ICD-10 Diagnosis Code C41.2

Malignant neoplasm of vertebral column

Diagnosis Code C41.2

ICD-10: C41.2
Short Description: Malignant neoplasm of vertebral column
Long Description: Malignant neoplasm of vertebral column
This is the 2019 version of the ICD-10-CM diagnosis code C41.2

Valid for Submission
The code C41.2 is valid for submission for HIPAA-covered transactions.

Code Classification
  • Neoplasms (C00–D48)
    • Malignant neoplasms of bone and articular cartilage (C40-C41)
      • Malignant neoplasm of bone/artic cartl of and unsp sites (C41)
Version 2019 Billable Code Neoplasm Malignant Primary

Information for Medical Professionals

Diagnostic Related Groups
The diagnosis code C41.2 is grouped in the following Diagnostic Related Group(s) (MS-DRG V35.0)

  • 456 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH MCC
  • 457 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITH CC
  • 458 - SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE OR MALIGNANCY OR INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Convert to ICD-9
  • 170.2 - Malig neo vertebrae

Synonyms
  • Chordoma of lumbar spine
  • Chordoma of thoracic spine
  • Lumbar mass
  • Lumbar mass
  • Malignant neoplasm of cervical vertebra
  • Malignant neoplasm of lumbar vertebra
  • Malignant neoplasm of thoracic vertebra
  • Malignant neoplasm of thoracic vertebral column
  • Malignant tumor of vertebral column
  • Mass of cervical spine
  • Mass of cervical spine
  • Mass of thoracic vertebrae
  • Neoplasm of cervical vertebral column
  • Neoplasm of cervical vertebral column
  • Neoplasm of lumbar vertebral column
  • Primary malignant neoplasm of cervical vertebral column
  • Primary malignant neoplasm of lumbar vertebral column
  • Primary malignant neoplasm of thoracic vertebral column
  • Primary malignant neoplasm of vertebral column
  • Sarcoma of back
  • Sarcoma of vertebra

Tabular List of Diseases and Injuries
References found for the code C41.2 in the Tabular List of Diseases and Injuries:

  • Type 1 Excludes Notes:
    • malignant neoplasm of sacrum and coccyx (C41.4)

Table of Neoplasms

The code C41.2 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.

The Tabular must be reviewed for the complete diagnosis code.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»atlas
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »atlas
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »axis
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »back NEC
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »intervertebral cartilage or disc
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »spine, spinal (column)
C41.2C79.51D16.6D48.0D49.2
»bone (periosteum)
  »vertebra (column)
C41.2C79.51D16.6D48.0D49.2
»cartilage (articular) (joint) NEC [See Also: Neoplasm, bone]
  »intervertebral
C41.2C79.51D16.6D48.0D49.2
»disc, intervertebral
C41.2C79.51D16.6D48.0D49.2
»intervertebral cartilage or disc
C41.2C79.51D16.6D48.0D49.2
»nucleus pulposus
C41.2C79.51D16.6D48.0D49.2
»spine, spinal (column)
C41.2C79.51D16.6D48.0D49.2
»spine, spinal (column)
  »lumbosacral
C41.2C79.51D16.6D48.0D49.2
»vertebra (column)
C41.2C79.51D16.6D48.0D49.2

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

  • After chemotherapy - discharge (Medical Encyclopedia)
  • Bone lesion biopsy (Medical Encyclopedia)
  • Bone tumor (Medical Encyclopedia)
  • Ewing sarcoma (Medical Encyclopedia)
  • Osteosarcoma (Medical Encyclopedia)
  • Understanding Chemotherapy - NIH - Easy-to-Read (National Cancer Institute)
  • What to Know about External Beam Radiation Therapy - NIH - Easy-to-Read (National Cancer Institute)

[Read More]

Chordoma A chordoma is a rare type of cancerous tumor that can occur anywhere along the spine, from the base of the skull to the tailbone. Chordomas grow slowly, gradually extending into the bone and soft tissue around them. They often recur after treatment, and in about 40 percent of cases the cancer spreads (metastasizes) to other areas of the body, such as the lungs.Approximately half of all chordomas occur at the base of the spine (sacrum), about one third occur in the base of the skull (occiput), and the rest occur in the cervical (neck), thoracic (upper back), or lumbar (lower back) vertebrae of the spine. As the chordoma grows, it puts pressure on the adjacent areas of the brain or spinal cord, leading to the signs and symptoms of the disorder. A chordoma anywhere along the spine may cause pain, weakness, or numbness in the back, arms, or legs. A chordoma at the base of the skull (occipital chordoma) may lead to double vision (diplopia) and headaches. A chordoma that occurs in the tailbone (coccygeal chordoma) may result in a lump large enough to be felt through the skin and may cause problems with bladder or bowel function.Chordomas typically occur in adults between ages 40 and 70. About 5 percent of chordomas are diagnosed in children. For reasons that are unclear, males are affected about twice as often as females.
[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - 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.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.

Present on Admission
The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement.

Previous Code
C41.1
Next Code
C41.3