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C60.0 ICD-10-CM Code: Malignant neoplasm of prepuce

C60.0 maps to CMS-HCC V28 23. A source-labeled RAF reference is available. Confirm the documented diagnosis and applicable coding requirements. MEAT criteria · RAF Calculator · free HCC coding tools

ICD-10-CM Code View

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Code lookupC60.0

FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of male genital organs (C60-C63)

C60.0

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Malignant neoplasm of prepuce

Cancer that starts in the foreskin (prepuce) of the penis. This is a malignant tumor affecting the tissue that covers the head of the penis.

Buddy the Bee presenting code insight

Buddy Insight

Malignant neoplasm of the prepuce (foreskin) is a specific subsite of penile cancer, most commonly squamous cell carcinoma.

OverviewRisk ModelsCode BookDocumentationAuditNotesEdition comparison

CMS-HCC V28

HCC 23

Coefficient HCC 23: 0.186 (Community Non-Dual Aged (CNA))

CMS-HCC V24

Historical

Historical

Not used for CY2026 payment

ACA/HHS

HCC 013

Code-level coefficient reference

ESRD/PACE

HCC 12

Code-level coefficient reference

RXHCC

HCC 22

Code-level coefficient reference

Code Book Path

Official
C60Malignant neoplasm of penisC60.0Malignant neoplasm of prepuce

Inclusion Terms

Official
  • Malignant neoplasm of foreskin

Excludes 2

Official

No Excludes 2 notes are included in this display for C60.0. Check the code and parent instructions in the Code Book.

Related Codes

Official
C60.1Malignant neoplasm of glans penisC60.2Malignant neoplasm of body of penisC60.8Malignant neoplasm of overlapping sites of penisC60.9Malignant neoplasm of penis, unspecified

Includes

Official
  • malignant neoplasm of skin of male genital organsInherited from C60-C63

Excludes 1

Official

No Excludes 1 notes are included in this display for C60.0. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for C60.0. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for C60.0. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for C60.0. Check the code and parent instructions in the Code Book.

Buddy Documentation Tip

HCC Buddy guidance
Pathology confirming malignancy of the prepuce/foreskin specifically
Histologic type (squamous cell carcinoma in majority of cases)
TNM staging and grade
HPV status if tested

MEAT Support

HCC Buddy guidance
Pathology confirming malignancy of the prepuce/foreskin specifically
Histologic type (squamous cell carcinoma in majority of cases)
TNM staging and grade
HPV status if tested

Audit Caution

HCC Buddy guidance
Defaulting to unspecified penile cancer (C60.9) when the prepuce is documented as the specific site
Coding carcinoma in situ of the prepuce as invasive cancer — use D07.4 for in situ lesions
Confusing preputial cancer with glans cancer when the tumor involves the inner mucosal surface
Using this code for a history of prepuce cancer when the patient is cancer-free (use Z85.48)

Common Mistakes

HCC Buddy guidance
C60.1 — Glans penis cancer; the prepuce covers the glans but is a separate anatomical site
C60.2 — Body of penis; shaft cancer is coded differently from foreskin cancer
C60.9 — Penis unspecified; always use C60.0 when prepuce is specifically documented
D29.0 — Benign neoplasm of penis; confirm malignancy before assigning C60 codes

Current with CMS: FY2026 ICD-10-CM Apr 1 update (effective Apr 1 – Sep 30, 2026) · CMS-HCC V28, 100% phased in for payment year 2026. FY2027 code set already staged for October 1, 2026. How HCC Buddy stays current →

Is C60.0 an HCC code?

Yes. C60.0 (Malignant neoplasm of prepuce) maps to HCC 23, Prostate, Breast, and Other Cancers and Tumors under the CMS-HCC V28 risk adjustment model, with a source-labeled community non-dual aged reference coefficient of 0.186. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes. It is billable for payment year 2026.

Coder answer: C60.0 is billable and maps to V28 HCC 23, Prostate, Breast, and Other Cancers and Tumors. Open it in the Code Book for the tabular path, RAF, and MEAT checklist.

Code
C60.0
Description
Malignant neoplasm of prepuce
HCC (V28)
HCC 23 — Prostate, Breast, and Other Cancers and Tumors
RAF reference coefficient
0.186
Billable
Yes
Payment year
2026

HCC Category Mapping

V28HCC 23, Prostate, Breast, and Other Cancers and Tumors
0.186
ESRDHCC 12, Breast/Prostate/and Other Cancers and Tumors
Not separately weighted
RxHCCHCC 22, Prostate, Breast, Bladder, and Other Cancers and Tumors
Not separately weighted

These are source-labeled model coefficients, not member totals. A category may still be removed by hierarchy or model cleanup rules. Weights are not directly comparable across models: CMS-HCC V28 and V24 use Community, Non-Dual, Aged; ESRD uses the dialysis continuing-enrollee model; RxHCC is the Part D continuing-enrollee, non-low-income, aged weight (a larger scale than CMS-HCC). ACA/HHS has no single weight — it varies by metal level. Actual per-patient RAF contribution depends on member context, hierarchy and cleanup rules, interactions, and the model year used by the payer. V28 is the CMS-HCC model phased in over payment years 2024–2026; V24 remains available for historical review.

Work C60.0 in the Code Book — tabular path, V28 RAF reference, and MEAT checklist →

MEAT review for C60.0

For C60.0, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

  • MMonitor: signs, symptoms, disease progression, or lab trending documented in the note
  • EEvaluate: test results, medication response, or physical findings reviewed by the provider
  • AAssess: explicit mention in the assessment or plan with acknowledgment of status
  • TTreat: medication, referral, procedure, therapy, or counseling tied to the diagnosis

Coder workflow notes

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What This Code Means

C60.0 is the ICD-10-CM diagnosis code for malignant neoplasm of prepuce. Cancer that starts in the foreskin (prepuce) of the penis. This is a malignant tumor affecting the tissue that covers the head of the penis. C60.0 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of male genital organs (c60-c63).

Under the CMS-HCC V28 risk adjustment model, C60.0 maps to Prostate, Breast, and Other Cancers and Tumors (HCC 23) with a source-labeled community, non-dual, aged reference coefficient of 0.186. No V24 mapping is shown for C60.0; use the applicable model and payment year when reviewing the V28 mapping. For CY2026 non-PACE Medicare Advantage, CMS uses 100% of the 2024 CMS-HCC model (V28). PACE uses a separate model blend. Source-labeled code-level coefficients are references, not member totals. Actual contribution depends on complete member context, hierarchy and cleanup rules, interactions, and model year. HCC Buddy's RAF Calculator supports CMS-HCC V28 PY2026 and shows no score unless every required source and calculation check passes.

Verify documentation specifies the prepuce as the primary site to distinguish from other penile locations. For C60.0, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule. When documentation is ambiguous, coders should issue a provider query rather than assume the highest-specificity variant.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for C60.0 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • •Verify documentation specifies the prepuce as the primary site to distinguish from other penile locations
  • •Ensure laterality is not applicable for this code as it refers to a specific anatomical structure

Clinical Significance

Malignant neoplasm of the prepuce (foreskin) is a specific subsite of penile cancer, most commonly squamous cell carcinoma. Risk factors include lack of circumcision, phimosis, HPV infection, and poor hygiene. Accurate subsite documentation within the penis is essential for treatment planning (organ-sparing surgery vs. partial penectomy) and proper risk adjustment coding.

Documentation Requirements

  • ✓Pathology confirming malignancy of the prepuce/foreskin specifically
  • ✓Histologic type (squamous cell carcinoma in majority of cases)
  • ✓TNM staging and grade
  • ✓HPV status if tested
  • ✓Extent of local invasion and lymph node involvement
  • ✓Circumcision status

Commonly Confused Codes

  • •C60.1: Glans penis cancer; the prepuce covers the glans but is a separate anatomical site
  • •C60.2: Body of penis; shaft cancer is coded differently from foreskin cancer
  • •C60.9: Penis unspecified; always use C60.0 when prepuce is specifically documented
  • •D29.0: Benign neoplasm of penis; confirm malignancy before assigning C60 codes

Child Codes

C60.0Malignant neoplasm of prepuce
HCC 23
C60.1Malignant neoplasm of glans penis
HCC 23
C60.2Malignant neoplasm of body of penis
HCC 23
C60.8Malignant neoplasm of overlapping sites of penis
HCC 23
C60.9Malignant neoplasm of penis, unspecified
HCC 23

Code Hierarchy

└C60Malignant neoplasm of penis└C60.0Malignant neoplasm of prepuce
└C60.0Malignant neoplasm of prepuce

Also searched as

  • C60 0
  • C600

For C60.0, confirm that the documentation supports the diagnosis and meets the applicable coding, encounter, program and payer requirements. MEAT (Monitor, Evaluate, Assess, or Treat) is a review mnemonic, not a universal CMS coding rule.

C60.0 maps to CMS-HCC V28 category 23, Prostate, Breast, and Other Cancers and Tumors. See the ICD-10 to HCC mapping hub for how the V28 crosswalk works. The mapping identifies a payment HCC category for C60.0. Review its source-labeled HCC coefficient above, check the RAF Calculator with complete member context for CMS-HCC V28 PY2026, and confirm the documentation the chart needs before the code is submitted. HCC Buddy shows no RAF score unless every required source and calculation check passes.

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