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.
Inclusion 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
These codes carry an Excludes1 note pointing at C67.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C67.5 alone.
- 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.
Medicare coverage
C67.5 is named in 83 Medicare coverage policies — 83 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 C67.5 is not quite right, the correct code is usually one of these.
- 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
Questions about C67.5
- Is C67.5 a billable ICD-10-CM code?
- Yes. C67.5 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C67.5 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of urinary tract (C64-C68).