C64.1
C64.1 — Malignant neoplasm of right kidney, except renal pelvis
Billable / specific codeICD-10-CMright
C64.1 is a billable, specific ICD-10-CM code for malignant neoplasm of right kidney, except renal pelvis. It is valid for submission on a claim.
Risk adjustment
C64.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 22 Bladder, Colorectal, and Other Cancers0.363 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
C64.1 is named in 80 Medicare coverage policies — 80 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52370Billing and Coding: Bevacizumab and biosimilars
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C64. If C64.1 is not quite right, the correct code is usually one of these.
Questions about C64.1
- Is C64.1 a billable ICD-10-CM code?
- Yes. C64.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C64.1 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of urinary tract (C64-C68).