C77.0

C77.0: Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck

Billable / specific codeICD-10-CM

C77.0 is a billable, specific ICD-10-CM code for secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck. It is valid for submission on a claim.

Check C77.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Secondary and unspecified malignant neoplasm of supraclavicular lymph nodes

Excludes1 inherited from the categories above C77.0

A category’s note binds every code beneath it.

Written on C77: Secondary and unspecified malignant neoplasm of lymph nodes

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

C77.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 18 Cancer Metastatic to Bone, Other and Unspecified Metastatic Cancer; Acute Leukemia Except Myeloid2.341 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

C77.0 is named in 45 Medicare coverage policies: 45 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52479Oral Anticancer Drugs - Policy Article
A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A52986Billing and Coding: Biomarkers for Oncology
A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update

Code history

Unchanged in every release from FY2024 to FY2027.