Kaposi's sarcoma
In Malignant neoplasms of mesothelial and soft tissue (C45-C49), chapter 2: Neoplasms
10 billable codes under C46: all are a CC; all map to HCC 21 (Lymphoma and Other Cancers).A CC or MCC (major CC) is a secondary diagnosis that raises the MS-DRG payment. An HCC counts toward a Medicare Advantage patient's risk score.
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Instructional notes
Code first: code the underlying condition first, then this code
- any human immunodeficiency virus [HIV] disease (B20)
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 C46
C46 can't be used on a claim. Pick a billable code below; grey headings group them.
- C46.0Kaposi's sarcoma of skin
- C46.1Kaposi's sarcoma of soft tissue
- C46.2Kaposi's sarcoma of palate
- C46.3Kaposi's sarcoma of lymph nodes
- C46.4Kaposi's sarcoma of gastrointestinal sites
- C46.5Kaposi's sarcoma of lung
- C46.50Kaposi's sarcoma of unspecified lung
- C46.51Kaposi's sarcoma of right lung
- C46.52Kaposi's sarcoma of left lung
- C46.7Kaposi's sarcoma of other sites
- C46.9Kaposi's sarcoma, unspecified
C46 MS-DRGs
As the principal diagnosis, the billable codes under C46 group to these 23 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 974 HIV with Major Related Condition with MCC (9 of 10 codes)
- DRG 975 HIV with Major Related Condition with CC (9 of 10 codes)
- DRG 976 HIV with Major Related Condition without CC/MCC (9 of 10 codes)
- DRG 606 Minor Skin Disorders with MCC (4 of 10 codes)
- DRG 607 Minor Skin Disorders without MCC (4 of 10 codes)
- DRG 180 Respiratory Neoplasms with MCC (3 of 10 codes)
- DRG 181 Respiratory Neoplasms with CC (3 of 10 codes)
- DRG 182 Respiratory Neoplasms without CC/MCC (3 of 10 codes)
- DRG 146 Ear, Nose, Mouth and Throat Malignancy with MCC (1 of 10 codes)
- DRG 147 Ear, Nose, Mouth and Throat Malignancy with CC (1 of 10 codes)
- DRG 148 Ear, Nose, Mouth and Throat Malignancy without CC/MCC (1 of 10 codes)
- DRG 374 Digestive Malignancy with MCC (1 of 10 codes)
- DRG 375 Digestive Malignancy with CC (1 of 10 codes)
- DRG 376 Digestive Malignancy without CC/MCC (1 of 10 codes)
- DRG 820 Lymphoma and Leukemia with Major O.R. Procedures with MCC (1 of 10 codes)
- DRG 821 Lymphoma and Leukemia with Major O.R. Procedures with CC (1 of 10 codes)
- DRG 822 Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC (1 of 10 codes)
- DRG 823 Lymphoma and Non-Acute Leukemia with Other Procedures with MCC (1 of 10 codes)
- DRG 824 Lymphoma and Non-Acute Leukemia with Other Procedures with CC (1 of 10 codes)
- DRG 825 Lymphoma and Non-Acute Leukemia with Other Procedures without CC/MCC (1 of 10 codes)
- DRG 840 Lymphoma and Non-Acute Leukemia with MCC (1 of 10 codes)
- DRG 841 Lymphoma and Non-Acute Leukemia with CC (1 of 10 codes)
- DRG 842 Lymphoma and Non-Acute Leukemia without CC/MCC (1 of 10 codes)
Other codes that refer to C46
Notes on these codes point to C46.
- D47.Z2 Excludes2: Kaposi's sarcoma (C46.-)
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Kaposi Sarcoma
Kaposi sarcoma, sometimes called KS, is a type of cancer. It causes lesions (abnormal tissue) to grow in different parts of the body, including: These lesions are usually red or purple. They are made of cancer cells, new blood vessels, and blood cells. The lesions may begin in more than one place in the body at the same time. This makes Kaposi sarcoma different from other cancers.
Read more about kaposi sarcoma on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
