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{
  "id" : "extension_bey",
  "algorithm" : "cs",
  "version" : "02.05.50",
  "name" : "Extension",
  "title" : "CS Extension",
  "notes" : "**Note 1**:  AJCC stages carcinoma of pharyngeal tonsil using schema for oropharynx.\n\n**Note 2**:  The assignment of T1 and T2 categories for tumors of the oropharynx is based on tumor size.  A physician's statement of the T category may be used to code CS Tumor Size and/or CS Extension if this is the only information in the medical record regarding one or both of these fields.  However the two fields are coded independently: for example the record may document size but not extension, other than the physician's statement of the T category.  Use codes 330, 350, 575, 665, 810, or 815 as appropriate to code CS Extension based on a statement of T when no other extension information is available.\n\n**Note 3**:  Use code 305 for localized tumor only if no information is available to assign code 100, 200, 305, or 310.",
  "footnotes" : "- For CS Extension codes 105, 205, 305, 330, 350, 400, 500, 530, 555, and 565 ONLY, the T category for AJCC 7 staging is assigned based on the value of CS Tumor Size as shown in the Extension Size Table AJCC 7 for this schema.\n- For CS Extension codes 100 through 568, 575, and 580 ONLY, the T category for AJCC 6 staging is assigned based on the value of CS Tumor Size as shown in the Extension Size Table AJCC 6 for this schema.",
  "last_modified" : "2015-05-27T16:19:12.622Z",
  "definition" : [ {
    "key" : "extension",
    "name" : "Code",
    "type" : "INPUT"
  }, {
    "key" : "description",
    "name" : "Description",
    "type" : "DESCRIPTION"
  }, {
    "key" : "ajcc7_t",
    "name" : "AJCC 7 T",
    "type" : "ENDPOINT"
  }, {
    "key" : "ajcc6_t",
    "name" : "AJCC 6 T",
    "type" : "ENDPOINT"
  }, {
    "key" : "t77",
    "name" : "Summary Stage 1977 T",
    "type" : "ENDPOINT"
  }, {
    "key" : "t2000",
    "name" : "Summary Stage 2000 T",
    "type" : "ENDPOINT"
  } ],
  "rows" : [ [ "000", "In situ, intraepithelial, noninvasive", "VALUE:Tis", "VALUE:Tis", "VALUE:IS", "VALUE:IS" ], [ "100", "OBSOLETE DATA RETAINED V0200\n\nInvasive tumor confined to one of the following subsites:\n    Inferior wall (superior surface of soft palate)\n    One lateral wall\n    Posterior superior wall (vault)", "ERROR:", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "105", "Invasive tumor confined to:\n    Pharyngeal tonsil (nasopharyngeal tonsil)\n    Adenoid        \n    Posterior superior wall (vault)", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "200", "OBSOLETE DATA RETAINED V0200\n\nInvolvement of two or more subsites:\n    Lateral wall extending into Eustachian tube/middle ear\n    Posterior, inferior, or lateral wall(s)", "ERROR:", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "205", "Involvement of inferior wall of nasopharynx (superior surface of soft palate)", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "300", "OBSOLETE DATA RETAINED V0200\n\nConfined to nasopharynx\nLocalized, NOS", "ERROR:", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "305", "Confined to pharyngeal tonsil \nLocalized, NOS", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "330", "Stated as T1 with no other information on extension", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "350", "Stated as T2 with no other information on extension", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "400", "Oropharynx\nSoft palate, inferior surface including uvula", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "500", "Nasal cavity", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "530", "Pterygopalatine fossa ", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "550", "OBSOLETE DATA RETAINED V0200\n\nAny extension coded in 100-500 WITH fixation or tumor\nDescribed only as FIXED", "ERROR:", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "555", "Any extension coded in 105, 205, 305, 400, 500, or 530 \nWITH fixation or tumor described only as FIXED", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "560", "OBSOLETE DATA RETAINED V0200\n\nAny extension coded  in 100-500 WITH parapharyngeal extension", "ERROR:", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "565", "OBSOLETE DATA RETAINED AND REVIEWED V0203\nSee code 566\n\nAny extension coded in 100, 200, 400, 500, or 530 \nWITH parapharyngeal extension", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "566", "Any extension coded in 105, 205, 305, 400, 500, or 530\nWITH parapharyngeal extension", "JUMP:extension_size_ajcc7_xdl", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "568", "Lingual surface of epiglottis", "VALUE:T3", "JUMP:extension_size_ajcc6_xdk", "VALUE:D", "VALUE:D" ], [ "570", "OBSOLETE DATA CONVERTED V0200\nSite/histology moved to new schema V0200\nSee code 610\n\nHard palate", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "575", "Stated as T3 with no other information on extension", "VALUE:T3", "JUMP:extension_size_ajcc6_xdk", "VALUE:L", "VALUE:L" ], [ "580", "OBSOLETE DATA RETAINED V0200\nSite/histology moved to new schema V0200\nSee code 530\n\nPterygopalatine fossa", "ERROR:", "JUMP:extension_size_ajcc6_xdk", "VALUE:RE", "VALUE:RE" ], [ "600", "OBSOLETE DATA RETAINED V0200\nSite/histology moved to new schema V0200\nSee code 760\n\nBone including skull", "ERROR:", "VALUE:T4b", "VALUE:RE", "VALUE:RE" ], [ "610", "Hard palate", "VALUE:T4a", "VALUE:T4a", "VALUE:D", "VALUE:RE" ], [ "620", "Paranasal sinus", "VALUE:T4a", "VALUE:T4a", "VALUE:D", "VALUE:RE" ], [ "640", "(610, 620) + 568\n\nAny structure in code 610 or 620 plus lingual surface of epiglottis", "VALUE:T4a", "VALUE:T4a", "VALUE:D", "VALUE:D" ], [ "645", "Larynx\nHypopharynx\nExtrinsic muscle of tongue\nMedial pterygoid muscle\nMandible", "VALUE:T4a", "VALUE:T4a", "VALUE:D", "VALUE:D" ], [ "650", "OBSOLETE DATA REVIEWED AND CHANGED V0200\nIn CS version 1, extension to the orbit was included in both codes 650 and 700. In addition, the isntructions for coding invasion of orbital bone were not clear.  Codes 650 and 700 should be reviewed for orbital involvement.  Involvement of bone of floor of orbit should be coded 760, and other orbit involvement should be coded 780.\n\nOrbit", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "665", "Stated as T4a with no other information on extension", "VALUE:T4a", "VALUE:T4a", "VALUE:RE", "VALUE:RE" ], [ "700", "OBSOLETE DATA REVIEWED AND CHANGED V0200\nSee note in code 650\n\nBrain\nCranial nerves\nHypopharynx\nInfratemporal fossa\nOrbit\nIntracranial extension, NOS", "ERROR:", "ERROR:", "ERROR:", "ERROR:" ], [ "710", "Lateral nasopharynx", "VALUE:T4b", "VALUE:T4b", "VALUE:L", "VALUE:L" ], [ "715", "710 + (400 - 550) \n\nLateral nasopharynx plus any structure in codes 400 through 530", "VALUE:T4b", "VALUE:T4b", "VALUE:RE", "VALUE:RE" ], [ "718", "710 + (610, 620) \n\nLateral nasopharynx plus hard palate or paranasal sinus", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:RE" ], [ "730", "710 + 568 \n\nLateral nasopharynx plus lingual surface of epiglottis", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "740", "Lateral pterygoid muscle\nPterygoid plates", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "750", "OBSOLETE DATA RETAINED V0200\nSite/histology moved to new schema V0200\nSee code 780\n\nMasticator space", "ERROR:", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "760", "Bony structures of skull base \nFloor of orbit", "VALUE:T4b", "VALUE:T4b", "VALUE:RE", "VALUE:RE" ], [ "765", "760 + (610, 620) \n\nAny structure in 760 plus hard palate or paranasal sinus", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:RE" ], [ "770", "760 + 568 \n\nAny structure in 760 plus lingual surface of epiglottis", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "780", "Brain\nCranial nerve involvement\nHypopharynx\nInfratemporal fossa/Masticator space\nOrbit", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "790", "Carotid artery (encased", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "800", "Further contiguous extension including:\n    Soft tissues of the neck", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "810", "Stated as T4b with no other information on extension", "VALUE:T4b", "VALUE:T4b", "VALUE:D", "VALUE:D" ], [ "815", "Stated as T4 [NOS] with no other information on extension", "VALUE:T4NOS", "VALUE:T4NOS", "VALUE:L", "VALUE:L" ], [ "950", "No evidence of primary tumor", "VALUE:T0", "VALUE:T0", "VALUE:U", "VALUE:U" ], [ "999", "Unknown; extension not stated\nPrimary tumor cannot be assessed\nNot documented in patient record", "VALUE:TX", "VALUE:TX", "VALUE:U", "VALUE:U" ] ]
}




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