C41.2 - Malignant neoplasm of vertebral column

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Chondrosarcoma of vertebral column
• Chordoma
• Chordoma of cervical spine
• Chordoma of lumbar spine
• Chordoma of thoracic spine
• Chordoma of vertebral column
• Malignant neoplasm of cervical vertebra
• Malignant neoplasm of lumbar vertebra
• Malignant neoplasm of thoracic vertebra
• Malignant neoplasm of thoracic vertebral column
• Malignant neoplasm of vertebra
• Malignant neoplasm of vertebral column
• Malignant neoplasm of vertebral column region
• Mass of thoracic vertebrae
• Neoplasm of cervical vertebra
• Neoplasm of lumbar vertebra
• Neoplasm of thoracic vertebra
• Osteosarcoma of articular cartilage of vertebra
• Osteosarcoma of bone of vertebra
• Primary chondrosarcoma of vertebral column
• Primary Ewing sarcoma of bone of spine
• 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
• Primary osteosarcoma of vertebral column
• Sarcoma of vertebra

Clinical Information

• Chordoma-. a malignant tumor arising from the embryonic remains of the notochord. it is also called chordocarcinoma, chordoepithelioma, and notochordoma. (dorland, 27th ed)

Diagnostic Related Groups - MS-DRG Mapping

The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 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 10/01/2022 through 09/30/2023.

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Table of Neoplasms

Patient Education

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

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.

Primary Bone Cancer

Code History

• FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
• FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
• 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)