Is C41.2 a billable ICD-10-CM code?

Yes. C41.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C41.2 sit in the tabular list?

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

What cannot be coded together with C41.2?

C41.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

C41.2

C41.2 — Malignant neoplasm of vertebral column

Billable / specific codeICD-10-CM

C41.2 is a billable, specific ICD-10-CM code for malignant neoplasm of vertebral column. It is valid for submission on a claim.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

malignant neoplasm of sacrum and coccyx (C41.4)

Risk adjustment

C41.2 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

C41.2 is named in 86 Medicare coverage policies — 86 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

Related codes at this level

Codes that share C41. If C41.2 is not quite right, the correct code is usually one of these.

Questions about C41.2

Is C41.2 a billable ICD-10-CM code?: Yes. C41.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C41.2 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of bone and articular cartilage (C40-C41).
What cannot be coded together with C41.2?: C41.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.