Malignant neoplasm of other and ill-defined sites
In Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80), chapter 2: Neoplasms
11 billable codes under C76: none are a CC or MCC; all map to HCC 23 (Prostate, Breast, and Other Cancers and Tumors).An HCC counts toward a Medicare Advantage patient's risk score.
Advertisements
Instructional notes
Excludes1: not coded here, use a different code
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 C76
C76 can't be used on a claim. Pick a billable code below; grey headings group them.
- C76.0Malignant neoplasm of head, face and neck
- C76.1Malignant neoplasm of thorax
- C76.2Malignant neoplasm of abdomen
- C76.3Malignant neoplasm of pelvis
- C76.4Malignant neoplasm of upper limb
- C76.40Malignant neoplasm of unspecified upper limb
- C76.41Malignant neoplasm of right upper limb
- C76.42Malignant neoplasm of left upper limb
- C76.5Malignant neoplasm of lower limb
- C76.50Malignant neoplasm of unspecified lower limb
- C76.51Malignant neoplasm of right lower limb
- C76.52Malignant neoplasm of left lower limb
- C76.8Malignant neoplasm of other specified ill-defined sites
C76 MS-DRGs
As the principal diagnosis, the billable codes under C76 group to these 30 MS-DRGs (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 826 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC (7 of 11 codes)
- DRG 827 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC (7 of 11 codes)
- DRG 828 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC (7 of 11 codes)
- DRG 829 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC (7 of 11 codes)
- DRG 830 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC (7 of 11 codes)
- DRG 843 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC (7 of 11 codes)
- DRG 844 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC (7 of 11 codes)
- DRG 845 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC (7 of 11 codes)
- DRG 180 Respiratory Neoplasms with MCC (1 of 11 codes)
- DRG 181 Respiratory Neoplasms with CC (1 of 11 codes)
- DRG 182 Respiratory Neoplasms without CC/MCC (1 of 11 codes)
- DRG 374 Digestive Malignancy with MCC (1 of 11 codes)
- DRG 375 Digestive Malignancy with CC (1 of 11 codes)
- DRG 376 Digestive Malignancy without CC/MCC (1 of 11 codes)
- DRG 715 Male Reproductive System and Other O.R. Procedures for Malignancy with CC/MCC (1 of 11 codes)
- DRG 716 Male Reproductive System and Other O.R. Procedures for Malignancy without CC/MCC (1 of 11 codes)
- DRG 722 Malignancy, Male Reproductive System with MCC (1 of 11 codes)
- DRG 723 Malignancy, Male Reproductive System with CC (1 of 11 codes)
- DRG 724 Malignancy, Male Reproductive System without CC/MCC (1 of 11 codes)
- DRG 731 Uterine and Adnexa Procedures for Malignancy with MCC (1 of 11 codes)
- DRG 732 Uterine and Adnexa Procedures for Malignancy with CC (1 of 11 codes)
- DRG 733 Uterine and Adnexa Procedures for Malignancy without CC/MCC (1 of 11 codes)
- DRG 754 Malignancy, Female Reproductive System with MCC (1 of 11 codes)
- DRG 755 Malignancy, Female Reproductive System with CC (1 of 11 codes)
- DRG 756 Malignancy, Female Reproductive System without CC/MCC (1 of 11 codes)
- DRG 820 Lymphoma and Leukemia with Major O.R. Procedures with MCC (1 of 11 codes)
- DRG 821 Lymphoma and Leukemia with Major O.R. Procedures with CC (1 of 11 codes)
- DRG 822 Lymphoma and Leukemia with Major O.R. Procedures without CC/MCC (1 of 11 codes)
- DRG 823 Lymphoma and Non-Acute Leukemia with Other Procedures with MCC (1 of 11 codes)
- DRG 824 Lymphoma and Non-Acute Leukemia with Other Procedures with CC (1 of 11 codes)
Other codes that refer to C76
Notes on these codes point to C76.
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 MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
