2026 ICD-10-CM Diagnosis Code C26.9Malignant neoplasm of ill-defined sites within the digestive system

ICD-10-CM CodesC00–D49C15-C26C26

ICD-10-CM C26.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

C26.9 is a billable ICD-10-CM diagnosis code for malignant neoplasm of ill-defined sites within the digestive system. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 374 through 376. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Gastrointestinal cancers - all other types.

Code Identity

ICD-10-CM Code
C26.9
Billable Status
Yes — Valid for Submission
Code Describes
Malignant neoplasm of ill-defined sites within the digestive system
Short Description
Malignant neoplasm of ill-defined sites within the dgstv sys
Parent Code
Malignant neoplasm of other and ill-defined digestive organs

Code Classification

ChapterC00–D49Neoplasms
SectionC15-C26Malignant neoplasms of digestive organs
CategoryC26Malignant neoplasm of other and ill-defined digestive organs
This CodeC26.9Malignant neoplasm of ill-defined sites within the digestive system

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Malignant neoplasm of digestive organ
  • Malignant neoplasm of digestive system
  • Malignant neoplasm of gastrointestinal tract
  • Malignant neoplasm of lower gastrointestinal tract
  • Malignant neoplasm of overlapping sites of digestive system
  • Malignant neoplasm of upper gastrointestinal tract
  • Mucinous adenocarcinoma of gastrointestinal tract
  • Overlapping malignant neoplasm of gastrointestinal tract
  • Primary adenocarcinoma of digestive organ
  • Primary adenocarcinoma of gastrointestinal tract
  • Primary malignant neoplasm of gastrointestinal tract
  • Primary mucinous adenocarcinoma of gastrointestinal tract
  • Primary mucinous carcinoma of digestive organ

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Malignant neoplasm of alimentary canal or tract NOS
  • Malignant neoplasm of gastrointestinal tract NOS

Type 1 Excludes

  • malignant neoplasm of abdominal NOS C76.2
  • malignant neoplasm of intra-abdominal NOS C76.2

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO021
Gastrointestinal cancers - all other types
Default principal diagnosis: inpatient Yes · outpatient Yes

Table of NeoplasmsClinical

Anatomical sites in the Table of Neoplasms that reference this code family.

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
alimentary canal or tract NECC26.9C78.80D01.9D13.99D37.9D49.0
digestive organs, system, tube, or tract NECC26.9C78.89D01.9D13.99D37.9D49.0
gastrocolicC26.9C78.89D01.9D13.99D37.9D49.0
gastrointestinal (tract) NECC26.9C78.89D01.9D13.99D37.9D49.0
peritoneum, peritoneal (cavity) overlapping lesion with digestive organsC26.9

Patient EducationClinical

Cancer

Cancer is not just one disease but many diseases. Cancer begins in your cells, which are the building blocks of your body. Usually, your body forms new cells as needed, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should.

The full article covers:

  • What is cancer?
  • What are the types of cancer?
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Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert C26.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
159.8 Mal neo gi/intra-abd NEC
Approximate The match is approximate rather than exact.
ICD-9-CM
159.9 Mal neo GI tract ill-def
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About C26.9Overview

Is C26.9 (Malignant neoplasm of other and ill-defined digestive organs) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report malignant neoplasm of ill-defined sites within the digestive system on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does C26.9 group to?

When malignant neoplasm of ill-defined sites within the digestive system is the principal diagnosis on an inpatient stay, it groups to MS-DRG 374, 375, 376, with relative weights from 0.9243 to 2.1387 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of C26.9?

Under the General Equivalence Mappings, malignant neoplasm of ill-defined sites within the digestive system converts to ICD-9-CM 159.8 (mal neo gi/intra-abd NEC) and 159.9 (mal neo GI tract ill-def). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.