ICD-10-CM Codes
C00-D49 Neoplasms
C30-C39 Malignant neoplasms of respiratory and intrathoracic organs
C38- Malignant neoplasm of heart, mediastinum and pleura

2018 ICD-10-CM Diagnosis Code C38

Malignant neoplasm of heart, mediastinum and pleura

2016

2017

2018

Non-Billable/Non-Specific Code

C38 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
The 2018 edition of ICD-10-CM C38 became effective on October 1, 2017.
This is the American ICD-10-CM version of C38 - other international versions of ICD-10 C38 may differ.

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as C38. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

mesothelioma (
ICD-10-CM Diagnosis Code C45
- C45 Mesothelioma
  - C45.0 Mesothelioma of pleura
  - C45.1 Mesothelioma of peritoneum
  - C45.2 Mesothelioma of pericardium
  - C45.7 Mesothelioma of other sites
  - C45.9 Mesothelioma, unspecified
C45.-
)

The following code(s) above C38 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to C38:

C00-D49
2018 ICD-10-CM Range C00-D49
Neoplasms
Note
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
Neoplasms
C30-C39
2018 ICD-10-CM Range C30-C39
Malignant neoplasms of respiratory and intrathoracic organs
Includes
- malignant neoplasm of middle ear
Type 1 Excludes
- mesothelioma (C45.-)
Malignant neoplasms of respiratory and intrathoracic organs

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change

ICD-10-CM Codes Adjacent To C38

C34.32 Malignant neoplasm of lower lobe, left bronchus or lung

C34.8 Malignant neoplasm of overlapping sites of bronchus and lung

C34.80 Malignant neoplasm of overlapping sites of unspecified bronchus and lung

C34.81 Malignant neoplasm of overlapping sites of right bronchus and lung

C34.82 Malignant neoplasm of overlapping sites of left bronchus and lung

C34.9 Malignant neoplasm of unspecified part of bronchus or lung

C34.90 Malignant neoplasm of unspecified part of unspecified bronchus or lung

C34.91 Malignant neoplasm of unspecified part of right bronchus or lung

C34.92 Malignant neoplasm of unspecified part of left bronchus or lung

C37 Malignant neoplasm of thymus

C38 Malignant neoplasm of heart, mediastinum and pleura

C38.0 Malignant neoplasm of heart

C38.1 Malignant neoplasm of anterior mediastinum

C38.2 Malignant neoplasm of posterior mediastinum

C38.3 Malignant neoplasm of mediastinum, part unspecified

C38.4 Malignant neoplasm of pleura

C38.8 Malignant neoplasm of overlapping sites of heart, mediastinum and pleura

C39 Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs

C39.0 Malignant neoplasm of upper respiratory tract, part unspecified

C39.9 Malignant neoplasm of lower respiratory tract, part unspecified

C40 Malignant neoplasm of bone and articular cartilage of limbs

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2018 ICD-10-CM Diagnosis Code C38

Malignant neoplasm of heart, mediastinum and pleura

Neoplasms

Malignant neoplasms of respiratory and intrathoracic organs