C74.12
C74.12 — Malignant neoplasm of medulla of left adrenal gland
Billable / specific codeICD-10-CMleft
C74.12 is a billable, specific ICD-10-CM code for malignant neoplasm of medulla of left adrenal gland. It is valid for submission on a claim.
Risk adjustment
C74.12 risk-adjusts. Under the CMS-HCC V28 model it maps to these categories:
- HCC 22 Bladder, Colorectal, and Other Cancers0.363 RAF
- 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.
Medicare coverage
C74.12 is named in 64 Medicare coverage policies — 64 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
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Related codes at this level
Codes that share C74.1. If C74.12 is not quite right, the correct code is usually one of these.
Questions about C74.12
- Is C74.12 a billable ICD-10-CM code?
- Yes. C74.12 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C74.12 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of thyroid and other endocrine glands (C73-C75).