C41.4 — Malignant neoplasm of pelvic bones, sacrum and coccyx
C41.4 is a billable, specific ICD-10-CM code for malignant neoplasm of pelvic bones, sacrum and coccyx. It is valid for submission on a claim.
Other codes that can never be billed with C41.4
These codes carry an Excludes1 note pointing at C41.4. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C41.4 alone.
- C41.2Malignant neoplasm of vertebral column
Risk adjustment
C41.4 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
C41.4 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
Related codes at this level
Codes that share C41. If C41.4 is not quite right, the correct code is usually one of these.
Questions about C41.4
- Is C41.4 a billable ICD-10-CM code?
- Yes. C41.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C41.4 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of bone and articular cartilage (C40-C41).