C58
C58: Malignant neoplasm of placenta
Billable / specific codeICD-10-CM
C58 is a billable, specific ICD-10-CM code for malignant neoplasm of placenta. It is valid for submission on a claim.
Check C58 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Includes
Conditions this code covers.
- choriocarcinoma NOS
- chorionepithelioma NOS
Risk adjustment
C58 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 22 Bladder, Colorectal, and Other Cancers0.363 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
C58 is named in 50 Medicare coverage policies: 50 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- 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
Alphabetic index entries that lead here
- Choriocarcinoma›unspecified site›female
- Carcinoma›chorionic›unspecified site›female
Code history
Unchanged in every release from FY2024 to FY2027.