C39 ICD-10-CM Code: Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs
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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of respiratory and intrathoracic organs (C30-C39)
C39
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceMalignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs
Malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic 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 C39 in this effective period.
Excludes 2
OfficialICD-10-CM does not list Excludes 2 notes for C39 in this effective period.
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for C39 in this effective period.
Excludes 1
Official- intrathoracic malignant neoplasm NOS (C76.1)
- thoracic malignant neoplasm NOS (C76.1)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for C39 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
OfficialICD-10-CM does not list Code Also instructions for C39 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
C39 is the ICD-10-CM diagnosis code for malignant neoplasm of other and ill-defined sites in the respiratory system and intrathoracic organs. C39 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 C39 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 C39'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 C39 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.