C26
C26 — Malignant neoplasm of other and ill-defined digestive organs
Non-billable headerICD-10-CM
C26 is a non-billable header ICD-10-CM code for malignant neoplasm of other and ill-defined digestive organs. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- malignant neoplasm of peritoneum and retroperitoneum (C48.-)
Risk adjustment
C26 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 C26
3 child codes. Green means billable.
Questions about C26
- Is C26 a billable ICD-10-CM code?
- No. C26 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C26 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of digestive organs (C15-C26).
- What cannot be coded together with C26?
- C26 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.