C4A.60
C4A.60 — Merkel cell carcinoma of unspecified upper limb, including shoulder
Billable / specific codeICD-10-CMunspecified
C4A.60 is a billable, specific ICD-10-CM code for merkel cell carcinoma of unspecified upper limb, including shoulder. It is valid for submission on a claim.
Risk adjustment
C4A.60 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
C4A.60 is named in 33 Medicare coverage policies — 33 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
- A56748Billing and Coding: White Cell Colony Stimulating Factors
Related codes at this level
Codes that share C4A.6. If C4A.60 is not quite right, the correct code is usually one of these.
Questions about C4A.60
- Is C4A.60 a billable ICD-10-CM code?
- Yes. C4A.60 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C4A.60 sit in the tabular list?
- Neoplasms (C00-D49), in the block Melanoma and other malignant neoplasms of skin (C43-C44).