C67.1
C67.1 — Malignant neoplasm of dome of bladder
Billable / specific codeICD-10-CM
C67.1 is a billable, specific ICD-10-CM code for malignant neoplasm of dome of bladder. It is valid for submission on a claim.
Risk adjustment
C67.1 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
C67.1 is named in 82 Medicare coverage policies — 82 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 ™)
- 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 C67. If C67.1 is not quite right, the correct code is usually one of these.
- C67.0Malignant neoplasm of trigone of bladder
- C67.2Malignant neoplasm of lateral wall of bladder
- C67.3Malignant neoplasm of anterior wall of bladder
- C67.4Malignant neoplasm of posterior wall of bladder
- C67.5Malignant neoplasm of bladder neck
- C67.6Malignant neoplasm of ureteric orifice
- C67.7Malignant neoplasm of urachus
- C67.8Malignant neoplasm of overlapping sites of bladder
- C67.9Malignant neoplasm of bladder, unspecified
Questions about C67.1
- Is C67.1 a billable ICD-10-CM code?
- Yes. C67.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C67.1 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of urinary tract (C64-C68).