C78.89 vs C81.74
C78.89 (Secondary malignant neoplasm of other digestive organs) compared with C81.74 (Other Hodgkin lymphoma, lymph nodes of axilla and upper limb), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Can these codes be reported together?
Yes, when both are documented. C81.74 carries an Excludes2 note covering C78.89: “secondary neoplasm of spleen (C78.89)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Side by side
| C78.89Secondary malignant neoplasm of other digestive organs | C81.74Other Hodgkin lymphoma, lymph nodes of axilla and upper limb | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | C00-D49 — Neoplasms (C00-D49) | C00-D49 — Neoplasms (C00-D49) |
| Definition | Secondary malignant neoplasm of other digestive organs is a billable ICD-10-CM diagnosis code (C78.89). | Other Hodgkin lymphoma, lymph nodes of axilla and upper limb is a billable ICD-10-CM diagnosis code (C81.74). |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources