ICDcodes.org
FY2027

C49.4 — Malignant neoplasm of connective and soft tissue of abdomen

BillableCC

Is C49.4 billable?

Yes — C49.4 is billable for FY2027. C49.4 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. C49.4 may be submitted for encounters from October 1, 2026 through September 30, 2027.

C49.4 at a glance

CodeC49.4
DescriptionMalignant neoplasm of connective and soft tissue of abdomen
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does C49.4 group to?

C49.4 sits in MDC 08 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.

  • 542Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCCmedical
  • 543Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CCmedical
  • 544Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCCmedical

As a secondary diagnosis, C49.4 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

Inclusion terms

Alternative wording in documentation that is classified to C49.4.

  • Malignant neoplasm of abdominal wall
  • Malignant neoplasm of hypochondrium

Excludes1 — never code together — inherited from C49

The conditions below can never be reported together with C49.4 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 neoplasm of cartilage (of):
  • articular (C40-C41)
  • larynx (C32.3)
  • nose (C30.0)
  • malignant neoplasm of connective tissue of breast (C50.-)

Excludes2 — not included here — inherited from C49

The conditions below are not part of C49.4, but a patient may have both at the same time. When documentation supports it, C49.4 and the excluded code may both be reported.

  • Kaposi's sarcoma of soft tissue (C46.1)
  • malignant neoplasm of heart (C38.0)
  • malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)
  • malignant neoplasm of peritoneum (C48.2)
  • malignant neoplasm of retroperitoneum (C48.0)
  • malignant neoplasm of uterine ligament (C57.3)
  • mesothelioma (C45.-)

How long has C49.4 existed?

C49.4 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 C49 family? (9)