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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

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Code lookupC68

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

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 C68. Check the code and parent instructions in the Code Book.

Excludes 2

Official

No Excludes 2 notes are included in this display for C68. Check the code and parent instructions in the Code Book.

Includes

Official

No Includes notes are included in this display for C68. Check the code and parent instructions in the Code Book.

Excludes 1

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

Code First

Official

No Code First sequencing instructions are included in this display for C68. Check the code and parent instructions in the Code Book.

Use Additional

Official

No Use Additional Code instructions are included in this display for C68. Check the code and parent instructions in the Code Book.

Code Also

Official

No Code Also instructions are included in this display for C68. 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
C68
Description
Malignant neoplasm of other and unspecified urinary organs
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

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. 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 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

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