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C64 ICD-10-CM Code: Malignant neoplasm of kidney, except renal pelvis

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of urinary tract (C64-C68)

C64

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Malignant neoplasm of kidney, except renal pelvis

Malignant neoplasm of kidney, except renal pelvis

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
C6Malignant neoplasms of urinary tract (C64-C68)
C64Malignant neoplasm of kidney, except renal pelvis

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C64 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C64 in this effective period.

Related Child Codes

Official
C64.1Malignant neoplasm of right kidney, except renal pelvis
C64.2Malignant neoplasm of left kidney, except renal pelvis
C64.9Malignant neoplasm of unspecified kidney, except renal pelvis

Includes

Official

ICD-10-CM does not list Includes notes for C64 in this effective period.

Excludes 1

Official
  • malignant carcinoid tumor of the kidney (C7A.093)
  • malignant neoplasm of renal calyces (C65.-)
  • malignant neoplasm of renal pelvis (C65.-)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C64 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C64 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C64 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

C64 is the ICD-10-CM diagnosis code for malignant neoplasm of kidney, except renal pelvis. C64 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of urinary tract (c64-c68).

Header codes like C64 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at C64's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for C64 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

  • malignant carcinoid tumor of the kidney (C7A.093)
  • malignant neoplasm of renal calyces (C65.-)
  • malignant neoplasm of renal pelvis (C65.-)

Child Codes

Code Hierarchy

C64Malignant neoplasm of kidney, except renal pelvis
C64Malignant neoplasm of kidney, except renal pelvis

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