Malignant neoplasm of other and ill-defined digestive organs
In Malignant neoplasms of digestive organs (C15-C26), chapter 2: Neoplasms
3 billable codes under C26: none are a CC or MCC; all map to HCC 22 (Bladder, Colorectal, and Other Cancers).An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Excludes1: not coded here, use a different code
- malignant neoplasm of peritoneum and retroperitoneum (C48.-)
Also applies, from Malignant neoplasms of digestive organs (C15-C26)
These notes sit on C15-C26 and apply to every code under it, including C26.
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding benign and malignant neoplasms: using the Neoplasm Table, sequencing primary and secondary sites, treatment encounters, complications, and current cancer versus personal history.
- Admission/Encounter for treatment of primary site (page 33)
- Admission/Encounter for treatment of secondary site (page 33)
- Coding and sequencing of complications (page 34)
- Primary malignancy previously excised (page 34)
- Admissions/Encounters involving antineoplastic chemotherapy, immunotherapy and radiation therapy (page 35)
- Admission/encounter to determine extent of malignancy (page 36)
- Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms (page 36)
- Admission/encounter for pain control/management (page 36)
All codes under C26
C26 can't be used on a claim. Pick a billable code below; grey headings group them.
C26 MS-DRGs
As the principal diagnosis, the billable codes under C26 group to these 15 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 374 Digestive Malignancy with MCC (2 of 3 codes)
- DRG 375 Digestive Malignancy with CC (2 of 3 codes)
- DRG 376 Digestive Malignancy without CC/MCC (2 of 3 codes)
- DRG 146 Ear, Nose, Mouth and Throat Malignancy with MCC (1 of 3 codes)
- DRG 147 Ear, Nose, Mouth and Throat Malignancy with CC (1 of 3 codes)
- DRG 148 Ear, Nose, Mouth and Throat Malignancy without CC/MCC (1 of 3 codes)
- DRG 820 Lymphoma and Leukemia with Major O.R. Procedures with MCC (1 of 3 codes)
- DRG 821 Lymphoma and Leukemia with Major O.R. Procedures with CC (1 of 3 codes)
- DRG 822 Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC (1 of 3 codes)
- DRG 823 Lymphoma and Non-Acute Leukemia with Other Procedures with MCC (1 of 3 codes)
- DRG 824 Lymphoma and Non-Acute Leukemia with Other Procedures with CC (1 of 3 codes)
- DRG 825 Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC (1 of 3 codes)
- DRG 840 Lymphoma and Non-Acute Leukemia with MCC (1 of 3 codes)
- DRG 841 Lymphoma and Non-Acute Leukemia with CC (1 of 3 codes)
- DRG 842 Lymphoma and Non-Acute Leukemia without CC/MCC (1 of 3 codes)
Other codes that refer to C26
Notes on these codes point to C26.
- Z80.0 Includes: Conditions classifiable to C15-C26
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Cancer
Cancer is not just one disease but many diseases. Cancer begins in your cells, which are the building blocks of your body. Usually, your body forms new cells as needed, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor.
Read more about cancer on MedlinePlusDigestive Diseases
When you eat, your body breaks food down to a form it can use to build and nourish cells and provide energy. This process is called digestion. Your digestive system is a series of hollow organs joined in a long, twisting tube. It runs from your mouth to your anus and includes your esophagus, stomach, and small and large intestines. Your liver, gallbladder and pancreas are also involved. They produce juices to help digestion.
Read more about digestive diseases on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
