C79
C79 — Secondary malignant neoplasm of other and unspecified sites
Non-billable headerICD-10-CM
C79 is a non-billable header ICD-10-CM code for secondary malignant neoplasm of other and unspecified sites. 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.
- secondary carcinoid tumors (C7B.-)
- secondary neuroendocrine tumors (C7B.-)
Other codes that can never be billed with C79
These codes carry an Excludes1 note pointing at C79. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C79 alone.
- C80.1Malignant (primary) neoplasm, unspecified
Risk adjustment
C79 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 C79
10 child codes. Green means billable.
- C79.0Secondary malignant neoplasm of kidney and renal pelvis
- C79.1Secondary malignant neoplasm of bladder and other and unspecified urinary organs
- C79.2Secondary malignant neoplasm of skin
- C79.3Secondary malignant neoplasm of brain and cerebral meninges
- C79.4Secondary malignant neoplasm of other and unspecified parts of nervous system
- C79.5Secondary malignant neoplasm of bone and bone marrow
- C79.6Secondary malignant neoplasm of ovary
- C79.7Secondary malignant neoplasm of adrenal gland
- C79.8Secondary malignant neoplasm of other specified sites
- C79.9Secondary malignant neoplasm of unspecified site
Questions about C79
- Is C79 a billable ICD-10-CM code?
- No. C79 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C79 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 C79?
- C79 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.