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C22 ICD-10-CM Code: Malignant neoplasm of liver and intrahepatic bile ducts

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

C22

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

Malignant neoplasm of liver and intrahepatic bile ducts

Malignant neoplasm of liver and intrahepatic bile ducts

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
C2Malignant neoplasms of digestive organs (C15-C26)
C22Malignant neoplasm of liver and intrahepatic bile ducts

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C22 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C22 in this effective period.

Related Child Codes

Official
C22.0Liver cell carcinoma
C22.1Intrahepatic bile duct carcinoma
C22.2Hepatoblastoma
C22.3Angiosarcoma of liver
C22.4Other sarcomas of liver

Includes

Official

ICD-10-CM does not list Includes notes for C22 in this effective period.

Excludes 1

Official
  • malignant neoplasm of biliary tract NOS (C24.9)
  • secondary malignant neoplasm of liver and intrahepatic bile duct (C78.7)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C22 in this effective period.

Use Additional

Official
  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • hepatitis B (B16.-, B18.0-B18.1)
  • hepatitis C (B17.1-, B18.2)

Code Also

Official

ICD-10-CM does not list Code Also instructions for C22 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

C22 is the ICD-10-CM diagnosis code for malignant neoplasm of liver and intrahepatic bile ducts. C22 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 C22 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 C22'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 C22 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • malignant neoplasm of biliary tract NOS (C24.9)
  • secondary malignant neoplasm of liver and intrahepatic bile duct (C78.7)

Use Additional Code

Child Codes

Code Hierarchy

C22Malignant neoplasm of liver and intrahepatic bile ducts
C22Malignant neoplasm of liver and intrahepatic bile ducts

More on C22

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