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.
Check C41.4 with the rest of the claim: free scrubberExcludes1 inherited from the categories above C41.4
A category’s note binds every code beneath it.
Written on C41: Malignant neoplasm of bone and articular cartilage of other and unspecified sites
Other codes that can never be billed with C41.4
Their own Excludes1 notes name this code, so the conflict is not listed above.
- 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C41.4 is named in 51 Medicare coverage policies: 51 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A55717Billing and Coding: Lab: Flow Cytometry
Code history
Unchanged in every release from FY2024 to FY2027.