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C49.3 vs C50

C49.3 (Malignant neoplasm of connective and soft tissue of thorax) compared with C50 (Malignant neoplasm of breast), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. C49.3 carries an Excludes1 note covering C50: “malignant neoplasm of breast (C50.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. C49.3 carries an Excludes1 note covering C50: “malignant neoplasm of connective tissue of breast (C50.-)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

C49.3Malignant neoplasm of connective and soft tissue of thoraxC50Malignant neoplasm of breast
Billing statusBillableNon-billable header

Report instead: C50.011, C50.012, C50.019, C50.021, C50.022

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionMalignant neoplasm of connective and soft tissue of thorax is a billable ICD-10-CM diagnosis code (C49.3).Malignant neoplasm of breast is a non-billable ICD-10-CM category code (C50).
Includes
malignant neoplasm of blood vessel
malignant neoplasm of bursa
malignant neoplasm of cartilage
malignant neoplasm of fascia
connective tissue of breast
Paget's disease of breast
Paget's disease of nipple
Use additional code
code to identify estrogen, and other hormones and factors receptor status (Z17.-)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources