ICD-10 · PDGM grouping

C40-C41 — Malignant neoplasms of bone and articular cartilage

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

24

No clinical group

6

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

18 of the 24 codes in C40-C41 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. A further 6 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in C40-C41

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
C4000Malig neoplasm of scapula and long bones of unsp upper limbNoneCannot group
C4001Malig neoplasm of scapula and long bones of right upper limbKAccepted
C4002Malig neoplasm of scapula and long bones of left upper limbKAccepted
C4010Malignant neoplasm of short bones of unspecified upper limbNoneCannot group
C4011Malignant neoplasm of short bones of right upper limbKAccepted
C4012Malignant neoplasm of short bones of left upper limbKAccepted
C4020Malignant neoplasm of long bones of unspecified lower limbNoneCannot group
C4021Malignant neoplasm of long bones of right lower limbKAccepted
C4022Malignant neoplasm of long bones of left lower limbKAccepted
C4030Malignant neoplasm of short bones of unspecified lower limbNoneCannot group
C4031Malignant neoplasm of short bones of right lower limbKAccepted
C4032Malignant neoplasm of short bones of left lower limbKAccepted
C4080Malig neoplm of ovrlp sites of bone/artic cartl of unsp limbNoneCannot group
C4081Malig neoplm of ovrlp sites of bone/artic cartl of r limbKAccepted
C4082Malig neoplm of ovrlp sites of bone/artic cartl of left limbKAccepted
C4090Malig neoplasm of unsp bones and artic cartlg of unsp limbNoneCannot group
C4091Malig neoplasm of unsp bones and artic cartlg of right limbKAccepted
C4092Malig neoplasm of unsp bones and artic cartlg of left limbKAccepted
C410Malignant neoplasm of bones of skull and faceKAccepted
C411Malignant neoplasm of mandibleKAccepted
C412Malignant neoplasm of vertebral columnKAccepted
C413Malignant neoplasm of ribs, sternum and clavicleKAccepted
C414Malignant neoplasm of pelvic bones, sacrum and coccyxKAccepted
C419Malignant neoplasm of bone and articular cartilage, unspKAccepted

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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