C7A.090
C7A.090: Malignant carcinoid tumor of the bronchus and lung
Billable / specific codeICD-10-CM
C7A.090 is a billable, specific ICD-10-CM code for malignant carcinoid tumor of the bronchus and lung. It is valid for submission on a claim.
Check C7A.090 with the rest of the claim: free scrubberOther codes that can never be billed with C7A.090
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
C7A.090 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.090 is named in 53 Medicare coverage policies: 53 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
- A52986Billing and Coding: Biomarkers for Oncology
- A53095Billing and Coding: Lab: Bladder/Urothelial Tumor Markers
Alphabetic index entries that lead here
- Tumor›carcinoid›malignant›bronchus(lung)
- Tumor›carcinoid›malignant›lung(bronchus)
Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under C7A.09
- C7A.091Malignant carcinoid tumor of the thymus
- C7A.092Malignant carcinoid tumor of the stomach
- C7A.093Malignant carcinoid tumor of the kidney
- C7A.094Malignant carcinoid tumor of the foregut, unspecified
- C7A.095Malignant carcinoid tumor of the midgut, unspecified
- C7A.096Malignant carcinoid tumor of the hindgut, unspecified
- C7A.098Malignant carcinoid tumors of other sites