C68.8
C68.8 — Malignant neoplasm of overlapping sites of urinary organs
Billable / specific codeICD-10-CM
C68.8 is a billable, specific ICD-10-CM code for malignant neoplasm of overlapping sites of urinary organs. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Primary malignant neoplasm of two or more contiguous sites of urinary organs whose point of origin cannot be determined
Risk adjustment
C68.8 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
C68.8 is named in 60 Medicare coverage policies — 60 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52479Oral Anticancer Drugs - Policy Article
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A52986Billing and Coding: Biomarkers for Oncology
- A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy
Related codes at this level
Codes that share C68. If C68.8 is not quite right, the correct code is usually one of these.
Questions about C68.8
- Is C68.8 a billable ICD-10-CM code?
- Yes. C68.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C68.8 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of urinary tract (C64-C68).