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C34 ICD-10-CM Code: Malignant neoplasm of bronchus and lung

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

C34

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

Malignant neoplasm of bronchus and lung

Malignant neoplasm of bronchus and lung

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
C3Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
C34Malignant neoplasm of bronchus and lung

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C34 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C34 in this effective period.

Related Child Codes

Official
C34.0Malignant neoplasm of main bronchus
C34.1Malignant neoplasm of upper lobe, bronchus or lung
C34.2Malignant neoplasm of middle lobe, bronchus or lung
C34.3Malignant neoplasm of lower lobe, bronchus or lung
C34.8Malignant neoplasm of overlapping sites of bronchus and lung

Includes

Official

ICD-10-CM does not list Includes notes for C34 in this effective period.

Excludes 1

Official
  • Kaposi's sarcoma of lung (C46.5-)
  • malignant carcinoid tumor of the bronchus and lung (C7A.090)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C34 in this effective period.

Use Additional

Official
  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)

Code Also

Official

ICD-10-CM does not list Code Also instructions for C34 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

C34 is the ICD-10-CM diagnosis code for malignant neoplasm of bronchus and lung. C34 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 C34 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 C34'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 C34 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • Kaposi's sarcoma of lung (C46.5-)
  • malignant carcinoid tumor of the bronchus and lung (C7A.090)

Use Additional Code

  • code to identify:
  • exposure to environmental tobacco smoke (Z77.22)
  • exposure to tobacco smoke in the perinatal period (P96.81)
  • history of tobacco dependence (Z87.891)
  • occupational exposure to environmental tobacco smoke (Z57.31)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Child Codes

Code Hierarchy

C34Malignant neoplasm of bronchus and lung
C34Malignant neoplasm of bronchus and lung

More on C34

Related condition guides

Referenced in blog posts

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