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