C72.40: Malignant neoplasm of unspecified acoustic nerve

Risk adjustment

C72.40 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

C72.40 is named in 35 Medicare coverage policies: 35 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A56722Billing and Coding: Intraoperative Neurophysiological Testing
• A56748Billing and Coding: White Cell Colony Stimulating Factors
• A56827Billing and Coding: Proton Beam Therapy
• A56867Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms