2022 ICD-10-CM Code C40.00
Malignant neoplasm of scapula and long bones of unspecified upper limb
Valid for Submission
| ICD-10: | C40.00 |
| Short Description: | Malig neoplasm of scapula and long bones of unsp upper limb |
| Long Description: | Malignant neoplasm of scapula and long bones of unspecified upper limb |
Code Classification
C40.00 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of scapula and long bones of unspecified upper limb. The code C40.00 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code C40.00 might also be used to specify conditions or terms like carcinoma of upper limb bones/scapula, malignant neoplasm of humerus, malignant neoplasm of scapula and long bones of upper arm, malignant neoplasm of upper limb bones and scapula, neoplasm of acromion , osteosarcoma of bone of upper limb, etc.
Unspecified diagnosis codes like C40.00 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Carcinoma of upper limb bones/scapula
- Malignant neoplasm of humerus
- Malignant neoplasm of scapula and long bones of upper arm
- Malignant neoplasm of upper limb bones and scapula
- Neoplasm of acromion
- Osteosarcoma of bone of upper limb
- Primary malignant neoplasm of acromion
- Primary malignant neoplasm of bone of upper limb
- Primary malignant neoplasm of forearm
- Primary malignant neoplasm of forearm
- Primary malignant neoplasm of long bone of upper limb
- Primary malignant neoplasm of radius
- Primary malignant neoplasm of scapula
- Primary malignant neoplasm of ulna
- Primary malignant neoplasm of upper limb bones and scapula
- Sarcoma of humerus
- Sarcoma of radius
- Sarcoma of scapula
Diagnostic Related Groups - MS-DRG Mapping
The ICD-10 code C40.00 is grouped in the following groups for version MS-DRG V39.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2021 through 09/30/2022.
| MS-DRG | MS-DRG Title | MCD | Relative Weight |
|---|---|---|---|
| 542 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC | 08 | 1.8053 |
| 543 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC | 08 | 1.0433 |
| 544 | PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC | 08 | 0.7762 |
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert C40.00 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code C40.00 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
- 170.4 - Mal neo long bones arm (Approximate Flag)
Information for Patients
Bone Cancer
Cancer that starts in a bone is uncommon. Cancer that has spread to the bone from another part of the body is more common.
There are three types of bone cancer:
- Osteosarcoma - occurs most often between ages 10 and 19. It is more common in the knee and upper arm.
- Chondrosarcoma - starts in cartilage, usually after age 40
- Ewing's sarcoma - occurs most often in children and teens under 19. It is more common in boys than girls.
The most common symptom of bone cancer is pain. Other symptoms vary, depending on the location and size of the cancer. Surgery is often the main treatment for bone cancer. Other treatments may include amputation, chemotherapy, and radiation therapy. Because bone cancer can come back after treatment, regular follow-up visits are important.
NIH: National Cancer Institute
[Learn More in MedlinePlus]
Primary Bone Cancer Learn about the types of bone tumors and the methods used to diagnose and treat cancers that form from bone tissue.
[Learn More in MedlinePlus]
Code History
- FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
- FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
- FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
- FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
- FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
- FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)