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C26 ICD-10-CM Code: Malignant neoplasm of other and ill-defined digestive organs

C26 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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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 guidance

Malignant neoplasm of other and ill-defined digestive organs

Malignant neoplasm of other and ill-defined digestive organs

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
C2Malignant neoplasms of digestive organs (C15-C26)
C26Malignant neoplasm of other and ill-defined digestive organs

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C26 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C26 in this effective period.

Related Child Codes

Official
C26.0Malignant neoplasm of intestinal tract, part unspecified
C26.1Malignant neoplasm of spleen
C26.9Malignant neoplasm of ill-defined sites within the digestive system

Includes

Official

ICD-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

Official

ICD-10-CM does not list Code First sequencing instructions for C26 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C26 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C26 in this effective period.

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Code
C26
Description
Malignant neoplasm of other and ill-defined digestive organs
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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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. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, 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.-)

Child Codes

Code Hierarchy

C26Malignant neoplasm of other and ill-defined digestive organs
C26Malignant neoplasm of other and ill-defined digestive organs

More on C26

Referenced in blog posts

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