2021 ICD-10-CM Code C49.1

Malignant neoplasm of connective and soft tissue of upper limb, including shoulder

Version 2021

Not Valid for Submission

ICD-10:C49.1
Short Description:Malig neoplm of conn and soft tiss of upper limb, inc shldr
Long Description:Malignant neoplasm of connective and soft tissue of upper limb, including shoulder

Code Classification

  • Neoplasms (C00–D48)
    • Malignant neoplasms of mesothelial and soft tissue (C45-C49)
      • Malignant neoplasm of other connective and soft tissue (C49)

C49.1 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of malignant neoplasm of connective and soft tissue of upper limb, including shoulder. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The following anatomical sites found in the Table of Neoplasms apply to this code given the correct histological behavior: Neoplasm, neoplastic aponeurosis palmar ; Neoplasm, neoplastic connective tissue NEC antecubital fossa or space ; Neoplasm, neoplastic connective tissue NEC arm ; Neoplasm, neoplastic connective tissue NEC elbow ; Neoplasm, neoplastic connective tissue NEC extremity upper ; Neoplasm, neoplastic connective tissue NEC finger ; Neoplasm, neoplastic connective tissue NEC forearm ; etc

Specific Coding for Malig neoplm of conn and soft tiss of upper limb, inc shldr

Non-specific codes like C49.1 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for malig neoplm of conn and soft tiss of upper limb, inc shldr:

  • BILLABLE CODE - Use C49.10 for Malignant neoplasm of connective and soft tissue of unspecified upper limb, including shoulder
  • BILLABLE CODE - Use C49.11 for Malignant neoplasm of connective and soft tissue of right upper limb, including shoulder
  • BILLABLE CODE - Use C49.12 for Malignant neoplasm of connective and soft tissue of left upper limb, including shoulder

Table of Neoplasms

The code C49.1 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
»Neoplasm, neoplastic
  »aponeurosis
    »palmar
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »antecubital fossa or space
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »arm
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »elbow
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »extremity
      »upper
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »finger
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »forearm
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »hand
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »limb NEC
      »upper
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »shoulder
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »thumb
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »connective tissue NEC
    »wrist
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »fascia [See Also: Neoplasm, connective tissue]
C49.1C79.89D21.1D48.1D49.2
»Neoplasm, neoplastic
  »fascia [See Also: Neoplasm, connective tissue]
    »palmar
C49.1C79.89D21.1D48.1D49.2

Information for Patients


Cancer

Also called: Carcinoma, Malignancy, Neoplasms, Tumor

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute


[Learn More in MedlinePlus]

Connective Tissue Disorders

Your connective tissue supports many different parts of your body, such as your skin, eyes, and heart. It is like a "cellular glue" that gives your body parts their shape and helps keep them strong. It also helps some of your tissues do their work. It is made of many kinds of proteins. Cartilage and fat are types of connective tissue.

Over 200 disorders that impact connective tissue. There are different types:

Each disorder has its own symptoms and needs different treatment.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases


[Learn More in MedlinePlus]

Code History

  • 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)