C41.2
Billable codeMalignant neoplasm of vertebral column
The ICD-10 code for malignant neoplasm of vertebral column is C41.2.
Clinical notes
Excludes1 (not coded here)
An Excludes1 note is a pure exclusion: the excluded condition and this code should never be reported together, because the two conditions cannot occur at the same time (e.g. a congenital form vs. an acquired form of the same disease).
- malignant neoplasm of sacrum and coccyx (C41.4)
Documentation support
General coding-documentation guidance — not a substitute for payer-specific requirements or professional coding judgment.
- •Confirm the excluded condition(s) listed above are not also present — Excludes1 conditions cannot be coded together with this one.
- •As a general rule, code to the highest level of specificity supported by the documentation in the medical record.
Related codes in this category
- C41.0Malignant neoplasm of bones of skull and face
- C41.1Malignant neoplasm of mandible
- C41.3Malignant neoplasm of ribs, sternum and clavicle
- C41.4Malignant neoplasm of pelvic bones, sacrum and coccyx
- C41.9Malignant neoplasm of bone and articular cartilage, unspecified
- C41.2Malignant neoplasm of vertebral column
ICD-9-CM equivalent
Informational only — GEM mappings are approximate, not guaranteed one-to-one equivalents. Verify before use in billing.
- 1702
Associated MS-DRGs
C41.2 can serve as the principal diagnosis for these Medicare Severity Diagnosis-Related Groups.
Informational only — actual DRG assignment also depends on procedures, complications/comorbidities (CC/MCC), discharge status, and payer-specific rules not reflected here.
- DRG 456Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with MCC
- DRG 457Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions with CC
- DRG 458Spinal Fusion Except Cervical with Spinal Curvature, Malignancy, Infection or Extensive Fusions without CC/MCC
- DRG 542Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC
- DRG 543Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC
- DRG 544Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC