C4A.9 — Merkel cell carcinoma, unspecified
Is C4A.9 billable?
Yes, but C4A.9 is an unspecified code. C4A.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, C4A.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting C4A.9 — the more specific alternatives are listed below.
More specific alternatives
- C4A.0Merkel cell carcinoma of lip
- C4A.1Merkel cell carcinoma of eyelid, including canthusnot billable
- C4A.2Merkel cell carcinoma of ear and external auricular canalnot billable
- C4A.4Merkel cell carcinoma of scalp and neck
- C4A.5Merkel cell carcinoma of trunknot billable
- C4A.6Merkel cell carcinoma of upper limb, including shouldernot billable
- C4A.7Merkel cell carcinoma of lower limb, including hipnot billable
- C4A.8Merkel cell carcinoma of overlapping sites
C4A.9 at a glance
| Code | C4A.9 |
|---|---|
| Description | Merkel cell carcinoma, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does C4A.9 group to?
C4A.9 sits in MDC 09 and helps define the logic of 2 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 595Major Skin Disorders with MCCmedical
- 596Major Skin Disorders without MCCmedical
How is C4A.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to C4A.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Carcinoma › Merkel cell (malignant)
Inclusion terms
Alternative wording in documentation that is classified to C4A.9.
- Merkel cell carcinoma of unspecified site
- Merkel cell carcinoma NOS
How long has C4A.9 existed?
C4A.9 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 C4A family? (9)
- C4A.0Merkel cell carcinoma of lip
- C4A.1Merkel cell carcinoma of eyelid, including canthusnot billable
- C4A.2Merkel cell carcinoma of ear and external auricular canalnot billable
- C4A.3Merkel cell carcinoma of other and unspecified parts of facenot billable
- C4A.4Merkel cell carcinoma of scalp and neck
- C4A.5Merkel cell carcinoma of trunknot billable
- C4A.6Merkel cell carcinoma of upper limb, including shouldernot billable
- C4A.7Merkel cell carcinoma of lower limb, including hipnot billable
- C4A.8Merkel cell carcinoma of overlapping sites