C26.0

C26.0: Malignant neoplasm of intestinal tract, part unspecified

Billable / specific codeICD-10-CM

C26.0 is a billable, specific ICD-10-CM code for malignant neoplasm of intestinal tract, part unspecified. It is valid for submission on a claim.

Check C26.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Malignant neoplasm of intestine NOS

Excludes1 inherited from the categories above C26.0

A category’s note binds every code beneath it.

Written on C26: Malignant neoplasm of other and ill-defined digestive organs

malignant neoplasm of peritoneum and retroperitoneum (C48.-)

Risk adjustment

C26.0 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

C26.0 is named in 45 Medicare coverage policies: 45 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52479Oral Anticancer Drugs - Policy Article
A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A55717Billing and Coding: Lab: Flow Cytometry
A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic

Code history

Unchanged in every release from FY2024 to FY2027.