Is C76.40 a billable ICD-10-CM code?

Yes. C76.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does C76.40 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 C76.40?

C76.40 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 C76.40 (C76) and apply to it just the same.

C76.40

C76.40 — Malignant neoplasm of unspecified upper limb

Billable / specific codeICD-10-CMunspecified

C76.40 is a billable, specific ICD-10-CM code for malignant neoplasm of unspecified upper limb. It is valid for submission on a claim.

Excludes1 inherited from the categories above C76.40

These are not written on C76.40, but they bind it: a note on a category applies to every code beneath it. Billing C76.40 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

C76.40 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

C76.40 is named in 35 Medicare coverage policies — 35 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A55717Billing and Coding: Lab: Flow Cytometry
A56748Billing and Coding: White Cell Colony Stimulating Factors
A56827Billing and Coding: Proton Beam Therapy
A56867Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms

Code history

C76.40 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 C76.4. If C76.40 is not quite right, the correct code is usually one of these.

Questions about C76.40

Is C76.40 a billable ICD-10-CM code?: Yes. C76.40 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does C76.40 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 C76.40?: C76.40 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 C76.40 (C76) and apply to it just the same.