C74.91
C74.91: Malignant neoplasm of unspecified part of right adrenal gland
Billable / specific codeICD-10-CMright
C74.91 is a billable, specific ICD-10-CM code for malignant neoplasm of unspecified part of right adrenal gland. It is valid for submission on a claim.
Check C74.91 with the rest of the claim: free scrubberOther codes that can never be billed with C74.91
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C75Malignant neoplasm of other endocrine glands and related structures
Risk adjustment
C74.91 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C74.91 is named in 45 Medicare coverage policies: 45 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- 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
- A55315Billing and Coding: Proton Beam Therapy
Code history
Unchanged in every release from FY2024 to FY2027.