Malignant neoplasm of bone and articular cartilage of limbs C40- >

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Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code to identify major osseous defect, if applicable (
    ICD-10-CM Diagnosis Code M89.7

    Major osseous defect

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Code First
    • underlying disease, if known, such as:
    • aseptic necrosis of bone (M87.-)
    • malignant neoplasm of bone (C40.-)
    • osteolysis (M89.5)
    • osteomyelitis (M86.-)
    • osteonecrosis (M87.-)
    • osteoporosis (M80.-, M81.-)
    • periprosthetic osteolysis (T84.05-)
    M89.7-
    )
Codes
  • C40 Malignant neoplasm of bone and articular cartilage of limbs
    • C40.0 Malignant neoplasm of scapula and long bones of upper limb
      • C40.00 Malignant neoplasm of scapula and long bones of unspecified upper limb
      • C40.01 Malignant neoplasm of scapula and long bones of right upper limb
      • C40.02 Malignant neoplasm of scapula and long bones of left upper limb
    • C40.1 Malignant neoplasm of short bones of upper limb
      • C40.10 Malignant neoplasm of short bones of unspecified upper limb
      • C40.11 Malignant neoplasm of short bones of right upper limb
      • C40.12 Malignant neoplasm of short bones of left upper limb
    • C40.2 Malignant neoplasm of long bones of lower limb
      • C40.20 Malignant neoplasm of long bones of unspecified lower limb
      • C40.21 Malignant neoplasm of long bones of right lower limb
      • C40.22 Malignant neoplasm of long bones of left lower limb
    • C40.3 Malignant neoplasm of short bones of lower limb
      • C40.30 Malignant neoplasm of short bones of unspecified lower limb
      • C40.31 Malignant neoplasm of short bones of right lower limb
      • C40.32 Malignant neoplasm of short bones of left lower limb
    • C40.8 Malignant neoplasm of overlapping sites of bone and articular cartilage of limb
      • C40.80 Malignant neoplasm of overlapping sites of bone and articular cartilage of unspecified limb
      • C40.81 Malignant neoplasm of overlapping sites of bone and articular cartilage of right limb
      • C40.82 Malignant neoplasm of overlapping sites of bone and articular cartilage of left limb
    • C40.9 Malignant neoplasm of unspecified bones and articular cartilage of limb
      • C40.90 Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb
      • C40.91 Malignant neoplasm of unspecified bones and articular cartilage of right limb
      • C40.92 Malignant neoplasm of unspecified bones and articular cartilage of left limb