2024 ICD-10-CM Diagnosis Code C34.90

Malignant neoplasm of unspecified part of unspecified bronchus or lung

ICD-10-CM Code:
C34.90
ICD-10 Code for:
Malignant neoplasm of unsp part of unsp bronchus or lung
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Chronic
Code Navigator:

Code Classification

  • Neoplasms
    (C00–D49)
    • Malignant neoplasms of respiratory and intrathoracic organs
      (C30-C39)
      • Malignant neoplasm of bronchus and lung
        (C34)

C34.90 is a billable diagnosis code used to specify a medical diagnosis of malignant neoplasm of unspecified part of unspecified bronchus or lung. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

The following anatomical sites found in the Table of Neoplasms reference the parent code C34.9 of the current diagnosis code given the correct histological behavior: Neoplasm, neoplastic bronchiogenic, bronchogenic (lung) ; Neoplasm, neoplastic bronchiole ; Neoplasm, neoplastic bronchus ; Neoplasm, neoplastic lung ; Neoplasm, neoplastic lung lobe NEC ; Neoplasm, neoplastic pulmonary [See Also: Neoplasm, lung] ; Neoplasm, neoplastic subpleural ; etc

Unspecified diagnosis codes like C34.90 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

The code is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Lung Cancer Reporting (biopsy/cytology Specimens) , Lung Cancer Reporting (resection Specimens).

Approximate Synonyms

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

  • Acinar cell carcinoma of lung
  • Acinar cell cystadenocarcinoma of lung
  • Adenocarcinoma of lung
  • Adenocarcinoma of lung, stage I
  • Adenocarcinoma of lung, stage II
  • Adenocarcinoma of lung, stage III
  • Adenocarcinoma of lung, stage IV
  • Adenoid cystic carcinoma of lung
  • Adenosquamous carcinoma of lung
  • Anaplastic lymphoma kinase fusion oncogene negative non-small cell lung cancer
  • Anaplastic lymphoma kinase fusion oncogene positive non-small cell lung cancer
  • Basaloid squamous cell carcinoma of lung
  • Carcinoma of lung
  • Carcinosarcoma of lung
  • Clear cell adenocarcinoma of lung
  • Clear cell squamous cell carcinoma of lung
  • Epidermal growth factor receptor negative non-small cell lung cancer
  • Epidermal growth factor receptor positive non-small cell lung cancer
  • Epithelioid hemangioendothelioma
  • Epithelioid hemangioendothelioma of lung
  • Extensive stage primary small cell carcinoma of lung
  • Fetal adenocarcinoma of lung
  • Giant cell carcinoma of lung
  • Large cell carcinoma of lung
  • Large cell carcinoma of lung, TNM stage 1
  • Large cell carcinoma of lung, TNM stage 2
  • Large cell carcinoma of lung, TNM stage 3
  • Large cell carcinoma of lung, TNM stage 4
  • Local recurrence of malignant tumor of lung
  • Malignant epithelial neoplasm of bronchus
  • Malignant tumor of bronchus
  • Malignant tumor of lung
  • Malignant tumor of lung parenchyma
  • Mixed mucinous and non-mucinous bronchiolo-alveolar carcinoma of lung
  • Mixed subtype adenocarcinoma of lung
  • Mucinous adenocarcinoma of lung
  • Mucinous bronchiolo-alveolar carcinoma of lung
  • Mucinous cystadenocarcinoma of lung
  • Mucoepidermoid carcinoma of lung
  • Myoepithelial carcinoma of lung
  • Neoplasm of blood vessel of thorax
  • Neuroendocrine neoplasm of lung
  • Neuroendocrine neoplasm of lung
  • Non-mucinous bronchiolo-alveolar carcinoma of lung
  • Non-small cell adenocarcinoma of lung
  • Non-small cell carcinoma of lung, TNM stage 1
  • Non-small cell carcinoma of lung, TNM stage 2
  • Non-small cell carcinoma of lung, TNM stage 3
  • Non-small cell carcinoma of lung, TNM stage 4
  • Non-small cell lung cancer
  • Non-small cell lung cancer with mutation in epidermal growth factor receptor
  • Non-small cell lung cancer without mutation in epidermal growth factor receptor
  • Non-small cell lung carcinoma with NRG1 fusion
  • Nonsquamous nonsmall cell neoplasm of lung
  • Oat cell carcinoma of lung
  • Papillary adenocarcinoma of lung
  • Papillary squamous cell carcinoma of lung
  • Pleomorphic carcinoma of lung
  • Pleuropulmonary blastoma
  • Pleuropulmonary blastoma type I
  • Pleuropulmonary blastoma type II
  • Pleuropulmonary blastoma type III
  • Primary acinar cell carcinoma of lung
  • Primary acinar cell cystadenocarcinoma of lung
  • Primary adenocarcinoma of lung
  • Primary adenoid cystic carcinoma of lung
  • Primary adenosquamous carcinoma of lung
  • Primary adenosquamous cell carcinoma
  • Primary anaplastic lymphoma kinase fusion oncogene negative non-small cell lung cancer
  • Primary anaplastic lymphoma kinase fusion oncogene positive non-small cell lung cancer
  • Primary basaloid squamous cell carcinoma of lung
  • Primary carcinosarcoma of lung
  • Primary clear cell adenocarcinoma of lung
  • Primary clear cell squamous cell carcinoma of lung
  • Primary epidermal growth factor receptor negative non-small cell lung cancer
  • Primary epidermal growth factor receptor positive non-small cell lung cancer
  • Primary epithelioid hemangioendothelioma of lung
  • Primary fetal adenocarcinoma of lung
  • Primary giant cell carcinoma of lung
  • Primary large cell carcinoma of lung
  • Primary malignant neoplasm of blood vessel of thorax
  • Primary malignant neoplasm of blood vessel of trunk
  • Primary malignant neoplasm of bronchus
  • Primary malignant neoplasm of lung
  • Primary malignant neuroendocrine neoplasm of lung
  • Primary mixed mucinous and non-mucinous bronchiolo-alveolar carcinoma of lung
  • Primary mixed subtype adenocarcinoma of lung
  • Primary mucinous adenocarcinoma of lung
  • Primary mucinous bronchiolo-alveolar carcinoma of lung
  • Primary mucinous cystadenocarcinoma of lung
  • Primary mucoepidermoid carcinoma of lung
  • Primary myoepithelial carcinoma of lung
  • Primary non-mucinous bronchiolo-alveolar carcinoma of lung
  • Primary non-small cell lung cancer
  • Primary non-small cell lung cancer with mutation in epidermal growth factor receptor
  • Primary non-small cell lung cancer without mutation in epidermal growth factor receptor
  • Primary non-small cell lung carcinoma with NRG1 fusion
  • Primary nonsquamous nonsmall cell neoplasm of lung
  • Primary oat cell carcinoma of lung
  • Primary papillary adenocarcinoma of lung
  • Primary papillary squamous cell carcinoma of lung
  • Primary pleomorphic carcinoma of lung
  • Primary pseudosarcomatous carcinoma of lung
  • Primary reactive oxygen species 1 negative non-small cell lung cancer
  • Primary reactive oxygen species 1 positive non-small cell lung cancer
  • Primary salivary gland type carcinoma of lung
  • Primary signet ring cell carcinoma of lung
  • Primary small cell malignant neoplasm of lung, TNM stage 1
  • Primary small cell malignant neoplasm of lung, TNM stage 2
  • Primary small cell malignant neoplasm of lung, TNM stage 3
  • Primary small cell malignant neoplasm of lung, TNM stage 4
  • Primary small cell non-keratinizing squamous cell carcinoma of lung
  • Primary solid carcinoma of lung
  • Primary spindle cell carcinoma of lung
  • Primary squamous cell carcinoma of bronchus
  • Primary squamous cell carcinoma of lung
  • Primary squamous non-small cell lung cancer
  • Primary undifferentiated carcinoma of lung
  • Pseudosarcomatous carcinoma of lung
  • Pulmonary blastoma
  • Reactive oxygen species 1 negative non-small cell lung cancer
  • Reactive oxygen species 1 positive non-small cell lung cancer
  • Salivary gland type carcinoma of lung
  • Signet ring cell carcinoma of lung
  • Small cell carcinoma of lung
  • Small cell non-keratinizing squamous cell carcinoma of lung
  • Solid carcinoma of lung
  • Spindle cell carcinoma of lung
  • Squamous cell carcinoma of bronchus
  • Squamous cell carcinoma of lung
  • Squamous cell carcinoma of lung, TNM stage 1
  • Squamous cell carcinoma of lung, TNM stage 2
  • Squamous cell carcinoma of lung, TNM stage 3
  • Squamous cell carcinoma of lung, TNM stage 4
  • Squamous non-small cell lung cancer
  • Undifferentiated carcinoma of lung

Clinical Classification

Clinical Information

  • Pulmonary Blastoma

    a malignant neoplasm of the lung composed chiefly or entirely of immature undifferentiated cells (i.e., blast forms) with little or virtually no stroma. (from stedman, 25th ed)
  • Adenocarcinoma of Lung

    a carcinoma originating in the lung and the most common lung cancer type in never-smokers. malignant cells exhibit distinct features such as glandular epithelial, or tubular morphology. mutations in kras, egfr, braf, and erbb2 genes are associated with this cancer.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Inclusion Terms

Inclusion Terms
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.
  • Lung cancer NOS

Index to Diseases and Injuries References

The following annotation back-references for this diagnosis code are found in the injuries and diseases index. The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10-CM code(s).

  • - Cancer - See Also: Neoplasm, by site, malignant;
    • - lung - See Also: Neoplasm, lung, malignant; - C34.90

Convert C34.90 to ICD-9-CM

  • ICD-9-CM Code: 162.9 - Mal neo bronch/lung NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Quality Payment Program Measures

When code C34.90 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.

Quality Measure Description Quality Domain Measure Type High Priority Submission Methods
Lung Cancer Reporting (Biopsy/Cytology Specimens)Pathology reports based on lung biopsy and/or cytology specimens with a diagnosis of primary non-small cell lung cancer classified into specific histologic type following the International Association for the Study of Lung Cancer (IASLC) guidance or classified as non-small cell lung cancer not otherwise specified (NSCLC-NOS) with an explanation included in the pathology report.Communication and Care CoordinationProcessYESClaims, Registry
Lung Cancer Reporting (Resection Specimens)Pathology reports based on lung resection specimens with a diagnosis of primary lung carcinoma that include the pT category, pN category and for non-small cell lung cancer (NSCLC), histologic type.Communication and Care CoordinationProcessYESClaims, Registry

Table of Neoplasms

The parent code C34.9 of the current diagnosis code is referenced 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
  »bronchiogenic, bronchogenic (lung)
C34.9C78.0D02.2D14.3D38.1D49.1
»Neoplasm, neoplastic
  »bronchiole
C34.9C78.0D02.2D14.3D38.1D49.1
»Neoplasm, neoplastic
  »bronchus
C34.9C78.0D02.2D14.3D38.1D49.1
»Neoplasm, neoplastic
  »lung
C34.9C78.0D02.2D14.3D38.1D49.1
»Neoplasm, neoplastic
  »lung
    »lobe NEC
C34.9C78.0D02.2D14.3D38.1D49.1
»Neoplasm, neoplastic
  »pulmonary [See Also: Neoplasm, lung]
C34.9C78.0D02.2D14.3D38.1D49.1
»Neoplasm, neoplastic
  »subpleural
C34.9C78.0D02.2D14.3D38.1D49.1

Patient Education


Lung Cancer

What is lung cancer?

Lung cancer is cancer that forms in tissues of the lung, usually in the cells that line the air passages. It is the leading cause of cancer death in both men and women.

There are two main types: small cell lung cancer and non-small cell lung cancer. These two types grow differently and are treated differently. Non-small cell lung cancer is the more common type.

Who is at risk for lung cancer?

Lung cancer can affect anyone, but there are certain factors that raise your risk of getting it:

  • Smoking. This is the most important risk factor for lung cancer. Tobacco smoking causes about 9 out of 10 cases of lung cancer in men and about 8 out of 10 cases of lung cancer in women. The earlier in life you start smoking, the longer you smoke, and the more cigarettes you smoke per day, the greater your risk of lung cancer. The risk is also greater if you smoke a lot and drink alcohol every day or take beta carotene supplements. If you have quit smoking, your risk will be lower than if you had kept smoking. But you will still have a higher risk than people who never smoked.
  • Secondhand smoke, which is the combination of smoke that comes from a cigarette and smoke breathed out by a smoker. When you inhale it, you are exposed to the same cancer-causing agents as smokers, although in smaller amounts.
  • Family history of lung cancer
  • Being exposed to asbestos, arsenic, chromium, beryllium, nickel, soot, or tar in the workplace
  • Being exposed to radiation, such as from
    • Radiation therapy to the breast or chest
    • Radon in the home or workplace
    • Certain imaging tests such as CT scans
  • HIV infection
  • Air pollution

What are the symptoms of lung cancer?

Sometimes lung cancer does not cause any signs or symptoms. It may be found during a chest x-ray done for another condition.

If you do have symptoms, they may include:

  • Chest pain or discomfort
  • A cough that doesn't go away or gets worse over time
  • Trouble breathing
  • Wheezing
  • Blood in sputum (mucus coughed up from the lungs)
  • Hoarseness
  • Loss of appetite
  • Weight loss for no known reason
  • Fatigue
  • Trouble swallowing
  • Swelling in the face and/or veins in the neck

How is lung cancer diagnosed?

Your health care provider may use many tools to make a diagnosis:

  • A medical history, which includes asking about your symptoms
  • A family history
  • A physical exam
  • Imaging tests, such as a chest x-ray or chest CT scan
  • Lab tests, including tests of your blood and sputum
  • A biopsy of the lung

If you do have lung cancer, your provider will do other tests to find out how far it has spread through the lungs, lymph nodes, and the rest of the body. This is called staging. Knowing the type and stage of lung cancer you have helps your provider decide what kind of treatment you need.

What are the treatments for lung cancer?

For most patients with lung cancer, current treatments do not cure the cancer.

Your treatment will depend on which type of lung cancer you have, how far it has spread, your overall health, and other factors. You may get more than one type of treatment.

The treatments for small cell lung cancer include:

  • Surgery
  • Chemotherapy
  • Radiation therapy
  • Immunotherapy
  • Laser therapy, which uses a laser beam to kill cancer cells
  • Endoscopic stent placement. An endoscope is a thin, tube-like instrument used to look at tissues inside the body. It may be used to put in a device called a stent. The stent helps to open an airway that has been blocked by abnormal tissue.

The treatments for non-small cell lung cancer include:

  • Surgery
  • Radiation therapy
  • Chemotherapy
  • Targeted therapy, which uses drugs or other substances that attack specific cancer cells with less harm to normal cells
  • Immunotherapy
  • Laser therapy
  • Photodynamic therapy (PDT), which uses a medicine and a certain type of laser light to kill cancer cells
  • Cryosurgery, which uses an instrument to freeze and destroy abnormal tissue
  • Electrocautery, a treatment that uses a probe or needle heated by an electric current to destroy abnormal tissue

Can lung cancer be prevented?

Avoiding the risk factors may help to prevent lung cancer:

  • Quitting smoking. If you don't smoke, don't start.
  • Lower your exposure to hazardous substances at work
  • Lower your exposure to radon. Radon tests can show whether your home has high levels of radon. You can buy a test kit yourself or hire a professional to do the test.

NIH: National Cancer Institute


[Learn More in MedlinePlus]

Lung cancer

Lung cancer is a disease in which certain cells in the lungs become abnormal and multiply uncontrollably to form a tumor. Lung cancer may not cause signs or symptoms in its early stages. Some people with lung cancer have chest pain, frequent coughing, blood in the mucus, breathing problems, trouble swallowing or speaking, loss of appetite and weight loss, fatigue, or swelling in the face or neck. Additional symptoms can develop if the cancer spreads (metastasizes) into other tissues. Lung cancer occurs most often in adults in their sixties or seventies. Most people who develop lung cancer have a history of long-term tobacco smoking; however, the condition can occur in people who have never smoked.

Lung cancer is generally divided into two types, small cell lung cancer and non-small cell lung cancer, based on the size of the affected cells when viewed under a microscope. Non-small cell lung cancer accounts for 85 percent of lung cancer, while small cell lung cancer accounts for the remaining 15 percent.

Small cell lung cancer grows quickly and in more than half of cases the cancer has spread beyond the lung by the time the condition is diagnosed. Small cell lung cancer often metastasizes, most commonly to the liver, brain, bones, and adrenal glands (small hormone-producing glands located on top of each kidney). After diagnosis, most people with small cell lung cancer survive for about 1 year; less than seven percent survive 5 years.

Non-small cell lung cancer is divided into three main subtypes: adenocarcinoma, squamous cell carcinoma, and large cell lung carcinoma. Adenocarcinoma arises from the cells that line the small air sacs (alveoli) located throughout the lungs. Squamous cell carcinoma arises from squamous cells that line the passages leading from the windpipe (trachea) to the lungs (bronchi). Large cell carcinoma arises from epithelial cells that line the lungs. Large cell carcinoma encompasses non-small cell lung cancers that do not appear to be adenocarcinomas or squamous cell carcinomas. The 5-year survival rate for people with non-small cell lung cancer is usually between 11 and 17 percent; it can be lower or higher depending on the subtype and stage of the cancer.


[Learn More in MedlinePlus]

Lung Cancer-Patient Version

Learn about lung cancer risk factors, symptoms, tests to diagnose, factors affecting prognosis, staging, and treatment.
[Learn More in MedlinePlus]

Non-Small Cell Lung Cancer Summary

Learn about non-small cell lung cancer risk factors, symptoms, tests to diagnose, factors affecting prognosis, staging, and treatment.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • 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. This was the first year ICD-10-CM was implemented into the HIPAA code set.

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.