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    Item #
    Length
    Source of Standard
    Year Implemented
    Version Implemented
    Year Retired
    Version Retired
  
  
    1335
    4
    CoC
    2024
    24
    
    
  



NAACCR XML: Tumor.rxSummReconBreast



Description

Records the reconstruction procedure immediately following resection performed at any facility. This data item is required beginning with diagnosis year 2024 and breast cases only.



Rationale

Breast reconstruction was previously collected within the breast surgery codes. CoC will collect this data item to support the Synoptic Operative Reports and allow for more descriptive reconstruction codes.





Codes

        A000 No reconstruction

No immediate reconstruction was performed at any facility
        A100 Tissue expanded placement

Tissue expanders were placed without implant or tissue placement
        A200 Direct to implant placement

Permanent implant is placed immediately following resection

Example: A mastectomy is performed by the breast surgeon and an implant is placed at the same time by a plastic surgeon (some general /breast surgeons may place implants, but most are placed by plastics)
        A300 Oncoplastic tissue rearrangement (not a formal mastopexy/reduction)

Reconstruction performed with parenchymal flap or adjacent tissue transfer
        A400 Oncoplastic reduction and/or mastopexy

Breast conserving resection and a breast reduction/lift is performed
        A500 Oncoplastic reconstruction with regional tissue flaps

Breast conserving resection and reconstruction is performed with skin flaps
        A600 Mastectomy reconstruction with autologous tissue, source not specified

Autologous tissue source is unknown or not specified
        A610 Mastectomy reconstruction WITH abdominal tissue
        A620 Mastectomy reconstruction WITH thigh tissue
        A630 Mastectomy reconstruction WITH gluteal tissue
        A640 Mastectomy reconstruction WITH back tissue
        A900 Reconstruction performed, method unknown
        A970 Implant based reconstruction, NOS
        A980 Autologous tissue-based reconstruction, NOS
        A990 Unknown if immediate reconstruction was performed

A000	No reconstruction No immediate reconstruction was performed at any facility
A100	Tissue expanded placement Tissue expanders were placed without implant or tissue placement
A200	Direct to implant placement Permanent implant is placed immediately following resection Example: A mastectomy is performed by the breast surgeon and an implant is placed at the same time by a plastic surgeon (some general /breast surgeons may place implants, but most are placed by plastics)
A300	Oncoplastic tissue rearrangement (not a formal mastopexy/reduction) Reconstruction performed with parenchymal flap or adjacent tissue transfer
A400	Oncoplastic reduction and/or mastopexy Breast conserving resection and a breast reduction/lift is performed
A500	Oncoplastic reconstruction with regional tissue flaps Breast conserving resection and reconstruction is performed with skin flaps
A600	Mastectomy reconstruction with autologous tissue, source not specified Autologous tissue source is unknown or not specified
A610	Mastectomy reconstruction WITH abdominal tissue
A620	Mastectomy reconstruction WITH thigh tissue
A630	Mastectomy reconstruction WITH gluteal tissue
A640	Mastectomy reconstruction WITH back tissue
A900	Reconstruction performed, method unknown
A970	Implant based reconstruction, NOS
A980	Autologous tissue-based reconstruction, NOS
A990	Unknown if immediate reconstruction was performed