2025 ICD-10-CM code C40
(Active) Effective Date: N/A Neoplasms - Malignant neoplasms of bone and articular cartilage 2 Neoplasms Feed
Malignant neoplasm of bone and articular cartilage of limbs.
Medical necessity is established by the diagnosis of a malignant neoplasm of bone or articular cartilage in the limbs. Treatment is necessary to control the disease and prevent further complications, such as pathological fractures and metastasis.
Primary bone cancers are rare.Ewing sarcoma, a type of bone cancer which occurs primarily in patients younger than 19 years of age, is included in this category and can affect bone, cartilage, and other tissues typically in the spine, pelvis, and extremities. Symptoms can include pain, swelling at the affected site, fever, pathological fractures, and difficulty with limb movement. Diagnosis is through physical examination, blood tests (which may show raised alkaline phosphatase level), biopsy, and imaging studies (X-rays, CT scan, MRI, PET, and angiogram). Treatment includes surgery, amputation, chemotherapy, radiation therapy, and cryosurgery.
In simple words: Bone cancer in the arms and legs. This includes osteosarcoma (bone cancer) and chondrosarcoma (cartilage cancer). It's an aggressive disease that can spread.
Malignant neoplasm of the bone (osteosarcoma) and articular cartilage (chondrosarcoma) of the limbs refers to abnormal growth of the cells of the bone and/or the strong, flexible tissue covering the joint surfaces of bones. This leads to the destruction of bone and tissue and can spread to surrounding tissues.It is more common in people who have a history of radiation therapy, chemotherapy, or predisposing genetic factors.
Example 1: A 15-year-old male presents with persistent pain and swelling in his left thigh. After imaging and biopsy, he is diagnosed with osteosarcoma of the femur., A 35-year-old female experiences a pathological fracture in her right arm. Subsequent tests reveal chondrosarcoma of the humerus., A child with a prior history of radiation therapy for another cancer develops a new tumor in their leg, diagnosed as Ewing sarcoma.
Documentation should include details about the location and size of the tumor, the presence of any metastases, and the patient's symptoms. Pathology reports from biopsies and imaging reports are essential. Any prior history of radiation therapy, chemotherapy or genetic predispositions should also be noted.
- Specialties:Orthopedic Oncology, Medical Oncology, Pathology, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Physician's Office