Is C41.1 a billable ICD-10-CM code?

Yes. C41.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C41.1 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of bone and articular cartilage (C40-C41).

C41.1

C41.1 — Malignant neoplasm of mandible

Billable / specific codeICD-10-CM

C41.1 is a billable, specific ICD-10-CM code for malignant neoplasm of mandible. It is valid for submission on a claim.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

carcinoma, any type except intraosseous or odontogenic of:
jaw NOS (C03.9)
lower (C03.1)
malignant neoplasm of upper jaw bone (C41.0)

Inclusion terms

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

Malignant neoplasm of inferior maxilla
Malignant neoplasm of lower jaw bone

Risk adjustment

C41.1 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

C41.1 is named in 61 Medicare coverage policies — 61 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
A52479Oral Anticancer Drugs - Policy Article

How C41.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to C41.1.

Odontosarcoma, ameloblastic
Adamantinoma›malignant
Ameloblastoma›malignant
Carcinoma›ameloblastic
Carcinoma›intraosseous
Carcinoma›odontogenic
Fibrosarcoma›ameloblastic
Fibrosarcoma›odontogenic
Sarcoma›ameloblastic
Sarcoma›odontogenic
Adamantinoma›malignant›jaw(bone) (lower)
Ameloblastoma›malignant›jaw(bone) (lower)

Related codes at this level

Codes that share C41. If C41.1 is not quite right, the correct code is usually one of these.

Questions about C41.1

Is C41.1 a billable ICD-10-CM code?: Yes. C41.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C41.1 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of bone and articular cartilage (C40-C41).