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C55 - Malignant neoplasm of uterus, part unspecified

ICD-10-CM Chapter 2: Neoplasms · C51-C58 Malignant neoplasms of female genital organs (C51-C58) · Top-level category · FY2027

Includes, Excludes and Coding Notes

IncludesFrom C51-C58 Malignant neoplasms of female genital organs (C51-C58)

Conditions this code covers.

  • malignant neoplasm of skin of female genital organs
NotesFrom Chapter C00-D49

Instructional notes from the ICD-10-CM tabular list.

  • Functional activity
  • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Morphology [Histology]
  • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Primary malignant neoplasms overlapping site boundaries
  • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Malignant neoplasm of ectopic tissue
  • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Inpatient DRG Payments

DRG 7371,905 discharges

Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc

Avg. Medicare Payment

$16,354

Total Payment$21,372
Patient Responsibility$5,018
Hospital Charge$116,218
DRG 7401,450 discharges

Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc

Avg. Medicare Payment

$14,915

Total Payment$19,245
Patient Responsibility$4,330
Hospital Charge$106,335
DRG 7541,856 discharges

Malignancy, Female Reproductive System With Mcc

Avg. Medicare Payment

$15,814

Total Payment$19,547
Patient Responsibility$3,733
Hospital Charge$89,754
DRG 7551,873 discharges

Malignancy, Female Reproductive System With Cc

Avg. Medicare Payment

$9,160

Total Payment$11,672
Patient Responsibility$2,512
Hospital Charge$54,805
DRG 741842 discharges

Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy Without Cc/mcc

Avg. Medicare Payment

$10,430

Total Payment$13,629
Patient Responsibility$3,199
Hospital Charge$85,600
DRG 739508 discharges

Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mcc

Avg. Medicare Payment

$33,702

Total Payment$41,145
Patient Responsibility$7,443
Hospital Charge$187,352