C68.9
C68.9 — Malignant neoplasm of urinary organ, unspecified
Billable / specific codeICD-10-CM
C68.9 is a billable, specific ICD-10-CM code for malignant neoplasm of urinary organ, unspecified. 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 urinary system NOS
Risk adjustment
C68.9 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
C68.9 is named in 40 Medicare coverage policies — 40 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
- A52986Billing and Coding: Biomarkers for Oncology
- A53101Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID® Update
- A54188Billing and Coding: MolDX: bioTheranostics Cancer TYPE ID®
Related codes at this level
Codes that share C68. If C68.9 is not quite right, the correct code is usually one of these.
Questions about C68.9
- Is C68.9 a billable ICD-10-CM code?
- Yes. C68.9 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C68.9 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of urinary tract (C64-C68).