Is C76.5 a billable ICD-10-CM code?

No. C76.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does C76.5 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).

C76.5

C76.5 — Malignant neoplasm of lower limb

Non-billable headerICD-10-CM

C76.5 is a non-billable header ICD-10-CM code for malignant neoplasm of lower limb. It cannot be billed on its own: choose one of the more specific child codes below.

Risk adjustment

C76.5 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 to one of these instead C76.5

3 child codes. Green means billable.

C76.50Malignant neoplasm of unspecified lower limb
C76.51Malignant neoplasm of right lower limb
C76.52Malignant neoplasm of left lower limb

Related codes at this level

Codes that share C76. If C76.5 is not quite right, the correct code is usually one of these.

C76.0Malignant neoplasm of head, face and neck
C76.1Malignant neoplasm of thorax
C76.2Malignant neoplasm of abdomen
C76.3Malignant neoplasm of pelvis
C76.4Malignant neoplasm of upper limb
C76.8Malignant neoplasm of other specified ill-defined sites

Questions about C76.5

Is C76.5 a billable ICD-10-CM code?: No. C76.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C76.5 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).