C69.21
C69.21 — Malignant neoplasm of right retina
Billable / specific codeICD-10-CMright
C69.21 is a billable, specific ICD-10-CM code for malignant neoplasm of right retina. It is valid for submission on a claim.
Risk adjustment
C69.21 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
C69.21 is named in 68 Medicare coverage policies — 68 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share C69.2. If C69.21 is not quite right, the correct code is usually one of these.
Questions about C69.21
- Is C69.21 a billable ICD-10-CM code?
- Yes. C69.21 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C69.21 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).