C18.0 — Malignant neoplasm of cecum
C18.0 is a billable, specific ICD-10-CM code for malignant neoplasm of cecum. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Malignant neoplasm of ileocecal valve
Other codes that can never be billed with C18.0
These codes carry an Excludes1 note pointing at C18.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C18.0 alone.
- C17.2Malignant neoplasm of ileum
Risk adjustment
C18.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 22 Bladder, Colorectal, and Other Cancers0.363 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
C18.0 is named in 104 Medicare coverage policies — 104 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52370Billing and Coding: Bevacizumab and biosimilars
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C18. If C18.0 is not quite right, the correct code is usually one of these.
- C18.1Malignant neoplasm of appendix
- C18.2Malignant neoplasm of ascending colon
- C18.3Malignant neoplasm of hepatic flexure
- C18.4Malignant neoplasm of transverse colon
- C18.5Malignant neoplasm of splenic flexure
- C18.6Malignant neoplasm of descending colon
- C18.7Malignant neoplasm of sigmoid colon
- C18.8Malignant neoplasm of overlapping sites of colon
- C18.9Malignant neoplasm of colon, unspecified
Questions about C18.0
- Is C18.0 a billable ICD-10-CM code?
- Yes. C18.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C18.0 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of digestive organs (C15-C26).