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ICD-10-CM 2027 diagnosis code

C40.31Malignant neoplasm of short bones of right lower limb

✓ Billable / specificCC — complication/comorbidity

C40.31 is a valid, billable ICD-10-CM code for malignant neoplasm of short bones of right lower limb. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About C40.31

C40.31 is the ICD-10-CM diagnosis code for malignant neoplasm of short bones of right lower limb. It belongs to category C40 (malignant neoplasm of bone and articular cartilage of limbs), block C40-C41 (malignant neoplasms of bone and articular cartilage) and chapter 2 (neoplasms). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within C40.3 (malignant neoplasm of short bones of lower limb), C40.31 is specifically for malignant neoplasm of short bones of right lower limb. Related codes cover unspecified lower limb (C40.30) and left lower limb (C40.32).

Use an additional code to identify major osseous defect, if applicable (M89.7-).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 542 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC, relative weight 1.7211), DRG 543 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC, relative weight 1.006) and DRG 544 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC, relative weight 0.7406), in MDC 08 (Diseases and Disorders of the Musculoskeletal System and Connective Tissue), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 170.8 (malignant neoplasm of short bones of lower limb).

Notes that apply from higher levels

Instructions written at a parent level also apply to C40.31.

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

Broader instructions also apply from C40-C41 Malignant neoplasms of bone and articular cartilage and Chapter 2: Neoplasms.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 170.8Malignant neoplasm of short bones of lower limbapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about C40.31

Is C40.31 billable?

Yes. C40.31 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can C40.31 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict C40.31 as a principal diagnosis.

Is C40.31 a CC or MCC?

C40.31 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does C40.31 group to?

C40.31 is used in the MS-DRG v44.0 logic for MS-DRG 542 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with MCC), MS-DRG 543 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy with CC) and MS-DRG 544 (Pathological Fractures and Musculoskeletal and Connective Tissue Malignancy without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for C40.31?

The CMS General Equivalence Mappings map C40.31 to ICD-9-CM 170.8.