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Cancer, Oncology & Supportive Care • ICD-10-CM C90.00

Multiple Myeloma

Also known as: Plasma-cell myeloma

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-11-02 • ICD-10-CM C90.00 • 8 Linked .gov / PubMed Citations • Governance: Dr. Devon Caldwell, DO, MPH (NPI #1568063758)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Multiple Myeloma Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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What Is Multiple Myeloma?

Multiple myeloma is a cancer that begins in plasma cells, a type of white blood cell. These cells are part of your immune system, which helps protect the body from germs and other harmful substances. In time, myeloma cells collect in the bone marrow and in the solid parts of bones. No one knows the exact causes of multiple myeloma, but it is more common in older people and African Americans. It can run in families.

Pathophysiology, Underlying Causes & Clinical Presentation

In Multiple Myeloma (C90.00), physiological disruption stems from somatic oncogenic driver in Multiple Myeloma (C90.00: mutations), Cross-referenced with NIH MeSH (Multiple Myeloma), informing Cancer, Oncology & Supportive Care protocols that track Pathology / Molecular in Multiple Myeloma (C90.00: Genomic Staging) (Guideline-concordant surveillance (C90.00)).

Common Symptoms & Clinical Signs

  • • Bone pain, often in the back or ribs
  • • Fractures (broken bones)
  • • Presentation of Multiple Myeloma (C90.00): abnormality detected early in Multiple Myeloma (C90.00: on age-appropriate screening)
  • • Secondary Multiple Myeloma clinical sign: persistent painless lump, in Multiple Myeloma (C90.00: non-healing ulcer/mole change,)

Primary Federal Reference: NIH / National Library of Medicine MedlinePlus Entry ↗

Multiple Myeloma Diagnostic Classification & Lab Markers

Metric Verified Benchmark Source
ICD-10-CM Diagnostic Code C90.00 WHO / CMS ICD-10-CM Clinical Classification
Clinical Specialty Hub Cancer, Oncology & Supportive Care NIH MedlinePlus Health Topics
Diagnostic / Lab Marker: Comprehensive Metabolic & in Multiple Myeloma (C90.00: Organ Function Panel) Preserved renal/hepatic clearance (C90.00) Clinical Reference Target Range
Diagnostic / Lab Marker: Pathology / Molecular in Multiple Myeloma (C90.00: Genomic Staging) Guideline-concordant surveillance (C90.00) Clinical Reference Target Range
Diagnostic / Lab Marker: Complete Blood Count in Multiple Myeloma (C90.00: (ANC, Hemoglobin, Platelets)) Safe hematologic reserve (C90.00) Clinical Reference Target Range
Marcus Sterling (AI Healthcare Price Auditor) & Dr. Vance

FDA-Monographed Medications & Public Cash Price Reference for Multiple Myeloma

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Medication Pharmacologic Class Patient Worth-It CMS NADAC / Unit Typical Lowest Cash
Elotuzumab Empliciti • RxCUI 1726110 SLAMF7-directed Immunostimulatory Antibody 80% $2.3700 $ 104.49 /mo
Lenalidomide Revlimid • RxCUI 602910 Thalidomide Analog 74% $1.0100 $ 49.41 /mo
Pomalidomide Pomalyst • RxCUI 1369718 Thalidomide Analog 84% $0.2500 $ 18.63 /mo
Lovastatin Mevacor • RxCUI 197905 HMG-CoA Reductase Inhibitor 84% $0.0421 $ 5.69 /mo
Tecfidera (Dimethyl Fumarate) Tecfidera • RxCUI 1373483-B64406006 Multiple sclerosis Agent 91% $0.9402 $ 9.05 /mo
Denosumab Bilprevda, Ospomyv • RxCUI 2723338 RANK Ligand Inhibitor 81% $812.8408 $ 185.00 /mo
Natalizumab-Sztn Tyruko • RxCUI 2725173 Integrin Receptor Antagonist 93% $0.9200 $ 45.76 /mo
Adrenalin(R) Adrenalin(R) Generic • RxCUI 310132 alpha-Adrenergic Agonist 75% $7.7955 $ 185.00 /mo
Zoledronic Acid Reclast • RxCUI 351114 Bisphosphonate 74% $0.4788 $ 27.89 /mo
Copaxone (Glatiramer Acetate) Copaxone • RxCUI 2000007-B68546325 Multiple sclerosis Agent 81% $540.0503 $ 992.50 /mo
Melphalan Hydrochloride Melphalan Hydrochloride Generic • RxCUI 311487 FDA Prescription Therapeutic Agent 90% $0.6000 $ 32.80 /mo
Fluorouracil Tolak, Efudex • RxCUI 105583 Nucleoside Metabolic Inhibitor 90% $0.5853 $ 16.50 /mo
Cladribine Mavenclad • RxCUI 2122634 Purine Antimetabolite 92% $2.4900 $ 11362.63 /mo
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Multiple Myeloma)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
New Insights on Efficacy of natalizumab in secondary progressive multiple sclerosis: analysis of: What a 1,156-Participant Study Found

After accounting for therapeutic lag and differences between ASCEND and SPECTRIMS trials, natalizumab, compared.

Journal of neurology, neurosurgery, and psychiatry • 2025-09-12 • Phase III Randomized Trial
N = 1,156 96/100 PMID 40050011 ↗
New Insights on Utility of Progression Independent of Relapse Activity as a Trial Outcome in: What a 2,113-Participant Study Found

Our analysis included 2,113 participants, 42.4% of whom developed radiologic disease activity during follow-up.

Neurology • 2025-01-28 • Phase III Randomized Trial
N = 2,113 96/100 PMID 39960455 ↗
New Insights on Comparative efficacy of diroximel fumarate, ozanimod and interferon beta-1a for: What a 1,057-Participant Study Found

Clinical and radiological outcomes generally favored DRF versus IFN.

Journal of comparative effectiveness research • 2024-10-15 • Phase III Randomized Trial
N = 1,057 96/100 PMID 39158844 ↗
New Insights on Safety profile of efgartigimod from global clinical trials across multiple: What a 715-Participant Study Found

Across clinical trials in IgG-mediated autoimmune diseases, efgartigimod was well tolerated with similar safety profiles regardless of dosing regimen.

Expert review of clinical immunology • 2025-05-15 • Phase III Randomized Trial
N = 715 93/100 PMID 40296516 ↗
New Insights on Benefits and safety of Ponesimod Compared with Teriflunomide in Female Patients: What a 363-Participant Study Found

Conclusions: Analyses demonstrate the real-world benefits and safety of ponesimod, versus active comparator, for women with relapsing MS, supporting data-informed decision-making for women with MS.

Journal of women's health (2002) • 2024-04-15 • Phase III Randomized Trial
N = 363 93/100 PMID 38301149 ↗
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