C7A.00
C7A.00: Malignant carcinoid tumor of unspecified site
Billable / specific codeICD-10-CM
C7A.00 is a billable, specific ICD-10-CM code for malignant carcinoid tumor of unspecified site. It is valid for submission on a claim.
Check C7A.00 with the rest of the claim: free scrubberOther codes that can never be billed with C7A.00
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
C7A.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 21 Lymphoma and Other Cancers0.671 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
C7A.00 is named in 42 Medicare coverage policies: 42 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
- A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
- A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
Alphabetic index entries that lead here
- Tumor›carcinoid›malignant
Code history
Unchanged in every release from FY2024 to FY2027.