C76

C76: Malignant neoplasm of other and ill-defined sites

Non-billable headerICD-10-CM

C76 is a non-billable header ICD-10-CM code for malignant neoplasm of other and ill-defined sites. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

malignant neoplasm of female genitourinary tract NOS (C57.9)
malignant neoplasm of male genitourinary tract NOS (C63.9)
malignant neoplasm of lymphoid, hematopoietic and related tissue (C81-C96)
malignant neoplasm of skin (C44.-)
malignant neoplasm of unspecified site NOS (C80.1)

Other codes that can never be billed with C76

Their own Excludes1 notes name this code, so the conflict is not listed above.

C26.9Malignant neoplasm of ill-defined sites within the digestive system
C30.0Malignant neoplasm of nasal cavity
C39Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead C76

7 child codes. Green means billable.