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

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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

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)
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.

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.-)

Child Codes

Code Hierarchy

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

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