ICD-10-CM Code C41.2

Malignant neoplasm of vertebral column

Version 2020 Billable Code Neoplasm Malignant Primary

Valid for Submission

C41.2 is a billable code used to specify a medical diagnosis of malignant neoplasm of vertebral column. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code C41.2 might also be used to specify conditions or terms like chordoma of lumbar spine, chordoma of thoracic spine, malignant neoplasm of cervical vertebra, malignant neoplasm of lumbar vertebra, malignant neoplasm of thoracic vertebra, malignant neoplasm of thoracic vertebral column, etc

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: atlas ; bone (periosteum) atlas ; bone (periosteum) axis ; bone (periosteum) back NEC ; bone (periosteum) intervertebral cartilage or disc ; bone (periosteum) spine, spinal (column) ; bone (periosteum) vertebra (column) ; etc

ICD-10:C41.2
Short Description:Malignant neoplasm of vertebral column
Long Description:Malignant neoplasm of vertebral column

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code C41.2:

Type 1 Excludes

Type 1 Excludes
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.
  • malignant neoplasm of sacrum and coccyx C41.4

Synonyms

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

  • Chordoma of lumbar spine
  • Chordoma of thoracic spine
  • 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 thoracic vertebrae
  • Neoplasm of cervical vertebra
  • Neoplasm of lumbar vertebra
  • Neoplasm of lumbar vertebral column
  • Neoplasm of lumbar vertebral column
  • Neoplasm of thoracic vertebra
  • 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

Diagnostic Related Groups

The ICD-10 code C41.2 is grouped in the following groups for version MS-DRG V37.0 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 10/01/2019 through 09/30/2020.

  • 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 C41.2 to ICD-9

  • 170.2 - Malig neo vertebrae

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)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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.

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


[Learn 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.
[Learn More]