CS Lymph Nodes

Notes

**Note 1**: Code only regional nodes and nodes, NOS in this field. Distant nodes are coded in CS Mets at DX. **Note 2**: According to AJCC, p. 325, "There is no lower threshold of tumor burden defining the presence of regional nodal metastasis. Specifically, nodal tumor deposits less than 0.2 millimeter (mm) in diameter (previously used as the threshold for defining nodal metastasis), are included in the staging of nodal disease as a result of the consensus that smaller volumes of metastatic tumor are still clinically significant". This means that any finding of melanoma in lymph nodes, regardless of size and including isolated tumor cells (ITCs), should be coded as positive lymph nodes in this field. If only ITCs are present, use code 010. **Note 3**: Bilateral or contralateral nodes are considered regional nodes for head, neck, and truncal tumors with bidirectional drainage to primary nodal basins, as shown on lymphoscintigraphy. Truncal tumors may also drain to both cephalad and caudal primary nodal basins as shown on lymphoscintigraphy. Clinical assessment of bilateral/contralateral or cephalad/caudal regional nodal involvement is required for tumors where lymphoscintigraphy is not performed. **Note 4**: Contiguous or secondary nodal basins are the next nodal drainage basins beyond the primary nodal basins. Secondary basins are considered regional for AJCC staging but may be distant for Summary Stage. Use code 115 for involvement of nodes in secondary nodal basins not specified in codes 100 and 110. **Note 5**: Satellite lesions/nodules or in-transit metastases are coded in this field. Use codes 100-118 if there is regional node involvement without satellite nodules or in-transit metastases. Use codes 140-151 if there are satellite nodules or in-transit metastases but there is either no regional lymph node involvement, or involvement of regional nodes is not stated. Use codes 200-223 if both satellite nodules/in-transit metastases and regional lymph nodes are present. **Note 6**: If the only information about lymph nodes is a statement of N1 involvement without a clinical or pathologic designation, use code 125. If the only information about lymph nodes is a statement of N2 involvement without a clinical or pathologic designation, use code 155.
Code Description AJCC 7 N TNM 6 N Summary Stage 1977 N Summary Stage 2000 N
000 No regional lymph node involvement N0 N0 NONE NONE
010 Isolated tumor cells (ITCs) only Determine Correct Table for AJCC 7 N N0 NONE NONE
100 Regional lymph nodes by primary site (includes bilateral or contralateral nodes for head, neck, and trunk):
HEAD AND NECK SITES:
All subsites:
Cervical, NOS
Lip:
Facial, NOS:
Mandibular
Submandibular(submaxillary)
Eyelid/canthus:
Facial, NOS:
Buccinator (buccal)
Nasolabial
Mandibular
Submandibular (submaxillary)
Parotid, NOS:
Infraauricular
External ear/auditory canal:
Mastoid (post-/retroauricular ) (occipital)
Preauricular
Face, Other (cheek, chin forehead, jaw, nose and temple):
Facial, NOS:
Buccinator (buccal)
Nasolabial
Mandibular
Submandibular (submaxillary)
Parotid, NOS:
Infraauricular
Preauricular
Scalp:
Mastoid (post-/retroauricular) (occipital)
Parotid, NOS:
Infraauricular
Preauricular
Spinal accessory (posterior cervical)
Neck:
Axillary
Mandibular
Mastoid (post-/retroauricular )
Parotid, NOS:
Infraauricular
Preauricular
Spinal accessory (posterior cervical)
Supraclavicular (transverse cervical)
UPPER TRUNK:
Axillary
Cervical
Internal mammary
Supraclavicular
LOWER TRUNK:
Superficial inguinal (femoral)
ARM/SHOULDER:
Axillary
Epitrochlear for hand/forearm
Spinal accessory (posterior cervical) for shoulder
LEG/HIP:
Popliteal for heel and calf
Superficial inguinal (femoral)
VULVA/PENIS/SCROTUM:
Deep inguinal: Rosenmuller or Cloquet node
Superficial inguinal (femoral)
ALL SITES:
Regional lymph node(s), NOS
(See Note 3)		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
110 Regional lymph node(s) by primary site (includes bilateral or contralateral nodes for head and neck):
HEAD AND NECK SITES:
Lip:
Facial, NOS:
Buccinator (buccal)
Nasolabial
Submental
Parotid, NOS
Infraauricular
Preauricular
Eyelid/canthus:
Submental
Face, Other (cheek, chin, forehead, jaw, nose, and temple):
Submental
Neck:
Submental
(See Note 3)		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N D RN
115 Head (includes bilateral or contralateral nodes for head and trunk):
All subsites:
Supraclavicular
Upper Trunk:
Femoral (or cephalad/caudal drainage from primary tumor) (see Note 2)
Lower Trunk:
Axillary (or cephalad/caudal drainage from primary tumor) (see Note 2)
Arm/Shoulder:
Supraclavicular
Leg/Hip:
Iliac
All sites:
Regional lymph node(s) in two contiguous secondary nodal basins (to secondary nodal basin)
(See Notes 2, 3)
 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N D D
118 115 + (100 and/or 110)

Regional lymph nodes coded in 115 plus regional lymph nodes coded in 100 and/or 110		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N D D
120 OBSOLETE DATA CONVERTED V0204
See code 110

Regional lymph node(s) by primary site:
HEAD AND NECK SITES:
Lip:
Facial, NOS:
Buccinator (buccal)
Nasolabial
Submental
Parotid, NOS
Infraauricular
Preauricular
Eyelid/canthus:
Submental
Face, Other (cheek, chin, forehead, jaw, nose, and temple):
Submental
Neck:
Submental
(See Note 3)		 ERROR: ERROR: ERROR: ERROR:
121 Evaluated clinically:

Clinically stated as N1 with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
122 Evaluated pathologically:

Pathologically stated as N1a with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
123 Evaluated pathologically:

Pathologically stated as N1b with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
124 Evaluated pathologically:

Pathologically stated as N1 [NOS] with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
125 Stated as N1 [NOS] with no information on clinical or pathologic evaluation Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
128 Evaluated clinically:

Clinically stated as N2 with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RNOS RNOS
130 OBSOLETE DATA CONVERTED V0204
See code 151

Satellite nodule(s) or in-transit metastases, NOS
(Distance from primary tumor not stated)
WITHOUT regional lymph node involvement or involvement of regional nodes not stated		 ERROR: ERROR: ERROR: ERROR:
140 Satellite nodule(s) or in-transit metastases less than or equal to 2cm from primary tumor
WITHOUT regional lymph node involvement or involvement of regional nodes not stated		 N2c N2c L RE
150 Satellite nodule(s) or in-transit metastases greater than 2cm from primary tumor
WITHOUT regional lymph node involvement or involvement of regional nodes not stated.		 N2c N2c RE RN
151 Satellite nodule(s) or in-transit metastases, NOS
(Distance from primary tumor not stated)
WITHOUT regional lymph node involvement or involvement of regional nodes not stated		 N2c N2c RE RNOS
152 Evaluated pathologically:

Pathologically stated as N2a with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
153 Evaluated pathologically:

Pathologically stated as N2b with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RN RN
154 Stated as N2c with no other information on satellite nodules N2c N2c RE RE
155 Stated as N2 [NOS] with no information on pathologic or clinical evaluation Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RNOS RNOS
158 Evaluated pathologically:

Pathologically stated as N2 [NOS] with no other information on regional lymph nodes		 Determine Correct Table for AJCC 7 N Determine Correct Table for AJCC 6 N RNOS RNOS
170 Matted lymph nodes in code 100 N3 N3 RN RN
180 Matted lymph nodes in code 110 N3 N3 D RN
190 Matted lymph nodes in code 115 N3 N3 D D
195 190 + (170 and/or 180)

Matted lymph nodes in code 190 plus matted lymph nodes in code 170 and/or code 180		 N3 N3 D D
200 Satellite nodule(s) or in-transit metastases
WITH regional lymph nodes listed in code 100.		 N3 N3 RE+RN RNOS
220 Satellite nodule(s) or in-transit metastases
WITH regional lymph nodes listed in code 110		 N3 N3 D RNOS
223 Satellite nodule(s) or in-transit metastases WITH regional lymph nodes listed in code 115 N3 N3 D D
225 Stated as N3 with no other information on regional lymph nodes N3 N3 RNOS RNOS
800 Lymph nodes, NOS N1NOS N1NOS RN RN
999 Unknown; regional lymph nodes not stated
Regional lymph nodes cannot be assessed
Not documented in patient record		 NX NX U U
- When evaluation is clinical (CS Lymph Nodes Eval = 0, 1, 5, 9) for CS Lymph Nodes codes 010-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 7 staging depends on the values in CS Site-Specific Factor 3, as shown in the Lymph Nodes and Nodal Status Clinical Eval AJCC 7 Table. When evaluation is pathologic (CS Lymph Nodes Eval = 2, 3, 6, 8), for CS Lymph Nodes codes 010-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 7 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Pathologic Eval AJCC 7 Table. When evaluation is not coded (CS Lymph Nodes Eval = blank), for CS Lymph Nodes codes 010-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 7 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Pathologic Eval Blank AJCC 7 Table. - When evaluation is clinical (CS Lymph Nodes Eval = 0, 1, 5, 9) for CS Lymph Nodes codes 100-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 6 staging depends on the values in CS Site-Specific Factor 3, as shown in the Lymph Nodes and Nodal Status Clinical Eval AJCC 6 Table. When evaluation is pathologic (CS Lymph Nodes Eval = 2, 3, 6, 8), for CS Lymph Nodes codes 100-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 6 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Pathologic Eval AJCC 6 Table. When evaluation is not coded (CS Lymph Nodes Eval = blank), for CS Lymph Nodes codes 100-118, 121-128, 152, 153, and 155-158 ONLY, the N category for AJCC 6 staging depends on the values in CS Site-Specific Factor 3 and Regional Nodes Positive, as shown in the Lymph Nodes and Nodal Status Eval Blank AJCC 6 Table.