - (C60.0-C60.9)
Prostate
- Coding Guidelines: Prostate
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Prostate - (C61.9)
Testis
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Testis - (C62.0-C62.9)
Other and Unspecified male Genital Organs
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Surgery Codes
- All Other Sites - (C63.0-C63.9)
Kidney
- Coding Guidelines: Kidney, Renal Pelvis, and Ureter
- MP/H Coding Rules: Kidney - (C64.9)
- CS Staging Scheme
- Surgery Codes
- Kidney, Renal Pelvis, and Ureter - (C64.9, C65.9, C66.9)
Renal Pelvis, Ureter
- Coding Guidelines: Kidney, Renal Pelvis, and Ureter
- MP/H Coding Rules: Renal Pelvis, Ureter, Bladder and Other Urinary - (C65.9, C66.9, C67.0-C67.9, C68.0-C68.9)
- CS Staging Scheme
- Surgery Codes
- Kidney, Renal Pelvis, and Ureter - (C64.9, C65.9, C66.9)
Bladder
- Coding Guidelines: Bladder
- MP/H Coding Rules: see Renal Pelvis, Ureter, Bladder and Other Urinary
- CS Staging Scheme
- Surgery Codes
- Bladder - (C67.0-C67.9
Urethra, Other Urinary
- Coding Guidelines: Urethra
- MP/H Coding Rules: see Renal Pelvis, Ureter, Bladder and Other Urinary
- CS Staging Schemas
- Surgery Codes
- All Other Sites - (C68.0-C68.9)
Eye
- MP/H Coding Rules: see Other Sites
- CS Staging Schemas
- Conjunctiva (excludes retinoblastoma, malignant melanoma, Kaposi sarcoma and lymphoma) (C69.0)
- Malignant Melanoma of Conjunctiva (C69.0)
- Cornea, Retina, Choroid, Ciliary body (Iris, Lens, Sclera, Ureal Tract), Eyeball, Overlapping and Other Eye (excludes melanoma and retinoblastoma) (C69.1-C69.4, C69.8-C69.9)
- Malignant Melanoma of Iris (C69.4)
- Malignant Melanoma of Ciliary Body (C69.4)
- Malignant Melanoma of Choroid (C69.3)
- Malignant Melanoma of Other Eye (C69.1, C69.2, C69.5, C69.8-C69.9)
- Lacrimal Gland (C69.5)
- Lacrimal Sac (C69.5)
- Orbit (C69.6)
- Retinoblastoma (C69.0-C69.6, C69.8-C69.9)
- Ocular Adnexal Lymphoma (C44.1, C69.0, C69.5-C69.6)
- Surgery Codes
- All Other Sites - (C69.0-C69.9)
Brain, Central Nervous System, Malignant
- Coding Guidelines: Brain
- MP/H Coding Rules: Brain, Spinal Cord, Cranial Nerves, Pituitary Gland, Craniopharyngeal Duct and Pineal Gland - (C70.0, C70.1, C70.9, C71.0-C71.9, C72.0-C72.5, C72.8, C72.9, C75.1-C75.3)
- CS Staging Schemas
- Surgery Codes
- Brain - (C70.0-C70.9, C71.0-C71.9, C72.0-C72.9)
Brain, Central Nervous System, Benign and Borderline
- Coding Guidelines: Brain
- MP/H Coding Rules: Benign and Borderline Primary Intracranial and CNS Tumors - (C70.0, C70.1, C70.9, C71.0-C71.9, C72.0-C72.5, C72.8, C72.9, C75.1-C75.3)
- CS Staging Schemas
- Surgery Codes
- Brain - (C70.0-C70.9, C71.0-C71.9, C72.0-C72.9)
Thyroid
- Coding Guidelines: Thyroid Gland
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- Thyroid Gland - (C73.9)
Thymus, Adrenal and Other Endocrine Glands
- MP/H Coding Rules
- For Malignant Pituitary, Craniopharyngeal duct and Pineal Gland (C75.1-C75.3)
Multiple Primary Rules: See Malignant Meninges, Brain, Spinal Cord, Cranial Nerves, Pituitary gland, Craniopharyngeal duct and Pineal gland - For Benign, Borderline Pituitary, Craniopharyngeal duct and Pineal gland
Multiple Primary Rules: See Benign and Borderline Primary Intracranial and CNS Tumors - For Thymus, Adrenal gland, Carotid body, Aortic body and other paraganglia, Overlapping lesion of endocrine glands and related structures and Endocrine gland NOS (C37.9, C74.0-C74.1, C74.9, C75.4-C75.9)
See Other Sites
- For Malignant Pituitary, Craniopharyngeal duct and Pineal Gland (C75.1-C75.3)
- CS Staging Scheme
- Surgery Codes
- All Other Sites - (C37.9, C74.0-C74.9, C75.0-C75.9)
- MP/H Coding Rules
Kaposi Sarcoma
- Coding Guidelines: Kaposi Sarcoma of All Sites
- MP/H Coding Rules: see Other Sites
- CS Staging Scheme
- Surgery Codes
- See Site-specific Codes
Lymphoma
- Coding Guidelines: Lymph Nodes
- MP/H Coding Rules: See the Hematopoietic Database and Manual
- CS Staging Scheme
- Surgery Codes
- Lymph Nodes - (C77.0-C77.9)
- See site-specific codes
Hematopoietic, Reticuloendothelial, Immunoproliferative and Myeloproliferative
- MP/H Coding Rules: See the Hematopoietic Database and Manual
- CS Staging Scheme
- Hematopoietic, Reticuloendothelial, Immunoproliferative, and Myeloproliferative Neoplasms (9731-9734, 9740-9742, 9750-9758, 9760-9762, 9764-9769, 9800-9801, 9805, 9820, 9823, 9826-9827, 9831-9837, 9840, 9860-9861, 9863, 9866-9867, 9870-9876, 9891, 9895-9897, 9910, 9920, 9930-9931, 9940, 9945-9946, 9948, 9950, 9960-9964, 9970, 9975, 9980, 9982-9987, 9989)
- Surgery Codes
- Hematopoietic/Reticuloendothelial/Immunoproliferative/Myeloproliferative Disease - (C42.0, C42.1, C42.3, C42.4)
Other and Unknown Sites
- MP/H Coding Rules: Other Sites
- CS Staging Scheme
- Other and Ill-Defined Sites, Unknown Primary Site (C42.0-C42.4, C76.0-C76.5, C76.7-C76.8, C77.0-C77.5, C77.8-C77.9, C80.9)
- C42 excludes hematopoietic, reticuloendothelial, immunoproliferative and myeloproliferative neoplasms, Hodgkin and non-Hodgkin lymphomas, and Kaposi sarcoma
- C77 excludes hematopoietic, reticuloendothelial, immunoproliferative and myeloproliferative neoplasms, Hodgkin and non-Hodgkin lymphomas, and Kaposi sarcoma
- Other and Ill-Defined Sites, Unknown Primary Site (C42.0-C42.4, C76.0-C76.5, C76.7-C76.8, C77.0-C77.5, C77.8-C77.9, C80.9)
- Surgery Codes
- See Hematopoietic, Reticuloendothelial, Immunoproliferative, and Myeloproliferative Disease - (C42.0, C42.1, C42.3, C42.4)
- Spleen - (C42.2)
- Unknown and Ill-Defined Primary Sites - (C76.0-C76.8, C80.9)
1 Part II of the Collaborative Stage Data Collection manual is included in this appendix. For an introduction to Collaborative Stage, see the general rules in Part I of the Collaborative Stage Data Collection Manual and Coding Instructions.
2 The surgery codes are based on the American College of Surgeons Commission on Cancer’s Facility Oncology Registry Data System, American College of Surgeons, Chicago, IL, 60611-321 (FORDS), Revised for 2010, Appendix B: Site-specific Surgery Codes. The surgery codes in this document are identical to the FORDS manual; only formatting and annotations may vary. The SEER Notes that appear in the Surgery Code sections contain information or instructions not found in FORDS or that are different from FORDS.