Malignant neoplasm of vertebral column, excluding sacrum and coccyx

This code signifies a primary cancerous tumor originating in the bones of the spine, specifically excluding the sacrum and coccyx. It indicates a malignant growth within the vertebral column itself, not a metastasis from another primary site.

Apply this code when documentation confirms a primary malignant neoplasm of the vertebrae (e.g., thoracic, lumbar, cervical spine). This diagnosis is typically supported by biopsy results, imaging (MRI, CT), and pathology reports confirming a primary bone tumor.

• Differentiate carefully between primary bone malignancy and metastatic disease to the spine; metastatic lesions are coded differently.
• Ensure the documentation specifies the vertebral column as the primary site, not just involvement of the spinal cord or surrounding tissues.
• Confirm that the sacrum or coccyx are explicitly excluded, as separate codes exist for these locations.