Scenario: 2024 Diagnosed with Bladder Cancer treated with Radical Cystoprostatectomy with ileal conduit conversion
Question: How would you code the Primary surgery code?
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- A600 Complete cystectomy with reconstruction
- A610 Radical cystectomy PLUS ileal conduit
- A700 Pelvic exenteration, NOS
- A710 Radical cystectomy including anterior exenteration
Answer: A710 Radical cystectomy including anterior exenteration
READ THE NOTES in SEER Appendix C & STORE Appendix A
Below is a snip from SEER Manual, however STORE contains a similar information
[SEER Note: Use code A710 for cystoprostatectomy. Use code A710 for cystectomy with hysterectomy.]
[SEER Note: If a cystectomy is done and the prostatectomy/hysterectomy is not done, any organs other than the bladder removed during the procedure should be coded in Surgical Procedure of Other Site (NAACCR #1294).
If cystectomy is done along with prostatectomy/hysterectomy, all pelvic organs removed during the procedure are included in codes A700-A740.
Any non-pelvic organs or tissues removed during the procedure should be coded to Surgical Procedure of Other Site (NAACCR #1294).]
- For females, includes removal of bladder, uterus, ovaries, entire vaginal wall, and entire urethra.
- For males, includes removal of the prostate. When a procedure is described as a pelvic exenteration for males, but the prostate is not removed, the surgery should be coded as a cystectomy (code A600-A640).