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Data Standards and Data Dictionary

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Length: 4
Source of Standard: CoC
Section Name: Hospital-Specific
Year Implemented: 2024
Version Implemented: 24
Record Types: C, A, M, I

XML NAACCR ID: rxHospReconBreast

Parent XML Element: Tumor

Required Status:

NPCR Collect: . - No recommendations
CoC Collect: R - Required
SEER Collect: R - Required
CCCR Collect: . - No recommendations

Description:

Used to collect information on immediate breast reconstruction.

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.

Format:

Right justified, no leading or trailing zeros or spaces

Item Data Type:

mixed

Allowable Values

A000, A100, A200, A300, A400, A500, A600, A610, A620, A630, A640, A900, A970, A980, A990

Codes:

A000

No reconstruction

No immediate reconstruction was performed at this 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