C38.8
C38.8 — Malignant neoplasm of overlapping sites of heart, mediastinum and pleura
Billable / specific codeICD-10-CM
C38.8 is a billable, specific ICD-10-CM code for malignant neoplasm of overlapping sites of heart, mediastinum and pleura. It is valid for submission on a claim.
Risk adjustment
C38.8 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 21 Lymphoma and Other Cancers0.671 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
C38.8 is named in 55 Medicare coverage policies — 55 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Related codes at this level
Codes that share C38. If C38.8 is not quite right, the correct code is usually one of these.
Questions about C38.8
- Is C38.8 a billable ICD-10-CM code?
- Yes. C38.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C38.8 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of respiratory and intrathoracic organs (C30-C39).