C78.7 — Secondary malignant neoplasm of liver and intrahepatic bile duct
C78.7 is a billable, specific ICD-10-CM code for secondary malignant neoplasm of liver and intrahepatic bile duct. It is valid for submission on a claim.
Other codes that can never be billed with C78.7
These codes carry an Excludes1 note pointing at C78.7. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C78.7 alone.
- C22Malignant neoplasm of liver and intrahepatic bile ducts
Risk adjustment
C78.7 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 17 Cancer Metastatic to Lung, Liver, Brain, and Other Organs; Acute Myeloid Leukemia Except Promyelocytic4.209 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
C78.7 is named in 64 Medicare coverage policies — 64 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- A52453Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Related codes at this level
Codes that share C78. If C78.7 is not quite right, the correct code is usually one of these.
- C78.0Secondary malignant neoplasm of lung
- C78.1Secondary malignant neoplasm of mediastinum
- C78.2Secondary malignant neoplasm of pleura
- C78.3Secondary malignant neoplasm of other and unspecified respiratory organs
- C78.4Secondary malignant neoplasm of small intestine
- C78.5Secondary malignant neoplasm of large intestine and rectum
- C78.6Secondary malignant neoplasm of retroperitoneum and peritoneum
- C78.8Secondary malignant neoplasm of other and unspecified digestive organs
Questions about C78.7
- Is C78.7 a billable ICD-10-CM code?
- Yes. C78.7 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C78.7 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).