C76.0 — Malignant neoplasm of head, face and neck
C76.0 is a billable, specific ICD-10-CM code for malignant neoplasm of head, face and neck. 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 cheek NOS
- Malignant neoplasm of nose NOS
Other codes that can never be billed with C76.0
These codes carry an Excludes1 note pointing at C76.0. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C76.0 alone.
- C30.0Malignant neoplasm of nasal cavity
Risk adjustment
C76.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 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
C76.0 is named in 65 Medicare coverage policies — 65 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C76. If C76.0 is not quite right, the correct code is usually one of these.
Questions about C76.0
- Is C76.0 a billable ICD-10-CM code?
- Yes. C76.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C76.0 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).