C46 ICD-10-CM Code: Kaposi's sarcoma
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Coding at a Glance
- Tabular directives
- 1 code-first instruction
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for C46 in the official ICD-10-CM tabular list, quoted as published.
Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025
Code First
Underlying conditions that must be sequenced before this code.
- any human immunodeficiency virus [HIV] disease (B20)
Coder workflow for C46
MedCoder structured workflow — derived from this code’s own official record
Before you code C46
- C46 is not reportable as written. Select the more specific code beneath it that the documentation supports. Codes are reported to the highest level of specificity the classification provides (Guidelines I.B.2).
ReviewC46.0, C46.1, C46.2, C46.3, C46.4, C46.5, C46.7, C46.9
See the relationships section · Guide: How to choose an ICD-10-CM code →
- Confirm the documented site and behavior (this code’s block classifies malignant neoplasms), whether the site is primary or secondary, and whether the malignancy is current or a personal history: a previously excised malignancy with no further treatment and no evidence of disease is history, not current disease. Verify the site against the Table of Neoplasms. Neoplasm chapter guidelines (Guidelines I.C.2.a, I.C.2.d, I.C.2.m).
See the Table of Neoplasms entries · Guide: Active cancer vs history of cancer →
Choose the right path
- Does the documentation support one of the more specific codes beneath C46?
Yes → Select that code and continue the checks below on its own page.
No → C46 cannot be reported as written; query for the specificity its subcategory needs.ReviewC46.0, C46.1, C46.2, C46.3, C46.4, C46.5, C46.7, C46.9
- Is the underlying (etiologic) condition the Code First note names documented?
Yes → Sequence the underlying condition first, then C46.
No → Continue; do not add an underlying condition the record does not document.ReviewB20
Consider C46. Then confirm the code is valid for the date of service in the Verify section.
Documentation check
- The provider’s diagnostic statement
- Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
- Anatomical site
- At the most specific level the record states; a site the classification separates cannot be assumed from a procedure or a measurement.
- The underlying (etiologic) condition
- Named in the Code First note; sequenced before this code when documented (Guidelines I.A.13).
- Behavior and current-versus-history status
- Malignant, in situ, benign or uncertain; primary or secondary; current disease or personal history (Guidelines I.C.2.m).
Official instructions as workflow
Code First — sequencing check(1 note)
Coding workflow: Check whether the underlying or etiologic condition the note names is documented. When it is, sequence it before C46. Do not add an underlying condition the record does not document.
ReviewB20
See the official tabular notes · Guidelines I.A.13
Coding decision scenarios
Pattern scenarios for this code’s structure — decision rules, not clinical cases
Documentation: The underlying condition the Code First note names is documented alongside this condition.
Coding question: How are the two sequenced?
Path: Review the Code First note.
Reason: The underlying condition is sequenced first and the manifestation follows (Guidelines I.A.13).
ReviewB20
Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
MedCoder structured relationships — computed from published CMS and AHRQ datasets
Other codes that name C46 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 1 Excludes2 note: D47.Z2 — Castleman disease.
These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.
Contextual Map
Every relationship of C46 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Run C46 with these 2 related codes in Claim Check
Hierarchy
- C00-D49 — Chapter 2: Neoplasms (C00-D49) (C00-D49)[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C00-C75 — Malignant neoplasms, stated or presumed to be primary (of specified sites), and certain specified histologies, except neuroendocrine, and of lymphoid, hematopoietic and related tissue[Hierarchy]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
Code First
- B20 — Human immunodeficiency virus [HIV] disease[Code First]: “any human immunodeficiency virus [HIV] disease (B20)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Referenced by Excludes2 notes
- D47.Z2 — Castleman disease[Excludes2]: “Kaposi's sarcoma (C46.-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2026
Nearest codes (11)
- C46.0 — Kaposi's sarcoma of skin[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.1 — Kaposi's sarcoma of soft tissue[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.2 — Kaposi's sarcoma of palate[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.3 — Kaposi's sarcoma of lymph nodes[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.4 — Kaposi's sarcoma of gastrointestinal sites[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.5 — Kaposi's sarcoma of lung[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.50 — Kaposi's sarcoma of unspecified lung[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- C46.51 — Kaposi's sarcoma of right lung[Sibling]— CMS ICD-10-CM tabular structure · icd10cm-fy2026
- and 3 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016
Common coding questions
Can C46 be billed directly?
No. C46 (Kaposi's sarcoma) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Sources for this page
Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.
- Code, title, tabular notes and index terms Official source data
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
- Claim edits Official source data
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
- Change history and date-of-service validity Official source data
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
- Comparisons, relationships and the contextual map MedCoder structured relationship
- Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
- Summary and FAQ answers MedCoder explanation
- Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.
Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates
Cite this page
Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.
MedCoder.ai. "C46 — Kaposi's sarcoma." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/c46-kaposis-sarcoma
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionKaposi's sarcoma
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to C46 in its code family, with their registry titles.
- C46.0 — Kaposi's sarcoma of skin
- C46.1 — Kaposi's sarcoma of soft tissue
- C46.2 — Kaposi's sarcoma of palate
- C46.3 — Kaposi's sarcoma of lymph nodes
- C46.4 — Kaposi's sarcoma of gastrointestinal sites
- C46.5 — Kaposi's sarcoma of lung
- C46.50 — Kaposi's sarcoma of unspecified lung
- C46.51 — Kaposi's sarcoma of right lung
- C46.52 — Kaposi's sarcoma of left lung
- C46.7 — Kaposi's sarcoma of other sites
- C46.9 — Kaposi's sarcoma, unspecified