Skip to content

C68 ICD-10-CM Code: Malignant neoplasm of other and unspecified urinary organs

C68 is not a CMS-HCC payment code. MEAT criteria · RAF calculator · HCC coding software

ICD-10-CM Code View

HCC Buddy Code Card

Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.

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

C68

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

Malignant neoplasm of other and unspecified urinary organs

Malignant neoplasm of other and unspecified urinary organs

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

Code Book Path

Official
C6Malignant neoplasms of urinary tract (C64-C68)
C68Malignant neoplasm of other and unspecified urinary organs

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C68 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C68 in this effective period.

Related Child Codes

Official
C68.0Malignant neoplasm of urethra
C68.1Malignant neoplasm of paraurethral glands
C68.8Malignant neoplasm of overlapping sites of urinary organs
C68.9Malignant neoplasm of urinary organ, unspecified

Includes

Official

ICD-10-CM does not list Includes notes for C68 in this effective period.

Excludes 1

Official
  • malignant neoplasm of female genitourinary tract NOS (C57.9)
  • malignant neoplasm of male genitourinary tract NOS (C63.9)

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C68 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C68 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C68 in this effective period.

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
C68
Description
Malignant neoplasm of other and unspecified urinary organs
HCC (V28)
No CMS-HCC V28 mapping
RAF
Billable
No
Payment year
2026

Coder workflow notes

Get the V28 RAF + MEAT cheat sheet

One printable page: confirm a code's V28 HCC status, its RAF weight, and the MEAT your note needs to make it stick. Free, no card.

Free PDF. No card. Unsubscribe anytime.

What This Code Means

C68 is the ICD-10-CM diagnosis code for malignant neoplasm of other and unspecified urinary organs. C68 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 C68 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 C68'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 C68 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 neoplasm of female genitourinary tract NOS (C57.9)
  • malignant neoplasm of male genitourinary tract NOS (C63.9)

Child Codes

Code Hierarchy

C68Malignant neoplasm of other and unspecified urinary organs
C68Malignant neoplasm of other and unspecified urinary organs

Work C68 in HCC Buddy

Open C68 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 7 days to try everything, no card required.