Is C69.6 a billable ICD-10-CM code?

No. C69.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does C69.6 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).

What cannot be coded together with C69.6?

C69.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

C69.6

C69.6 — Malignant neoplasm of orbit

Non-billable headerICD-10-CM

C69.6 is a non-billable header ICD-10-CM code for malignant neoplasm of orbit. 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 orbital bone (C41.0)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Malignant neoplasm of connective tissue of orbit
Malignant neoplasm of extraocular muscle
Malignant neoplasm of peripheral nerves of orbit
Malignant neoplasm of retrobulbar tissue
Malignant neoplasm of retro-ocular tissue

Other codes that can never be billed with C69.6

These codes carry an Excludes1 note pointing at C69.6. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C69.6 alone.

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

Risk adjustment

C69.6 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead C69.6

3 child codes. Green means billable.

Related codes at this level

Codes that share C69. If C69.6 is not quite right, the correct code is usually one of these.

Questions about C69.6

Is C69.6 a billable ICD-10-CM code?: No. C69.6 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C69.6 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).
What cannot be coded together with C69.6?: C69.6 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.