MCMCB Pro
C40

C40Malignant neoplasm of bone and articular cartilage of limbs

Non-billable headerICD-10-CM

C40 is a non-billable header ICD-10-CM code for malignant neoplasm of bone and articular cartilage of limbs. 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 major osseous defect, if applicable (M89.7-)

Other codes that can never be billed with C40

These codes carry an Excludes1 note pointing at C40. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C40 alone.

  • C41Malignant neoplasm of bone and articular cartilage of other and unspecified sites
  • C49Malignant neoplasm of other connective and soft tissue

Risk adjustment

C40 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 C40

6 child codes. Green means billable.

Questions about C40

Is C40 a billable ICD-10-CM code?
No. C40 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C40 sit in the tabular list?
Neoplasms (C00-D49), in the block Malignant neoplasms of bone and articular cartilage (C40-C41).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.