SEER Inquiry System - Question 20081047 Details

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SEER Inquiry System - Report

Produced: 01/03/2026 10:46 AM

Question 20081047

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Inquiry Details

References:

2007 SEER Manual, 183-184

Question:

Reason no surgery of primary site/First course treatment: If the Reason no Surgery of Primary Site field is coded as 7 (refused), must the other treatment options (radiation, chemo, hormone) also be coded as 7? See Discussion.

Discussion:

Coding instruction #5 in the SEER manual states: "Assign code 7 (refused) if the patient refused recommended surgery or made a blanket statement that he/she refused all treatment."

Answer:

Refused [code 7] means this modality was specifically recommended by the physician and the patient refused. If two treatment alternatives were offered and surgery was refused, code Reason no surgery of primary site 1 [Surgery of the primary site was not performed because it was not part of the planned first-course treatment].

Refusal of surgery does not necessarily mean that all treatment was refused. Coding Surgery of Primary Site as "refused" does not affect the coding of Radiation, Chemotherapy, Hormone Therapy, etc.

Cancer Site Category:

N/A

Data Item Category:

First course treatment, Reason no treatment

Other Category:

N/A

Year:

2008