C4A
Non-Billable

Merkel cell carcinoma

Non-Billable / Non-Specific Code

What is Merkel cell carcinoma?

ICD-10-CM C4A is the diagnosis code for Merkel cell carcinoma. This code falls under the section "Melanoma and other malignant neoplasms of skin" within Chapter 2 — Neoplasms (C00-D49). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

Coding Guidelines for C4A

Always refer to the official ICD-10-CM Tabular List for complete coding guidelines. Ensure documentation supports the specificity of the code selected. When in doubt, consult a certified medical coder or the latest CMS guidelines.

ICD-10-CM Code Hierarchy

Understanding where C4A sits in the ICD-10-CM classification helps ensure proper coding:

Sub-Codes 10 entries
C4A.0Merkel cell carcinoma of lipBillableC4A.1Merkel cell carcinoma of eyelid, including canthusNon-BillableC4A.10Merkel cell carcinoma of unspecified eyelid, including canthusBillableC4A.11Merkel cell carcinoma of right eyelid, including canthusNon-BillableC4A.111Merkel cell carcinoma of right upper eyelid, including canthusBillableC4A.112Merkel cell carcinoma of right lower eyelid, including canthusBillableC4A.12Merkel cell carcinoma of left eyelid, including canthusNon-BillableC4A.121Merkel cell carcinoma of left upper eyelid, including canthusBillableC4A.122Merkel cell carcinoma of left lower eyelid, including canthusBillableC4A.2Merkel cell carcinoma of ear and external auricular canalNon-BillableC4A.20Merkel cell carcinoma of unspecified ear and external auricular canalBillableC4A.21Merkel cell carcinoma of right ear and external auricular canalBillableC4A.22Merkel cell carcinoma of left ear and external auricular canalBillableC4A.3Merkel cell carcinoma of other and unspecified parts of faceNon-BillableC4A.30Merkel cell carcinoma of unspecified part of faceBillableC4A.31Merkel cell carcinoma of noseBillableC4A.39Merkel cell carcinoma of other parts of faceBillableC4A.4Merkel cell carcinoma of scalp and neckBillableC4A.5Merkel cell carcinoma of trunkNon-BillableC4A.51Merkel cell carcinoma of anal skinBillableC4A.52Merkel cell carcinoma of skin of breastBillableC4A.59Merkel cell carcinoma of other part of trunkBillableC4A.6Merkel cell carcinoma of upper limb, including shoulderNon-BillableC4A.60Merkel cell carcinoma of unspecified upper limb, including shoulderBillableC4A.61Merkel cell carcinoma of right upper limb, including shoulderBillableC4A.62Merkel cell carcinoma of left upper limb, including shoulderBillableC4A.7Merkel cell carcinoma of lower limb, including hipNon-BillableC4A.70Merkel cell carcinoma of unspecified lower limb, including hipBillableC4A.71Merkel cell carcinoma of right lower limb, including hipBillableC4A.72Merkel cell carcinoma of left lower limb, including hipBillableC4A.8Merkel cell carcinoma of overlapping sitesBillableC4A.9Merkel cell carcinoma, unspecifiedBillable
Related Codes

Frequently Asked Questions

Is C4A a billable ICD-10-CM code?

No, C4A is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does C4A mean?

C4A is the ICD-10-CM diagnosis code for "Merkel cell carcinoma". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What section is C4A in?

C4A is located in Section C43-C44 — "Melanoma and other malignant neoplasms of skin" within Chapter 2 of the ICD-10-CM Tabular List.

What are the sub-codes of C4A?

C4A has 10 sub-code(s) that provide more specific detail: C4A.0, C4A.1, C4A.2, C4A.3, C4A.4 and more.

When should I use C4A?

Use C4A when the patients documented diagnosis matches "Merkel cell carcinoma" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Merkel cell carcinoma?

The ICD-10-CM code for Merkel cell carcinoma is C4A.

Can C4A be used for primary diagnosis?

No, C4A is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is C4A in?

C4A is in Chapter 2 of the ICD-10-CM Tabular List.

Is C4A valid for 2026?

Yes, C4A is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousC49.A9Gastrointestinal stromal tumor of other sitesNext →C4A.0Merkel cell carcinoma of lip
Code Details
C4A
Merkel cell carcinoma
Non-Billable / Non-Specific Code
2 — Neoplasms (C00-D49)
C43-C44 — Melanoma and other malignant neoplasms of skin
2026 ICD-10-CM