C72.9
C72.9 — Malignant neoplasm of central nervous system, unspecified
Billable / specific codeICD-10-CM
C72.9 is a billable, specific ICD-10-CM code for malignant neoplasm of central nervous system, 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 unspecified site of central nervous system
- Malignant neoplasm of nervous system NOS
Risk adjustment
C72.9 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
C72.9 is named in 49 Medicare coverage policies — 49 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
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C72. If C72.9 is not quite right, the correct code is usually one of these.
Questions about C72.9
- Is C72.9 a billable ICD-10-CM code?
- Yes. C72.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C72.9 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).