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v1.0.0
ICD-10 Guide
ICD-10 CodesC41.3

C41.3

Billable

Malignant neoplasm of ribs, sternum and clavicle

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C41.3 is a billable code used to indicate a diagnosis of malignant neoplasm of ribs, sternum and clavicle.

Key Diagnostic Point:

C41.3 refers to malignant neoplasms located in the ribs, sternum, and clavicle, which are classified as bone sarcomas. These tumors can arise from the bone itself or from surrounding soft tissues. Common types of bone sarcomas include osteosarcoma, chondrosarcoma, and Ewing's sarcoma. Imaging characteristics typically include lytic or sclerotic lesions on X-rays, CT scans, or MRIs, which may show cortical destruction and soft tissue masses. Diagnosis often requires a biopsy to confirm malignancy. Multidisciplinary management is crucial, involving orthopedic oncologists, radiologists, pathologists, and medical oncologists to ensure comprehensive care. Treatment may include surgical resection, chemotherapy, and radiation therapy, depending on the tumor type and stage. Early detection and accurate staging are vital for improving patient outcomes.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of bone sarcoma types that can affect coding specificity.
  • Need for precise documentation of tumor location and characteristics.
  • Potential for metastasis requiring additional coding considerations.
  • Variability in treatment approaches based on tumor type and stage.

Audit Risk Factors

  • Inadequate documentation of tumor characteristics.
  • Failure to specify the exact location of the neoplasm.
  • Misclassification of benign versus malignant tumors.
  • Lack of supporting documentation for treatment plans.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of primary bone sarcomas, treatment planning for surgical interventions.

Billing Considerations

Ensure accurate staging and grading of tumors for appropriate coding.

Radiology

Documentation Requirements

Comprehensive imaging reports detailing findings and recommendations.

Common Clinical Scenarios

Imaging for suspected bone tumors, follow-up imaging post-treatment.

Billing Considerations

Clear documentation of imaging characteristics to support coding.

Coding Guidelines

Inclusion Criteria

Use C41.3 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the neoplasm's location, type, and any associated complications
  • Include relevant imaging and pathology reports to support the diagnosis

Exclusion Criteria

Do NOT use C41.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

19301CPT Code

Mastectomy, total

Clinical Scenario

When a patient with breast cancer has a rib metastasis requiring surgical intervention.

Documentation Requirements

Operative report detailing the procedure and findings.

Specialty Considerations

Oncology and surgical documentation must align for accurate coding.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better patient management through detailed documentation requirements.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better patient management through detailed documentation requirements.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better patient management through detailed documentation requirements.

Resources

Clinical References

  • •
    American Cancer Society - Bone Cancer

Coding & Billing References

  • •
    American Cancer Society - Bone Cancer

Frequently Asked Questions

What are the common symptoms of malignant neoplasms of the ribs, sternum, and clavicle?

Common symptoms include localized pain, swelling, and potential respiratory issues if the sternum is involved. Patients may also experience systemic symptoms such as weight loss or fatigue.