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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsC79

C79

Billable

Secondary malignant neoplasm of other and unspecified sites

Chapter 2:Neoplasms

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

Code Description

ICD-10 C79 is a billable code used to indicate a diagnosis of secondary malignant neoplasm of other and unspecified sites.

Key Diagnostic Point:

C79 refers to secondary malignant neoplasms that arise from a primary cancer located in another organ or tissue. These neoplasms can occur in various sites, including but not limited to the liver, lungs, bones, and brain. The term 'secondary' indicates that the cancer has metastasized from its original site, which may not always be identifiable. In cases where the primary site is unknown, the neoplasm is classified under C79. This code encompasses a wide range of metastatic diseases, highlighting the complexity of cancer staging and treatment. Accurate coding is essential for effective patient management, including staging, treatment planning, and palliative care considerations. Palliative care focuses on improving the quality of life for patients with advanced cancer, emphasizing symptom management and psychosocial support. The coding of secondary malignant neoplasms requires careful documentation of the patient's history, the extent of disease, and any treatments received, as these factors influence both clinical management and reimbursement.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Determining the primary site of cancer can be challenging.
  • Documentation must clearly indicate metastatic disease.
  • Staging information is often required for accurate coding.
  • Palliative care considerations may complicate coding.

Audit Risk Factors

  • Inadequate documentation of the primary cancer site.
  • Failure to document the extent of metastasis.
  • Misclassification of primary versus secondary neoplasms.
  • Lack of staging information in the medical record.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed history of the primary cancer, treatment history, and current status of metastatic disease.

Common Clinical Scenarios

Patients presenting with new symptoms related to known metastatic disease.

Billing Considerations

Ensure that all sites of metastasis are documented and coded accurately.

Palliative Care

Documentation Requirements

Comprehensive assessment of symptoms, treatment goals, and patient preferences.

Common Clinical Scenarios

Patients requiring symptom management for advanced metastatic cancer.

Billing Considerations

Focus on quality of life and symptom relief, with clear documentation of palliative interventions.

Coding Guidelines

Inclusion Criteria

Use C79 When
  • According to the official coding guidelines, C79 should be used when the malignancy is confirmed as secondary and the primary site is known or unknown
  • Coders must ensure that documentation supports the diagnosis and that any staging information is included

Exclusion Criteria

Do NOT use C79 When
No specific exclusions found.

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for patients with metastatic disease.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Oncology specialists should ensure that the visit reflects the complexity of managing metastatic disease.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of secondary malignant neoplasms, improving the accuracy of cancer registries and treatment planning. C79 provides a clear distinction for metastatic disease, which is crucial for patient management and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of secondary malignant neoplasms, improving the accuracy of cancer registries and treatment planning. C79 provides a clear distinction for metastatic disease, which is crucial for patient management and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between C79 and C80?

C79 is used for secondary malignant neoplasms with a known or unknown primary site, while C80 is for unspecified malignant neoplasms without a defined primary site.