CS Mets at DX: Breast Cancer

Note: Supraclavicular (transverse cervical) is moved to CS Lymph Nodes.

Code Description TNM SS77 SS2000
00 No; none M0 NONE NONE
10 Distant lymph node(s)
  • Cervical, NOS
  • Contralateral/bilateral axillary and/or internal mammary
  • Other than above
Distant lymph node(s), NOS
M1 D D
40 Distant metastases except distant lymph node(s) (code 10)
Distant metastasis, NOS
M1 D D
42 Further contiguous extension:
Skin over:
  • Axilla
  • Contralateral (opposite) breast
  • Sternum
  • Upper abdomen
M1 D D
44 Metastasis:
  • Adrenal (suprarenal) gland
  • Bone, other than adjacent rib
  • Contralateral (opposite) breast - if stated as metastatic
  • Lung
  • Ovary
  • Satellite nodule(s) in skin other than primary breast
M1 D D
50 (10) + any of [(40) to (44)]
Distant lymph node(s) plus other distant metastases
M1 D D
99 Unknown if distant metastasis
Distant metastasis cannot be assessed
Not documented in patient record
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