C69 ICD-10-CM Code: Malignant neoplasm of eye and adnexa
C69 is not a CMS-HCC payment code. MEAT criteria · RAF Calculator · free HCC coding tools
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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72)
C69
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceMalignant neoplasm of eye and adnexa
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
Inclusion Terms
OfficialNo inclusion terms are included in this display for C69. Check the code and parent instructions in the Code Book.
Excludes 2
OfficialNo Excludes 2 notes are included in this display for C69. Check the code and parent instructions in the Code Book.
Related Codes
Includes
OfficialNo Includes notes are included in this display for C69. Check the code and parent instructions in the Code Book.
Excludes 1
Official- malignant neoplasm of connective tissue of eyelid (C49.0)
- malignant neoplasm of eyelid (skin) (C43.1-, C44.1-)
- malignant neoplasm of optic nerve (C72.3-)
Code First
OfficialNo Code First sequencing instructions are included in this display for C69. Check the code and parent instructions in the Code Book.
Use Additional
OfficialNo Use Additional Code instructions are included in this display for C69. Check the code and parent instructions in the Code Book.
Code Also
OfficialNo Code Also instructions are included in this display for C69. 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
- C69
- Description
- Malignant neoplasm of eye and adnexa
- 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
C69 is the ICD-10-CM diagnosis code for malignant neoplasm of eye and adnexa. C69 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of eye, brain and other parts of central nervous system (c69-c72).
Header codes like C69 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 C69 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.