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C7A.0 ICD-10-CM Code: Malignant carcinoid tumors

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neuroendocrine tumors (C7A)

C7A.0

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

Malignant carcinoid tumors

Malignant carcinoid tumors

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
C7AMalignant neuroendocrine tumors
C7A.0Malignant carcinoid tumors

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C7A.0 in this effective period.

Excludes 2

Official
  • malignant pancreatic islet cell tumors (C25.4)
  • Merkel cell carcinoma (C4A.-)

Related Child Codes

Official
C7A.00Malignant carcinoid tumor of unspecified site
C7A.01Malignant carcinoid tumors of the small intestine
C7A.02Malignant carcinoid tumors of the appendix, large intestine, and rectum
C7A.09Malignant carcinoid tumors of other sites

Includes

Official

ICD-10-CM does not list Includes notes for C7A.0 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for C7A.0 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C7A.0 in this effective period.

Use Additional

Official
  • code to identify any associated endocrine syndrome, such as:
  • carcinoid syndrome (E34.00)

Code Also

Official
  • any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)

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

C7A.0 is the ICD-10-CM diagnosis code for malignant carcinoid tumors. C7A.0 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neuroendocrine tumors (c7a).

Header codes like C7A.0 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 C7A.0'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 C7A.0 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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