C49.11
BillableMalignant neoplasm of connective and soft tissue of right upper limb, including shoulder
HCC Category Mapping
What This Code Means
This code describes cancer that has started in the soft tissues (muscles, fat, nerves, or blood vessels) of the right arm or shoulder area. It is a malignant tumor, meaning it is cancerous and can spread to other parts of the body.
Coding Tips
- •Verify the laterality is documented as right upper limb; if left or bilateral, use different codes (C49.12 for left, C49.13 for bilateral)
- •Ensure the neoplasm is confirmed as malignant and originates in connective/soft tissue rather than bone (which would use different C-codes); review pathology reports for confirmation
Clinical Significance
Malignant neoplasm of connective and soft tissue of the right upper limb including shoulder. This laterality-specific code captures sarcomas such as liposarcoma, undifferentiated pleomorphic sarcoma, and synovial sarcoma of the right arm/shoulder region, supporting accurate disease tracking and treatment planning.
Documentation Requirements
- ✓Right-sided laterality explicitly documented
- ✓Pathology confirming malignant soft tissue neoplasm with histological subtype
- ✓Specific location within the right upper limb
- ✓Tumor stage, grade, and size
- ✓Surgical margins if resected and functional outcome assessment