C25
C25: Malignant neoplasm of pancreas
Non-billable headerICD-10-CM
C25 is a non-billable header ICD-10-CM code for malignant neoplasm of pancreas. It cannot be billed on its own: choose one of the more specific child codes below.
Use additional code
Add a secondary code to capture the detail described below.
- code to identify:
- alcohol abuse and dependence (F10.-)
Code also
Both codes may be needed to describe the encounter fully. Sequencing depends on the reason for the visit.
- if applicable exocrine pancreatic insufficiency (K86.81)
Other codes that can never be billed with C25
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C75Malignant neoplasm of other endocrine glands and related structures
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead C25
8 child codes. Green means billable.
- C25.0Malignant neoplasm of head of pancreas
- C25.1Malignant neoplasm of body of pancreas
- C25.2Malignant neoplasm of tail of pancreas
- C25.3Malignant neoplasm of pancreatic duct
- C25.4Malignant neoplasm of endocrine pancreas
- C25.7Malignant neoplasm of other parts of pancreas
- C25.8Malignant neoplasm of overlapping sites of pancreas
- C25.9Malignant neoplasm of pancreas, unspecified