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C76.5 vs D04.7

C76.5 (Malignant neoplasm of lower limb) compared with D04.7 (Carcinoma in situ of skin of lower limb, including hip), from the official CMS tabular data. C76.5 and D04.7 name the same anatomical site (ankle) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

C76.5
Malignant neoplasm of lower limb
D04.7
Carcinoma in situ of skin of lower limb, including hip

Same anatomical site, different neoplasm behavior.

Same site — carcinoma in situ (ankle)

The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.

Source: CMS Table of Neoplasms

Can these codes be reported together?

Same site, different neoplasm behavior. C76.5 and D04.7 name the same anatomical site (ankle) with a different neoplasm behavior.

From the CMS/CDC Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.

Side by side

C76.5Malignant neoplasm of lower limbD04.7Carcinoma in situ of skin of lower limb, including hip
Billing statusNon-billable header

Report instead: C76.50, C76.51, C76.52

Non-billable header

Report instead: D04.70, D04.71, D04.72

ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionMalignant neoplasm of lower limb is a non-billable ICD-10-CM category code (C76.5).Carcinoma in situ of skin of lower limb, including hip is a non-billable ICD-10-CM category code (D04.7).
Includes
Bowen's disease
erythroplasia
grade III intraepithelial neoplasia
Queyrat's erythroplasia

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