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C76.4 ICD-10-CM Code: Malignant neoplasm of upper limb

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80)

C76.4

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

Malignant neoplasm of upper limb

Malignant neoplasm of upper limb

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
C76Malignant neoplasm of other and ill-defined sites
C76.4Malignant neoplasm of upper limb

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C76.4 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C76.4 in this effective period.

Related Child Codes

Official
C76.40Malignant neoplasm of unspecified upper limb
C76.41Malignant neoplasm of right upper limb
C76.42Malignant neoplasm of left upper limb

Includes

Official

ICD-10-CM does not list Includes notes for C76.4 in this effective period.

Excludes 1

Official
  • malignant neoplasm of female genitourinary tract NOS (C57.9)
  • malignant neoplasm of male genitourinary tract NOS (C63.9)
  • malignant neoplasm of lymphoid, hematopoietic and related tissue (C81-C96)
  • malignant neoplasm of skin (C44.-)
  • malignant neoplasm of unspecified site NOS (C80.1)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C76.4 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C76.4 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C76.4 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

C76.4 is the ICD-10-CM diagnosis code for malignant neoplasm of upper limb. C76.4 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of ill-defined, other secondary and unspecified sites (c76-c80).

Header codes like C76.4 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 C76.4'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 C76.4 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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