C40.9

Malignant neoplasm of unspecified bones and articular cartilage of limb

FY2027Chapter 2: Neoplasms/C40–C41 Malignant neoplasms of bone and articular cartilage

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

C40.9 is a non-billable ICD-10-CM code header for malignant neoplasm of unspecified bones and articular cartilage of limb. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are C40.90 Malignant neoplasm of unspecified bones and articular cartilage of unspecified limb, C40.91 Malignant neoplasm of unspecified bones and articular cartilage of right limb and C40.92 Malignant neoplasm of unspecified bones and articular cartilage of left limb. Its coding notes include a Use additional code instruction and 2 Excludes1 entries.

Guidelines tip

From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.

A primary malignancy code stays in use until treatment directed at that site is completed. After that, with no evidence of disease at the site, Z85 gives the former site.

Guidelines I.C.2.mCurrent malignancy versus personal history of malignancyRead the official text

Use additional code

Add the listed code as a secondary code, if known.

Inherited from C40 Malignant neoplasm of bone and articular cartilage of limbs
  • code to identify major osseous defect, if applicable (M89.7-)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

Also from chapter/block level (2 notes)
Inherited from C40–C41 Malignant neoplasms of bone and articular cartilage
  • malignant neoplasm of bone marrow NOS (C96.9)
  • malignant neoplasm of synovia (C49.-)

Includes

Further defines or gives examples of the content of the category.

Also from chapter/block level (2 notes)
Inherited from C40–C41 Malignant neoplasms of bone and articular cartilage
  • malignant neoplasm of cartilage (articular) (joint)
  • malignant neoplasm of periosteum

Notes

Also from chapter/block level (8 notes)
Inherited from Chapter 2 Neoplasms
  • Functional activity
  • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Morphology [Histology]
  • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Primary malignant neoplasms overlapping site boundaries
  • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Malignant neoplasm of ectopic tissue
  • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Alphabetic Index terms

Terms the official Alphabetic Index lists for this code. 1 entry

More specific codes under C40.9 3