Is C25 a billable ICD-10-CM code?

No. C25 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does C25 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of digestive organs (C15-C26).

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

These codes carry an Excludes1 note pointing at C25. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C25 alone.

C75Malignant neoplasm of other endocrine glands and related structures

Risk adjustment

C25 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead C25

8 child codes. Green means billable.

Questions about C25

Is C25 a billable ICD-10-CM code?: No. C25 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C25 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of digestive organs (C15-C26).