Lymph Nodes Head and Neck Levels VI-VII
Description
Lymph Nodes for Head and Neck, Levels VI-VII records the involvement of Levels VI-VII lymph nodes. This data item is used to code the presence or absence of lymph node involvement in head and neck levels I-III. The definitions of the levels are the same for all applicable head and neck sites. **Level VI** contains the lymph nodes of the anterior central compartment from the hyoid bone superiorly to the suprasternal notch inferiorly. On each side, the lateral boundary is formed by the medial border of the carotid sheath. Lymph node chains at this level: * Laterotracheal, Paralaryngeal, paratracheal (above suprasternal notch), perithyroidal, Precricoid (Delphian), Prelaryngeal, recurrent laryngeal) **Level VII** contains the lymph nodes inferior to the suprasternal notch in the superior mediastinum. Lymph node chains at this level: * Esophageal groove, paratracheal (below suprasternal notch), Pretracheal (below suprasternal notch)Notes
**Note 1:** **Physician Statement** * Physician statement of Levels IV-V lymph node involvement can be used to code this data item when no other information is available. **Note 2:** **Related data items** * 3876: LN Head and Neck Levels I-III * 3877: LN Head and Neck Levels IV-V * 3878: LN Head and Neck Levels VI-VII * 3879: LN Head and Neck Other **Note 3:** **Priority order** * Pathological information takes priority over clinical.| Code | Description |
|---|---|
| 0 | No involvement in Levels VI or VII lymph nodes |
| 1 | Level VI lymph node(s) involved |
| 2 | Level VII lymph node(s) involved |
| 3 | Levels VI and VII lymph node(s) involved |
| 8 | Not applicable: Information not collected for this case (If this item is required by your standard setter, use of code 8 will result in an edit error) |
| 9 | Not documented in medical record Positive nodes, but level of positive node(s) unknown Lymph nodes levels VI-VII not assessed, or unknown if assessed |