C63.00: Malignant neoplasm of unspecified epididymis

Risk adjustment

C63.00 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

C63.00 is named in 34 Medicare coverage policies: 34 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

• A55717Billing and Coding: Lab: Flow Cytometry
• A56464Billing and Coding: Flow Cytometry
• A56748Billing and Coding: White Cell Colony Stimulating Factors
• A56867Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms