C26 ICD-10-CM Code: Malignant neoplasm of other and ill-defined digestive organs
HCC Buddy Code Card
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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of digestive organs (C15-C26)
C26
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceMalignant neoplasm of other and ill-defined digestive organs
Malignant neoplasm of other and ill-defined digestive organs
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Inclusion Terms
OfficialICD-10-CM does not list inclusion terms for C26 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for C26 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for C26 in this effective period.
Excludes 1
Official- malignant neoplasm of peritoneum and retroperitoneum (C48.-)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for C26 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for C26 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for C26 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
C26 is the ICD-10-CM diagnosis code for malignant neoplasm of other and ill-defined digestive organs. C26 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 C26 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 C26'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 C26 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 peritoneum and retroperitoneum (C48.-)