C69

C69: Malignant neoplasm of eye and adnexa

Non-billable headerICD-10-CM

C69 is a non-billable header ICD-10-CM code for malignant neoplasm of eye and adnexa. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1: never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

malignant neoplasm of connective tissue of eyelid (C49.0)
malignant neoplasm of eyelid (skin) (C43.1-, C44.1-)
malignant neoplasm of optic nerve (C72.3-)

Other codes that can never be billed with C69

Their own Excludes1 notes name this code, so the conflict is not listed above.

C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C49.0Malignant neoplasm of connective and soft tissue of head, face and neck
C71Malignant neoplasm of brain

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead C69

9 child codes. Green means billable.