MCMCB Pro
C77

C77Secondary and unspecified malignant neoplasm of lymph nodes

Non-billable headerICD-10-CM

C77 is a non-billable header ICD-10-CM code for secondary and unspecified malignant neoplasm of lymph nodes. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • malignant neoplasm of lymph nodes, specified as primary (C81-C86, C88, C96.-)
  • mesentery metastasis of carcinoid tumor (C7B.04)
  • secondary carcinoid tumors of distant lymph nodes (C7B.01)

Risk adjustment

C77 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 C77

8 child codes. Green means billable.

Questions about C77

Is C77 a billable ICD-10-CM code?
No. C77 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C77 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 C77?
C77 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.