C76.42
C76.42 — Malignant neoplasm of left upper limb
Billable / specific codeICD-10-CMleft
C76.42 is a billable, specific ICD-10-CM code for malignant neoplasm of left upper limb. It is valid for submission on a claim.
Risk adjustment
C76.42 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
C76.42 is named in 47 Medicare coverage policies — 47 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
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
- A55315Billing and Coding: Proton Beam Therapy
- A55717Billing and Coding: Lab: Flow Cytometry
Related codes at this level
Codes that share C76.4. If C76.42 is not quite right, the correct code is usually one of these.
Questions about C76.42
- Is C76.42 a billable ICD-10-CM code?
- Yes. C76.42 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C76.42 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).