C67.5: Malignant neoplasm of bladder neck
C67.5 is a billable, specific ICD-10-CM code for malignant neoplasm of bladder neck. It is valid for submission on a claim.
Check C67.5 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 internal urethral orifice
Other codes that can never be billed with C67.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C68.0Malignant neoplasm of urethra
Risk adjustment
C67.5 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. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C67.5 is named in 72 Medicare coverage policies: 72 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under C67
- C67.0Malignant neoplasm of trigone of bladder
- C67.1Malignant neoplasm of dome 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
- C67.6Malignant neoplasm of ureteric orifice
- C67.7Malignant neoplasm of urachus
- C67.8Malignant neoplasm of overlapping sites of bladder
- C67.9Malignant neoplasm of bladder, unspecified