C76.2 — Malignant neoplasm of abdomen
C76.2 is a billable, specific ICD-10-CM code for malignant neoplasm of abdomen. It is valid for submission on a claim.
Other codes that can never be billed with C76.2
These codes carry an Excludes1 note pointing at C76.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C76.2 alone.
- C26.9Malignant neoplasm of ill-defined sites within the digestive system
Risk adjustment
C76.2 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
C76.2 is named in 51 Medicare coverage policies — 51 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
- A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
- A54386Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
Related codes at this level
Codes that share C76. If C76.2 is not quite right, the correct code is usually one of these.
Questions about C76.2
- Is C76.2 a billable ICD-10-CM code?
- Yes. C76.2 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C76.2 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).