ICD-10 Code C40.21 – Malignant neoplasm of long bones of right lower limb (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Malignant neoplasm of long bones of right lower limb is C40.21.
2026 ICD-10-CM Diagnosis Code C40.21 – Malignant neoplasm of long bones of right lower limb

What it is

C40.21 identifies a malignant tumor arising in the long bones of the right lower limb, such as the femur or tibia. Use it when documentation specifies a primary bone cancer in that anatomic site.

Clinical signs

Clinical features vary; refer to documentation. Commonly recorded findings include localized bone pain, swelling, tenderness, or a pathologic fracture, with imaging or pathology supporting a malignant bone lesion.

When to use this code

Use this code when the provider documents a malignant neoplasm in a long bone of the right lower extremity and identifies the site clearly. It is appropriate for primary bone cancer at the femur, tibia, or other long bone on the right side. Check documentation if laterality or bone type is unclear.

Do not use for

Do not use this code for benign bone tumors, metastatic disease to bone, or malignancies in non-long bones. If the record does not specify the right lower limb, verify the laterality before coding.

Coding tip

Match the documented bone and laterality exactly; if the site is vague, query the provider before assigning C40.21.

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