C76.8
C76.8 — Malignant neoplasm of other specified ill-defined sites
Billable / specific codeICD-10-CM
C76.8 is a billable, specific ICD-10-CM code for malignant neoplasm of other specified ill-defined sites. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Malignant neoplasm of overlapping ill-defined sites
Risk adjustment
C76.8 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
C76.8 is named in 49 Medicare coverage policies — 49 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 C76.8 is not quite right, the correct code is usually one of these.
Questions about C76.8
- Is C76.8 a billable ICD-10-CM code?
- Yes. C76.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C76.8 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).