ICDcodes.org
FY2027

C76 vs C80.1

C76 and C80.1 can never be reported together. ICD-10-CM declares them mutually exclusive with an Excludes1 note, meaning the two conditions cannot occur in the same patient — so exactly one of them is correct for any given encounter.

The official note, declared on C76
malignant neoplasm of unspecified site NOS (C80.1)
C76

Malignant neoplasm of other and ill-defined sites

Not billable
Chapter 2
Neoplasms
Section
C76-C80
C80.1

Malignant (primary) neoplasm, unspecified

BillableUnspecified
Chapter 2
Neoplasms
Section
C76-C80
Use when the record says
  • Cancer NOS
  • Cancer unspecified site (primary)
  • Carcinoma unspecified site (primary)
  • Malignancy unspecified site (primary)
Indexed under
  • Cancer › unspecified site
  • Carcinoma › unspecified site (malignant)
  • Malignancy › unspecified site
  • Sarcomatosis › unspecified site
  • Tumor › malignant

Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027