C79.10
C79.10 — Secondary malignant neoplasm of unspecified urinary organs
Billable / specific codeICD-10-CM
C79.10 is a billable, specific ICD-10-CM code for secondary malignant neoplasm of unspecified urinary organs. It is valid for submission on a claim.
Risk adjustment
C79.10 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 18 Cancer Metastatic to Bone, Other and Unspecified Metastatic Cancer; Acute Leukemia Except Myeloid2.341 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
C79.10 is named in 13 Medicare coverage policies — 13 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
- A55719Sipuleucel-T (Provenge®) - Coverage Criteria for Prostate Cancer – Clarification
- A56695Billing and Coding: Implantable Infusion Pump
- A56748Billing and Coding: White Cell Colony Stimulating Factors
Related codes at this level
Codes that share C79.1. If C79.10 is not quite right, the correct code is usually one of these.
Questions about C79.10
- Is C79.10 a billable ICD-10-CM code?
- Yes. C79.10 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C79.10 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of ill-defined, other secondary and unspecified sites (C76-C80).