ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 C76.3

Billable / Specific HCC v28: 12

Malignant neoplasm of pelvis

C76
Block
4
Synonyms
475
LCDs
50
Payer Policies
12
Linked CPTs

About ICD-10-CM C76.3

ICD-10-CM code C76.3 represents Malignant neoplasm of pelvis. This is a billable/specific code in the chapter (block C76). The 2026 edition of ICD-10-CM C76.3 became effective on October 1, 2025.

Coding Tips for C76.3

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

C76.3 is a CMS-HCC v28 risk-adjustment code (category 12). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under C76.3. Per CMS ICD-10-CM Tabular 2026.

  • Malignant neoplasm of groin NOS
  • Malignant neoplasm of sites overlapping systems within the pelvis
  • Rectovaginal (septum) malignant neoplasm
  • Rectovesical (septum) malignant neoplasm

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 12
ESRD-HCC
Category 12
RxHCC (Part D)
Category 12

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Medicare LCD Coverage for C76.3

Local Coverage Determinations (LCDs) from CMS MACs that list C76.3 as a covered diagnosis.

475 LCDs

Showing top 10 of 475 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77402 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77371 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 61797 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT G0339 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77338 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77432 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 61800 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77372 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77435 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77407 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing C76.3.

50 policies

2 Aetna

Transrectal Ultrasound - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0001
Back Pain - Invasive Procedures - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0016

5 Medicare

Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Policy ID: ART-52480
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID� Update
Policy ID: ART-53101
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID�
Policy ID: ART-54188
Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID� Update
Policy ID: ART-54386
Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
Policy ID: ART-54768

CPT Codes Commonly Billed with C76.3

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

12 linkages
  • 83735 CMS LCD: Billing and Coding: Magnesium CMS LCD
  • 45341 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45331 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45337 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45332 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45334 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45335 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45342 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45330 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD
  • 45338 CMS LCD: Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic CMS LCD

Convert C76.3 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
C76.3 1953 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 C76.3, Billing FAQ

Is ICD-10 code C76.3 billable? +

Yes, C76.3 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to C76.3? +

ICD-10 C76.3 includes: Malignant neoplasm of groin NOS; Malignant neoplasm of sites overlapping systems within the pelvis; Rectovaginal (septum) malignant neoplasm, and 1 more clinical synonyms.

Does C76.3 affect Medicare Advantage HCC risk adjustment? +

Yes. C76.3 maps to CMS-HCC v28 category 12. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with C76.3? +

Procedures frequently paired with C76.3 include: 83735, 45341, 45331, 45337, 45332.

What ICD-9 codes does C76.3 map to? +

Per CMS GEMs, C76.3 maps to ICD-9 codes: 1953. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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