C76.41
BillableMalignant neoplasm of right upper limb
HCC Category Mapping
V28HCC 23 — Melanoma and Other Skin Cancers
0.251V24HCC 12 — Breast, Prostate, and Other Cancers and Tumors
0.150ESRDHCC 12 — Breast, Prostate, and Other Cancers and Tumors
0.000RxHCCHCC 22 — Cancer, Other Specified Sites
0.000What This Code Means
Cancer that has developed in the right upper arm, hand, or shoulder area.
Coding Tips
- •Ensure documentation clearly specifies 'right' side before assigning this code
- •This includes malignancies of the right shoulder, upper arm, forearm, wrist, and hand
Clinical Significance
Malignant neoplasm of the right upper limb specifies cancer in the right arm, forearm, or hand where the specific tissue of origin is ill-defined. Laterality is documented but the overlapping or indeterminate nature of the tumor prevents assignment to a tissue-specific code. Proper documentation of the tissue of origin should be pursued.
Documentation Requirements
- ✓Documentation confirming right upper limb malignancy
- ✓Pathology with tissue typing to attempt more specific code assignment
- ✓Imaging documenting location and extent within the right upper extremity
- ✓Assessment of neurovascular involvement and functional status
- ✓Treatment plan including surgical approach and any adjuvant therapy
Commonly Confused Codes
C76.42 — Left upper limb: Laterality error; confirm right sideC76.40 — Unspecified upper limb: Use C76.41 when right side is documentedC40.01 — Malignant neoplasm of bones of right upper limb: Use when bone origin is confirmedC49.11 — Connective tissue of right upper limb: Use for soft tissue sarcomasC43.61 — Melanoma of right upper limb: Use for melanoma of the arm
Code Hierarchy
└C76Malignant neoplasm of other and ill-defined sites└C76.4Malignant neoplasm of upper limb└C76.41Malignant neoplasm of right upper limb
└C76.41Malignant neoplasm of right upper limb