EOD Regional Nodes

Notes

**Note 1:** For head and neck schemas, this field includes all lymph nodes defined as Levels I-VII and Other by TNM. **Note 2:** If laterality of lymph nodes is not specified, assume nodes are ipsilateral. Midline nodes are ipsilateral. **Note 3:** Supraclavicular lymph nodes can be either Level IV or Level V * Level IV: deep to the sternocleidomastoid muscle, in the lower jugular chain * Level V: in the posterior triangle, inferior to the transverse cervical artery, supraclavicular lymph nodes, NOS **Note 4:** For nasopharynx, Levels I, II, III, V, VI, are assigned code 300 or 400 based on size and/or unilateral vs bilateral. For Levels IV, VB, and VII, see code 600. If the only information available is "regional lymph nodes, NOS" or "lymph nodes," code 800. **The following lymph nodes are regional for Head and Neck tumors** **Level I** Level IA - Submental Level IB - Submandibular (submaxillary), sublingual **Level II - Upper jugular** Jugulodigastric (subdigastric) Upper deep cervical Level IIA - Anterior Level IIB - Posterior **Level III - Middle jugular** Middle deep cervical **Level IV - Lower jugular** Jugulo-omohyoid (supraomohyoid) Lower deep cervical Virchow node **Level V - Posterior triangle group** Posterior cervical Level VA - Spinal accessory Level VB - Transverse cervical, supraclavicular **Level VI - Anterior compartment group** Laterotracheal Paralaryngeal Paratracheal - above suprasternal notch Perithyroidal Precricoid (Delphian) Prelaryngeal Pretracheal - above suprasternal notch Recurrent laryngeal **Level VII - Superior mediastinal group (for other mediastinal node(s) see EOD Mets)** Esophageal groove Paratracheal - below suprasternal notch Pretracheal - below suprasternal notch **Other groups** Cervical, NOS Deep cervical, NOS Facial - Buccinator (buccal) - Mandibular - Nasolabial Internal jugular, NOS Parapharyngeal Parotid - Infraauricular - Intraparotid - Periparotid - Preauricular Retroauricular (mastoid) Retropharyngeal Suboccipital **Note 5:** Code 800 if regional lymph nodes are involved, but there is no indication which ones are involved.

Code	Description	SS2018 N
000	No regional lymph node involvement	NONE
300	Cervical lymph node(s), unilateral, 6 cm or smaller Retropharyngeal lymph node(s), unilateral or bilateral, 6 cm or smaller above the caudal border of cricoid cartilage	RN
400	Cervical lymph node(s), bilateral, 6 cm or smaller above the caudal border of cricoid cartilage	RN
600	Cervical lymph node(s), unilateral or bilateral, greater than 6 cm AND/OR extension below the caudal border of cricoid cartilage	RN
800	Regional lymph node(s), NOS Lymph node(s), NOS	RN
999	Unknown; regional lymph node(s) not stated Regional lymph node(s) cannot be assessed Not documented in medical record Death Certificate Only	U

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