C71.4
C71.4 — Malignant neoplasm of occipital lobe
Billable / specific codeICD-10-CM
C71.4 is a billable, specific ICD-10-CM code for malignant neoplasm of occipital lobe. It is valid for submission on a claim.
Risk adjustment
C71.4 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 20 Lung and Other Severe Cancers1.136 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
C71.4 is named in 91 Medicare coverage policies — 91 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 C71. If C71.4 is not quite right, the correct code is usually one of these.
- C71.0Malignant neoplasm of cerebrum, except lobes and ventricles
- C71.1Malignant neoplasm of frontal lobe
- C71.2Malignant neoplasm of temporal lobe
- C71.3Malignant neoplasm of parietal lobe
- C71.5Malignant neoplasm of cerebral ventricle
- C71.6Malignant neoplasm of cerebellum
- C71.7Malignant neoplasm of brain stem
- C71.8Malignant neoplasm of overlapping sites of brain
- C71.9Malignant neoplasm of brain, unspecified
Questions about C71.4
- Is C71.4 a billable ICD-10-CM code?
- Yes. C71.4 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C71.4 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72).