C77.3 — Secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes
C77.3 is a billable, specific ICD-10-CM code for secondary and unspecified malignant neoplasm of axilla and upper limb lymph nodes. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Secondary and unspecified malignant neoplasm of pectoral lymph nodes
Risk adjustment
C77.3 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 20 Lung and Other Severe Cancers1.136 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
C77.3 is named in 41 Medicare coverage policies — 41 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
- A52986Billing and Coding: Biomarkers for Oncology
- A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
- A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
Related codes at this level
Codes that share C77. If C77.3 is not quite right, the correct code is usually one of these.
- C77.0Secondary and unspecified malignant neoplasm of lymph nodes of head, face and neck
- C77.1Secondary and unspecified malignant neoplasm of intrathoracic lymph nodes
- C77.2Secondary and unspecified malignant neoplasm of intra-abdominal lymph nodes
- C77.4Secondary and unspecified malignant neoplasm of inguinal and lower limb lymph nodes
- C77.5Secondary and unspecified malignant neoplasm of intrapelvic lymph nodes
- C77.8Secondary and unspecified malignant neoplasm of lymph nodes of multiple regions
- C77.9Secondary and unspecified malignant neoplasm of lymph node, unspecified
Questions about C77.3
- Is C77.3 a billable ICD-10-CM code?
- Yes. C77.3 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C77.3 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).