C18.5 — Malignant neoplasm of splenic flexure
Is C18.5 billable?
Yes — C18.5 is billable for FY2027. C18.5 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. C18.5 may be submitted for encounters from October 1, 2026 through September 30, 2027.
C18.5 at a glance
| Code | C18.5 |
|---|---|
| Description | Malignant neoplasm of splenic flexure |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does C18.5 group to?
C18.5 sits in MDC 06 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 374Digestive Malignancy with MCCmedical
- 375Digestive Malignancy with CCmedical
- 376Digestive Malignancy without CC/MCCmedical
As a secondary diagnosis, C18.5 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
Excludes1 — never code together — inherited from C15-C26
The conditions below can never be reported together with C18.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- Kaposi's sarcoma of gastrointestinal sites (C46.4)
Excludes1 — never code together — inherited from C18
The conditions below can never be reported together with C18.5 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- malignant carcinoid tumors of the colon (C7A.02-)
Excludes2 — not included here — inherited from C15-C26
The conditions below are not part of C18.5, but a patient may have both at the same time. When documentation supports it, C18.5 and the excluded code may both be reported.
- gastrointestinal stromal tumors (C49.A-)
How long has C18.5 existed?
C18.5 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the C18 family? (9)
- C18.0Malignant neoplasm of cecum
- C18.1Malignant neoplasm of appendix
- C18.2Malignant neoplasm of ascending colon
- C18.3Malignant neoplasm of hepatic flexure
- C18.4Malignant neoplasm of transverse colon
- C18.6Malignant neoplasm of descending colon
- C18.7Malignant neoplasm of sigmoid colon
- C18.8Malignant neoplasm of overlapping sites of colon
- C18.9Malignant neoplasm of colon, unspecified