American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes

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NAACCR Data Item 1504, 1514, 1524 Radiation Primary Treatment Volume

Code 86 Pelvis (NOS, non-visceral)

The treatment volume is directed at a primary tumor of the pelvis, but the primary sub-site is not a pelvic organ or is not known or indicated. For example, this code should be used for sarcomas arising from the pelvis. Determination of the exact treatment volume may require assistance from the radiation oncologist for consistent coding.

Scenario 1:

  • The patient has a total Prostatectomy with seminal vesical removal
  • Radiation treatment is stated to be directed to the prostate bed
  • Code to volume 86 unless physician documentation states differently

Scenario 2:

  • Patient undergoes TAH-BSO for cervical cancer
  • Received post-op radiation to the pelvis.
  • Code to volume 86 unless physician documentation states differently

2019 NCDB Call for Data Submissions

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