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C31 ICD-10-CM Code: Malignant neoplasm of accessory sinuses

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)

C31

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

Malignant neoplasm of accessory sinuses

Malignant neoplasm of accessory sinuses

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

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Code Book Path

Official
C3Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
C31Malignant neoplasm of accessory sinuses

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C31 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C31 in this effective period.

Related Child Codes

Official
C31.0Malignant neoplasm of maxillary sinus
C31.1Malignant neoplasm of ethmoidal sinus
C31.2Malignant neoplasm of frontal sinus
C31.3Malignant neoplasm of sphenoid sinus
C31.8Malignant neoplasm of overlapping sites of accessory sinuses

Includes

Official

ICD-10-CM does not list Includes notes for C31 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C31 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C31 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C31 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C31 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

C31 is the ICD-10-CM diagnosis code for malignant neoplasm of accessory sinuses. C31 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of respiratory and intrathoracic organs (c30-c39).

Header codes like C31 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 C31'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 C31 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

C31Malignant neoplasm of accessory sinuses
C31Malignant neoplasm of accessory sinuses

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