C63.9: Malignant neoplasm of male genital organ, unspecified
C63.9 is a billable, specific ICD-10-CM code for malignant neoplasm of male genital organ, unspecified. It is valid for submission on a claim.
Check C63.9 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Malignant neoplasm of male genitourinary tract NOS
Other codes that can never be billed with C63.9
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
C63.9 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
C63.9 is named in 42 Medicare coverage policies: 42 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
- A55717Billing and Coding: Lab: Flow Cytometry
Alphabetic index entries that lead here
- Melanoma›skin›male genital organ NEC(external)
Code history
Unchanged in every release from FY2024 to FY2027.