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C65 ICD-10-CM Code: Malignant neoplasm of renal pelvis

C65 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · HCC coding software

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Code lookupC65

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

C65

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

Malignant neoplasm of renal pelvis

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Inclusion Terms

Official

No inclusion terms are included in this display for C65. Check the code and parent instructions in the Code Book.

Excludes 2

Official

No Excludes 2 notes are included in this display for C65. Check the code and parent instructions in the Code Book.

Includes

Official
  • malignant neoplasm of pelviureteric junction
  • malignant neoplasm of renal calyces

Excludes 1

Official

No Excludes 1 notes are included in this display for C65. Check the code and parent instructions in the Code Book.

Code First

Official

No Code First sequencing instructions are included in this display for C65. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for C65. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for C65. Check the code and parent instructions in the Code Book.

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 →

Code
C65
Description
Malignant neoplasm of renal pelvis
HCC (V28)
No CMS-HCC V28 mapping
RAF reference coefficient
Billable
No
Payment year
2026

Coder workflow notes

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What This Code Means

C65 is the ICD-10-CM diagnosis code for malignant neoplasm of renal pelvis. C65 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 C65 cannot be reported on claims directly; they organize child codes that share clinical context. Coders should select the billable child code that matches the documented presentation and then verify its current source-backed HCC mapping. Do not infer a child code or risk adjustment value from the header alone.

HCC Buddy maintains structured V28 and V24 mapping, source-labeled coefficient references, and MEAT documentation criteria for C65 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • malignant neoplasm of pelviureteric junction
  • malignant neoplasm of renal calyces

Child Codes

Code Hierarchy

C65Malignant neoplasm of renal pelvis
C65Malignant neoplasm of renal pelvis

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