C80.1 – Malignant (primary) neoplasm, unspecified | ICD-10-CM

C80.1 diagnosis code: Malignant (primary) neoplasm, unspecified

Understanding the ICD-10 code C80.1 is essential in the realm of medical billing and coding. This code refers to malignant (primary) neoplasms that are unspecified, and the code can be used for various types of cancers. Here's an overview of C80.1:

• C80.1 is a versatile code that can be used when the specific type of malignant neoplasm is unknown or unspecified. It provides a means to record a primary cancer diagnosis when detailed information is not available.
• C80.1 can be used at the initial encounter when the patient's condition is first diagnosed. Further diagnostic workup may lead to a more specific code.
• Do note that C80.1 cannot be used at the same time as C79.9: Secondary malignant neoplasm of unspecified site.
• The use of unspecified codes like C80.1 is valuable in epidemiological studies and research. These codes allow for the inclusion of cases where detailed information is not immediately available, providing a broader perspective on cancer incidence and prevalence.

Is C80.1 billable?

While C80.1 is billable and serves as an essential starting point, it's essential to strive for specificity in coding as soon as more details become available. Using a more precise code once the type and location of the malignancy are identified is crucial for accurate billing, care coordination, and research purposes.

Clinical information

• This code covers all malignant (cancerous) primary tumors, regardless of the organ or tissue in which they originate.
• It is often employed at the initial encounter when a malignancy is first identified. It serves as a starting point for diagnosis and billing, allowing for the initiation of necessary treatments and procedures.
• For patients diagnosed with C80.1, further diagnostic tests and assessments are typically required to determine the specific type of cancer, its location, and its stage. Physicians must pursue additional information to guide treatment decisions.
• Patients diagnosed with C80.1 should undergo regular assessments and diagnostic procedures to obtain a more accurate diagnosis over time. As the cancer's characteristics become clearer, transitioning to a more specific ICD-10 code is recommended to guide ongoing care and treatment.
• When faced with C80.1, healthcare providers must prioritize a thorough clinical evaluation, a detailed patient history, and further diagnostic tests to refine the diagnosis and provide the most appropriate care for the patient.

Synonyms include

• Malignancy unspecified site
• Carcinoma unspecified site
• Unspecified site malignant neoplasm
• Secondary malignant neoplasm of ovary
• Secondary malignant neoplasm of bone
• Small cell carcinoma
• Primary malignant neoplasm

Other ICD-10 codes commonly used for malignant neoplasm

ICD-10 codes that are specific to various malignant neoplasms, providing more detailed information compared to the unspecified code C80.1:

• C18.9: Malignant neoplasm of the colon, unspecified
• C34.90: Malignant neoplasm of an unspecified part of the bronchus or lung
• C61: Malignant neoplasm of prostate
• C50.912: Malignant neoplasm of unspecified site of left female breast
• C56.9: Malignant neoplasm of unspecified ovary
• C64.9: Malignant neoplasm of unspecified kidney, except renal pelvis
• C71.9: Malignant neoplasm of brain, unspecified
• C82.90: Follicular lymphoma, unspecified, unspecified site