C69.12
C69.12 — Malignant neoplasm of left cornea
Billable / specific codeICD-10-CMleft
C69.12 is a billable, specific ICD-10-CM code for malignant neoplasm of left cornea. It is valid for submission on a claim.
Risk adjustment
C69.12 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.
Medicare coverage
C69.12 is named in 66 Medicare coverage policies — 66 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
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- 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 C69.1. If C69.12 is not quite right, the correct code is usually one of these.
Questions about C69.12
- Is C69.12 a billable ICD-10-CM code?
- Yes. C69.12 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C69.12 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72).