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
Excludes1 inherited from the categories above C76.0
These are not written on C76.0, but they bind it: a note on a category applies to every code beneath it. Billing C76.0 with anything listed here is a denial.
Written on C76 — Malignant neoplasm of other and ill-defined sites
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 69 Medicare coverage policies — 69 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
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Code history
C76.0 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
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).
- What cannot be coded together with C76.0?
- C76.0 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above C76.0 (C76) and apply to it just the same.