C60.8
C60.8: Malignant neoplasm of overlapping sites of penis
Billable / specific codeICD-10-CM
C60.8 is a billable, specific ICD-10-CM code for malignant neoplasm of overlapping sites of penis. It is valid for submission on a claim.
Check C60.8 with the rest of the claim: free scrubberOther codes that can never be billed with C60.8
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C44Other and unspecified malignant neoplasm of skin
Risk adjustment
C60.8 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C60.8 is named in 60 Medicare coverage policies: 60 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A53883Billing and Coding: Mohs Micrographic Surgery (MMS)
Code history
Unchanged in every release from FY2024 to FY2027.