C55
C55 — Malignant neoplasm of uterus, part unspecified
Billable / specific codeICD-10-CM
C55 is a billable, specific ICD-10-CM code for malignant neoplasm of uterus, part unspecified. It is valid for submission on a claim.
Risk adjustment
C55 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score.
Medicare coverage
C55 is named in 52 Medicare coverage policies — 52 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A52986Billing and Coding: Biomarkers for Oncology
Questions about C55
- Is C55 a billable ICD-10-CM code?
- Yes. C55 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C55 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of female genital organs (C51-C58).