2026 ICD-10-CM Diagnosis Code C45.2Mesothelioma of pericardium

ICD-10-CM Codes›C00–D49›C45-C49›C45

ICD-10-CM C45.2
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

C45.2 is a billable ICD-10-CM diagnosis code for mesothelioma of pericardium. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 314 through 316. Coders also document this condition as malignant mesothelioma of pericardium. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Mesothelioma.

Code Identity

ICD-10-CM Code
C45.2
Billable Status
Yes — Valid for Submission
Code Describes
Mesothelioma of pericardium
Short Description
Mesothelioma of pericardium
Same as the full description in the CMS dataset.
Parent Code
C45
Mesothelioma

Code Classification

ChapterC00–D49Neoplasms
SectionC45-C49Malignant neoplasms of mesothelial and soft tissue
CategoryC45Mesothelioma
This CodeC45.2Mesothelioma of pericardium

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Malignant mesothelioma of pericardium
  • Malignant neoplasm of pericardium
  • Neoplasm of mesothelial tissue of pericardium
  • Primary malignant mesothelioma of pericardium
  • Primary malignant neoplasm of pericardium

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Type 1 Excludes

  • other malignant neoplasm of pericardium C38.0

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Mesothelioma(malignant)
      • site classification
        • pericardium

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO067
Mesothelioma
Default principal diagnosis: inpatient Yes · outpatient Yes

Clinical InformationClinical

  • Mesothelioma

    a tumor derived from mesothelial tissue (peritoneum, pleura, pericardium). it appears as broad sheets of cells, with some regions containing spindle-shaped, sarcoma-like cells and other regions showing adenomatous patterns. pleural mesotheliomas have been linked to exposure to asbestos. (dorland, 27th ed)

  • Mesothelioma, Cystic

    a peritoneal mesothelioma affecting mainly young females and producing cysts of variable size and number lined by a single layer of benign mesothelial cells. the disease follows a benign course and is compatible with a normal life expectancy, requiring occasionally partial excision or decompression for relief of pain or other symptoms. malignant potential is exceptional. (from holland et al., cancer medicine, 3d ed, p1345)

  • Mesothelioma, Malignant

    a type of mesothelioma with a tendency to metastasize. most tumors originate from either the pleura or peritoneum, tumors may also originate in the pericardium or testicular tissue. it is associated with asbestos exposure. somatic mutations identified in wt1, bcl10, cdkn2a, nf2, and bap1 genes are associated with the malignancy. omim: 156240.

  • Solitary Fibrous Tumor, Pleural

    a rare neoplasm, usually benign, derived from mesenchymal fibroblasts located in the submesothelial lining of the pleura. it spite of its various synonyms, it has no features of mesothelial cells and is not related to malignant mesothelioma or asbestos exposure.

Patient EducationClinical

Mesothelioma

The tissue that lines your lungs, stomach, heart, and other organs is called mesothelium. Mesothelioma, also known as malignant mesothelioma, is cancer of that tissue. It usually starts in the lungs, but can also start in the abdomen or other organs.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert C45.2 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
164.1 Malignant neopl heart
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About C45.2Overview

Is C45.2 (Mesothelioma) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report mesothelioma of pericardium on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does C45.2 group to?

When mesothelioma of pericardium is the principal diagnosis on an inpatient stay, it groups to MS-DRG 314, 315, 316, with relative weights from 0.6821 to 2.0852 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of C45.2?

Under the General Equivalence Mappings, mesothelioma of pericardium converts to ICD-9-CM 164.1 (malignant neopl heart). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.