Is C49.6 a billable ICD-10-CM code?

Yes. C49.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C49.6 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of mesothelial and soft tissue (C45-C49).

C49.6

C49.6 — Malignant neoplasm of connective and soft tissue of trunk, unspecified

Billable / specific codeICD-10-CM

C49.6 is a billable, specific ICD-10-CM code for malignant neoplasm of connective and soft tissue of trunk, unspecified. It is valid for submission on a claim.

Inclusion terms

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

Malignant neoplasm of back NOS

Risk adjustment

C49.6 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

C49.6 is named in 54 Medicare coverage policies — 54 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52370Billing and Coding: Bevacizumab and biosimilars
A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52479Oral Anticancer Drugs - Policy Article
A52479Oral Anticancer Drugs - Policy Article

Related codes at this level

Codes that share C49. If C49.6 is not quite right, the correct code is usually one of these.

Questions about C49.6

Is C49.6 a billable ICD-10-CM code?: Yes. C49.6 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C49.6 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of mesothelial and soft tissue (C45-C49).