Valid for Submission
C40.20 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of long bones of unspecified lower limb. The code C40.20 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 C40.20 might also be used to specify conditions or terms like adamantinoma of femur, adamantinoma of long bone, adamantinoma of long bone of lower limb, carcinoma of lower limb bones, malignant neoplasm of bone of lower limb , malignant neoplasm of long bone of lower leg, etc.
The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: Neoplasm, neoplastic patella .
Unspecified diagnosis codes like C40.20 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.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Adamantinoma of femur
- Adamantinoma of long bone
- Adamantinoma of long bone of lower limb
- Carcinoma of lower limb bones
- Malignant neoplasm of bone of lower limb
- Malignant neoplasm of long bone of lower leg
- Malignant neoplasm of long bone of lower limb
- Malignant neoplasm of metatarsal bone of foot
- Neoplasm of patella
- Primary malignant neoplasm of bone of lower limb
- Primary malignant neoplasm of femur
- Primary malignant neoplasm of fibula
- Primary malignant neoplasm of long bone of lower limb
- Primary malignant neoplasm of lower leg
- Primary malignant neoplasm of lower leg
- Primary malignant neoplasm of metatarsal bone
- Primary malignant neoplasm of patella
- Primary malignant neoplasm of thigh
- Primary malignant neoplasm of tibia
- Sarcoma of femur
- Sarcoma of fibula
- Sarcoma of tibia
- Tibial adamantinoma
Diagnostic Related Groups - MS-DRG Mapping
Convert C40.20 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code C40.20 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.
Table of Neoplasms
The code C40.20 is included in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.
Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.
|»Neoplasm, neoplastic |
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)
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