Valid for Submission
C40.01 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of scapula and long bones of right upper limb. The code C40.01 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.
The ICD-10-CM code C40.01 might also be used to specify conditions or terms like primary malignant neoplasm of bone of right upper limb.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Primary malignant neoplasm of bone of right upper limb
Diagnostic Related Groups - MS-DRG Mapping
|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 C40.01 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code C40.01 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.
Information for Patients
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
- After chemotherapy - discharge (Medical Encyclopedia)
- Bone lesion biopsy (Medical Encyclopedia)
- Bone tumor (Medical Encyclopedia)
- Ewing sarcoma (Medical Encyclopedia)
- Osteosarcoma (Medical Encyclopedia)
[Learn More in MedlinePlus]