C60-C63 — Malignant neoplasms of male genital organs
ICD-10-CM codes C60-C63 cover malignant neoplasms of male genital organs, within neoplasms. The block holds 33 codes across 4 categories, of which 25 are billable and 8 are header codes that cannot be submitted on a claim.
Includes
Conditions this code covers.
- malignant neoplasm of skin of male genital organs
Risk adjustment in C60-C63
0 codes in this block map to a CMS-HCC, which means the diagnosis carries a risk-adjustment payment when it is documented and coded. Under-coding here is money left on the table; over-coding here is what audits are for.
- HCC 23 Prostate, Breast, and Other Cancers and Tumors
What else to watch in C60-C63
- 10 codes are laterality-specific. They come in left and right pairs, and the pair is mutually exclusive on a single site: coding both without a bilateral code is a contradiction a scrubber should catch before the payer does.
- 25 codes are named in Medicare coverage policies. An LCD or NCD lists them as supporting medical necessity, or explicitly as not supporting it. Which applies depends on the MAC for your state.