C7A.029

C7A.029: Malignant carcinoid tumor of the large intestine, unspecified portion

Billable / specific codeICD-10-CM

C7A.029 is a billable, specific ICD-10-CM code for malignant carcinoid tumor of the large intestine, unspecified portion. It is valid for submission on a claim.

Check C7A.029 with the rest of the claim: free scrubber

Inclusion terms

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

Malignant carcinoid tumor of the colon NOS

Excludes2 inherited from the categories above C7A.029

Not part of this code, but both may be coded when both are present.

Written on C7A: Malignant neuroendocrine tumors

malignant pancreatic islet cell tumors (C25.4)
Merkel cell carcinoma (C4A.-)

Other codes that can never be billed with C7A.029

Their own Excludes1 notes name this code, so the conflict is not listed above.

C75Malignant neoplasm of other endocrine glands and related structures

Risk adjustment

C7A.029 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.029 is named in 43 Medicare coverage policies: 43 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

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