ICD-10 C7A.093
Billable / Specific HCC v28: 12Malignant carcinoid tumor of the kidney
About ICD-10-CM C7A.093
ICD-10-CM code C7A.093 represents Malignant carcinoid tumor of the kidney. This is a billable/specific code in the Neoplasms chapter (block C7A). The 2026 edition of ICD-10-CM C7A.093 became effective on October 1, 2025.
Coding Tips for C7A.093
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
C7A.093 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.
Medicare Advantage HCC Impact
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 C7A.093
Local Coverage Determinations (LCDs) from CMS MACs that list C7A.093 as a covered diagnosis.
Showing top 10 of 846 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing C7A.093.
5 Medicare
CPT Codes Commonly Billed with C7A.093
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 76770 CMS LCD: Billing and Coding: Retroperitoneal Ultrasound CMS LCD
- 76776 CMS LCD: Billing and Coding: Retroperitoneal Ultrasound CMS LCD
- 76775 CMS LCD: Billing and Coding: Retroperitoneal Ultrasound CMS LCD
- 88120 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86386 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86294 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 86316 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- 88121 CMS LCD: Billing and Coding: Lab: Bladder/Urothelial Tumor Markers CMS LCD
- J2353 CMS LCD: Billing and Coding: Octreotide Acetate for Injectable Suspension (Sandostatin� LAR Depot) CMS LCD
Convert C7A.093 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| C7A.093 | 20924 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To C7A.093
Other codes in section C7A (Malignant neuroendocrine tumors).
ICD-10 C7A.093, Billing FAQ
Is ICD-10 code C7A.093 billable? +
Yes, C7A.093 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Does C7A.093 affect Medicare Advantage HCC risk adjustment? +
Yes. C7A.093 maps to CMS-HCC v28 category 12. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What CPT codes are commonly billed with C7A.093? +
Procedures frequently paired with C7A.093 include: 76770, 76776, 76775, 88120, 86386.
What ICD-9 codes does C7A.093 map to? +
Per CMS GEMs, C7A.093 maps to ICD-9 codes: 20924. Useful for legacy data review and historical claim analysis.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team