C69.00
C69.00: Malignant neoplasm of unspecified conjunctiva
Billable / specific codeICD-10-CM
C69.00 is a billable, specific ICD-10-CM code for malignant neoplasm of unspecified conjunctiva. It is valid for submission on a claim.
Check C69.00 with the rest of the claim: free scrubberExcludes1 inherited from the categories above C69.00
A category’s note binds every code beneath it.
Risk adjustment
C69.00 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 23 Prostate, Breast, and Other Cancers and Tumors0.186 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
C69.00 is named in 35 Medicare coverage policies: 35 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A55717Billing and Coding: Lab: Flow Cytometry
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56748Billing and Coding: White Cell Colony Stimulating Factors
- A56827Billing and Coding: Proton Beam Therapy
Code history
Unchanged in every release from FY2024 to FY2027.