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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of digestive organs (C15-C26)

C16

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Malignant neoplasm of stomach

Malignant neoplasm of stomach

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
C1Malignant neoplasms of digestive organs (C15-C26)
C16Malignant neoplasm of stomach

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C16 in this effective period.

Excludes 2

Official
  • malignant carcinoid tumor of the stomach (C7A.092)

Related Child Codes

Official
C16.0Malignant neoplasm of cardia
C16.1Malignant neoplasm of fundus of stomach
C16.2Malignant neoplasm of body of stomach
C16.3Malignant neoplasm of pyloric antrum
C16.4Malignant neoplasm of pylorus

Includes

Official

ICD-10-CM does not list Includes notes for C16 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C16 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C16 in this effective period.

Use Additional

Official
  • code to identify:
  • alcohol abuse and dependence (F10.-)

Code Also

Official

ICD-10-CM does not list Code Also instructions for C16 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

C16 is the ICD-10-CM diagnosis code for malignant neoplasm of stomach. C16 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of digestive organs (c15-c26).

Header codes like C16 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at C16's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for C16 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 2 — Not included here, may code separately

  • malignant carcinoid tumor of the stomach (C7A.092)

Use Additional Code

  • code to identify:
  • alcohol abuse and dependence (F10.-)

Child Codes

Code Hierarchy

C16Malignant neoplasm of stomach
C16Malignant neoplasm of stomach

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