CS Mets at DX
Notes
**Note 1**: Discontinuous metastasis to any of the following abdominal organs by way of peritoneal seeding or implants is included in the T3 category (FIGO Stage III) and coded in CS Extension: abdominal mesentery; diaphragm; gallbladder; infracolic omentum; kidneys; large intestine except rectum, rectosigmoid, and sigmoid colon; liver (peritoneal surface); omentum; pancreas; pericolic gutter; peritoneum, NOS; small intestine; spleen; stomach; and ureters outside pelvis. Hematogenous metastases are included in M1 (FIGO Stage IV) disease **Note 2**: AJCC TNM values correspond to the stages accepted by the Federation Internationale de Gynecologie et d'Obstetrique (FIGO), and FIGO stages are included for coding where no more specific information is available in the record.| Code | Description | AJCC 7 M | AJCC 6 M | Summary Stage 1977 M | Summary Stage 2000 M |
|---|---|---|---|---|---|
| 00 | No distant metastasis | M0 | M0 | NONE | NONE |
| 10 | Distant lymph node(s), NOS | M1 | M1 | D | D |
| 40 | Distant metastasis(except distant lymph node(s) and involvement of other organs by peritoneal seeding or implants (See Note 1) including: Liver parenchymal metastasis Pleural effusion WITH positive cytology Carcinomatosis |
M1 | M1 | D | D |
| 50 | 40 + 10 Distant metastasis plus distant lymph node(s) |
M1 | M1 | D | D |
| 60 | OBSOLETE DATA REVIEWED V0203 See codes 65, 70 Distant metastasis, NOS Stated as M1 [NOS] FIGO Stage IV [NOS] |
M1 | M1 | D | D |
| 65 | Distant metastasis, NOS Stated as M1 with no other information on distant metastasis |
M1 | M1 | D | D |
| 70 | FIGO Stage IV | M1 | M1 | D | D |
| 99 | Unknown; distant metastasis not stated Distant metastasis cannot be assessed Not documented in patient record |
M0 | MX | U | U |