Secondary malignant neoplasm of other and unspecified sites
In Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80), chapter 2: Neoplasms
25 billable codes under C79: all are a CC; 24 map to HCC 18 (Cancer Metastatic to Bone, Other and Unspecified Metastatic Cancer; Acute Leukemia Except Myeloid), HCC 17 (Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic).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
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 C79
C79 can't be used on a claim. Pick a billable code below; grey headings group them.
- C79.0Secondary malignant neoplasm of kidney and renal pelvis
- C79.00Secondary malignant neoplasm of unspecified kidney and renal pelvis
- C79.01Secondary malignant neoplasm of right kidney and renal pelvis
- C79.02Secondary malignant neoplasm of left kidney and renal pelvis
- C79.1Secondary malignant neoplasm of bladder and other and unspecified urinary organs
- C79.10Secondary malignant neoplasm of unspecified urinary organs
- C79.11Secondary malignant neoplasm of bladder
- C79.19Secondary malignant neoplasm of other urinary organs
- C79.2Secondary malignant neoplasm of skin
- C79.3Secondary malignant neoplasm of brain and cerebral meninges
- C79.31Secondary malignant neoplasm of brain
- C79.32Secondary malignant neoplasm of cerebral meninges
- C79.4Secondary malignant neoplasm of other and unspecified parts of nervous system
- C79.40Secondary malignant neoplasm of unspecified part of nervous system
- C79.49Secondary malignant neoplasm of other parts of nervous system
- C79.5Secondary malignant neoplasm of bone and bone marrow
- C79.51Secondary malignant neoplasm of bone
- C79.52Secondary malignant neoplasm of bone marrow
- C79.6Secondary malignant neoplasm of ovary
- C79.60Secondary malignant neoplasm of unspecified ovary
- C79.61Secondary malignant neoplasm of right ovary
- C79.62Secondary malignant neoplasm of left ovary
- C79.63Secondary malignant neoplasm of bilateral ovaries
- C79.7Secondary malignant neoplasm of adrenal gland
- C79.70Secondary malignant neoplasm of unspecified adrenal gland
- C79.71Secondary malignant neoplasm of right adrenal gland
- C79.72Secondary malignant neoplasm of left adrenal gland
- C79.8Secondary malignant neoplasm of other specified sites
- C79.81Secondary malignant neoplasm of breast
- C79.82Secondary malignant neoplasm of genital organs
- C79.83Secondary malignant neoplasm of oral cavity
- C79.89Secondary malignant neoplasm of other specified sites
- C79.9Secondary malignant neoplasm of unspecified site
C79 MS-DRGs
As the principal diagnosis, the billable codes under C79 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 656 Kidney and Ureter Procedures for Neoplasm with MCC (6 of 25 codes)
- DRG 657 Kidney and Ureter Procedures for Neoplasm with CC (6 of 25 codes)
- DRG 658 Kidney and Ureter Procedures for Neoplasm without CC/MCC (6 of 25 codes)
- DRG 686 Kidney and Urinary Tract Neoplasms with MCC (6 of 25 codes)
- DRG 687 Kidney and Urinary Tract Neoplasms with CC (6 of 25 codes)
- DRG 688 Kidney and Urinary Tract Neoplasms without CC/MCC (6 of 25 codes)
- DRG 731 Uterine and Adnexa Procedures for Malignancy with MCC (5 of 25 codes)
- DRG 732 Uterine and Adnexa Procedures for Malignancy with CC (5 of 25 codes)
- DRG 733 Uterine and Adnexa Procedures for Malignancy without CC/MCC (5 of 25 codes)
- DRG 754 Malignancy, Female Reproductive System with MCC (5 of 25 codes)
- DRG 755 Malignancy, Female Reproductive System with CC (5 of 25 codes)
- DRG 756 Malignancy, Female Reproductive System without CC/MCC (5 of 25 codes)
- DRG 054 Nervous System Neoplasms with MCC (4 of 25 codes)
- DRG 055 Nervous System Neoplasms without MCC (4 of 25 codes)
- DRG 643 Endocrine Disorders with MCC (3 of 25 codes)
- DRG 644 Endocrine Disorders with CC (3 of 25 codes)
- DRG 645 Endocrine Disorders without CC/MCC (3 of 25 codes)
- DRG 826 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with MCC (3 of 25 codes)
- DRG 827 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures with CC (3 of 25 codes)
- DRG 828 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Major O.R. Procedures without CC/MCC (3 of 25 codes)
- DRG 829 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures with CC/MCC (3 of 25 codes)
- DRG 830 Myeloproliferative Disorders or Poorly Differentiated Neoplasms with Other Procedures without CC/MCC (3 of 25 codes)
- DRG 843 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with MCC (3 of 25 codes)
- DRG 844 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses with CC (3 of 25 codes)
- DRG 845 Other Myeloproliferative Disorders or Poorly Differentiated Neoplastic Diagnoses without CC/MCC (3 of 25 codes)
- DRG 456 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with MCC (2 of 25 codes)
- DRG 457 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection with CC (2 of 25 codes)
- DRG 458 Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, or Infection without CC/MCC (2 of 25 codes)
- DRG 542 Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC (2 of 25 codes)
- DRG 543 Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC (2 of 25 codes)
Other codes that refer to C79
Notes on these codes point to C79.
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.
