Surgery

Key:
X = complete
* = partial
o = optional

Tissues Removed
  Tumor Only Bladder Lymph Nodes Other Organs
Electrocoagulation of bladder tumor X      
Local destruction of bladder tumor X      
Cryosurgery X      
Excisional biopsy   *    
Transurethral resection of bladder (TURB)   *    
Segmental resection of bladder without node dissection   *    
Partial/subtotal cystectomy without node dissection   *    
Segmental resection of bladder with node dissection * X    
Partial/subtotal cystectomy with node dissection * X    
Complete/total/simple cystectomy without node dissection   X    
Complete/total/simple cystectomy with node dissection X X    
Cystectomy, Not Otherwise Specified */X      

Radical cystectomy (male)

  • Includes prostate, seminal vesicles, perivesical tissues, distal ureters
  X X o

Radical cystectomy (female)

  • Includes uterus, ovaries, fallopian tubes, surrounding peritoneum; may include urethra and vaginal wall
  X X o

Pelvic exenteration (partial), anterior

  • includes bladder, distal ureters, genital organs, ligamentous attachments
X X o  

Pelvic exenteration (partial), posterior

  • includes rectum, rectosigmoid, ligamentous attachments
X X o  

Pelvic exenteration, total

  • includes all pelvic content listed above
  X X o

Pelvic exenteration, extended

  • includes all pelvic content plus bony pelvis or pelvic blood vessels
  X X o
Surgery of regional/distant sites/nodes only     X  

Partial removal of the ureter should be ignored when determining the appropriate code for surgery.