C69.92
C69.92 — Malignant neoplasm of unspecified site of left eye
Billable / specific codeICD-10-CMleft
C69.92 is a billable, specific ICD-10-CM code for malignant neoplasm of unspecified site of left eye. It is valid for submission on a claim.
Risk adjustment
C69.92 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
C69.92 is named in 53 Medicare coverage policies — 53 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
- A53060Billing and Coding: Ophthalmology: Extended Ophthalmoscopy and Fundus Photography
- A56462Billing and Coding: Erythropoiesis Stimulating Agents (ESA)
- A56551Billing and Coding: Visual Fields Testing
Related codes at this level
Codes that share C69.9. If C69.92 is not quite right, the correct code is usually one of these.
Questions about C69.92
- Is C69.92 a billable ICD-10-CM code?
- Yes. C69.92 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C69.92 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).