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C78.5 vs D12.6

C78.5 (Secondary malignant neoplasm of large intestine and rectum) compared with D12.6 (Benign neoplasm of colon, unspecified), from the official CMS tabular data. C78.5 and D12.6 name the same anatomical site (intestine) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

C78.5
Secondary malignant neoplasm of large intestine and rectum
D12.6
Benign neoplasm of colon, unspecified

Same anatomical site, different neoplasm behavior.

Same site — benign neoplasm (intestine)

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. C78.5 and D12.6 name the same anatomical site (intestine) 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

C78.5Secondary malignant neoplasm of large intestine and rectumD12.6Benign neoplasm of colon, unspecified
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionSecondary malignant neoplasm of large intestine and rectum is a billable ICD-10-CM diagnosis code (C78.5).Benign neoplasm of colon, unspecified is a billable ICD-10-CM diagnosis code (D12.6).
Includes
Adenomatosis of colon
Benign neoplasm of large intestine NOS
Polyposis (hereditary) of colon

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