Is C76.4 a billable ICD-10-CM code?

No. C76.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does C76.4 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 C76.4?

C76.4 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 C76.4 (C76) and apply to it just the same.

C76.4

C76.4 — Malignant neoplasm of upper limb

Non-billable headerICD-10-CM

C76.4 is a non-billable header ICD-10-CM code for malignant neoplasm of upper limb. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 inherited from the categories above C76.4

These are not written on C76.4, but they bind it: a note on a category applies to every code beneath it. Billing C76.4 with anything listed here is a denial.

Written on C76 — Malignant neoplasm of other and ill-defined sites

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)

Risk adjustment

C76.4 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code history

C76.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead C76.4

3 child codes. Green means billable.

Related codes at this level

Codes that share C76. If C76.4 is not quite right, the correct code is usually one of these.

Questions about C76.4

Is C76.4 a billable ICD-10-CM code?: No. C76.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C76.4 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 C76.4?: C76.4 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 C76.4 (C76) and apply to it just the same.