ICDcodes.org
FY2027

C7A.096 — Malignant carcinoid tumor of the hindgut, unspecified

BillableUnspecifiedCC

Is C7A.096 billable?

Yes, but C7A.096 is an unspecified code. C7A.096 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, C7A.096 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 C7A.096 — the more specific alternatives are listed below.

C7A.096 at a glance

CodeC7A.096
DescriptionMalignant carcinoid tumor of the hindgut, unspecified
BillableYes
Code setICD-10-CM FY2027
Valid for encountersOctober 1, 2026 – September 30, 2027

Which MS-DRGs does C7A.096 group to?

C7A.096 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, C7A.096 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.

How is C7A.096 listed in the Alphabetic Index?

These are the routes through the Alphabetic Index that lead to C7A.096. They show the wording a clinician may have documented, which often differs from the Tabular description.

  • Tumor › carcinoid › malignant › hindgut NOS

Use additional code — inherited from C7A

Report an additional code alongside C7A.096 to fully describe the condition. C7A.096 is sequenced first.

  • code to identify any associated endocrine syndrome, such as:
  • carcinoid syndrome (E34.00)

Excludes2 — not included here — inherited from C7A

The conditions below are not part of C7A.096, but a patient may have both at the same time. When documentation supports it, C7A.096 and the excluded code may both be reported.

  • malignant pancreatic islet cell tumors (C25.4)
  • Merkel cell carcinoma (C4A.-)

Code also — inherited from C7A

Two codes may be needed to describe the condition fully. Whether C7A.096 is sequenced first depends on the reason for the encounter.

  • any associated multiple endocrine neoplasia [MEN] syndromes (E31.2-)

How long has C7A.096 existed?

C7A.096 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.

Description changes
  • FY2018
    Malignant carcinoid tumor of the hindgut NOS
    Malignant carcinoid tumor of the hindgut, unspecified

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 C7A.09 family? (7)