C69.2

C69.2: Malignant neoplasm of retina

Non-billable headerICD-10-CM

C69.2 is a non-billable header ICD-10-CM code for malignant neoplasm of retina. 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.

dark area on retina (D49.81)
neoplasm of unspecified behavior of retina and choroid (D49.81)
retinal freckle (D49.81)

Excludes1 inherited from the categories above C69.2

A category’s note binds every code beneath it.

Written on C69: Malignant neoplasm of eye and adnexa

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-)

Risk adjustment

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

Alphabetic index entries that lead here

Syndrome›retinoblastoma(familial)

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead C69.2

3 child codes. Green means billable.