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C69.3 ICD-10-CM Code: Malignant neoplasm of choroid

C69.3 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)

C69.3

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

Malignant neoplasm of choroid

Malignant neoplasm of choroid

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
C69Malignant neoplasm of eye and adnexa
C69.3Malignant neoplasm of choroid

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C69.3 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C69.3 in this effective period.

Related Child Codes

Official
C69.30Malignant neoplasm of unspecified choroid
C69.31Malignant neoplasm of right choroid
C69.32Malignant neoplasm of left choroid

Includes

Official

ICD-10-CM does not list Includes notes for C69.3 in this effective period.

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

Official

ICD-10-CM does not list Code First sequencing instructions for C69.3 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C69.3 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C69.3 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
C69.3
Description
Malignant neoplasm of choroid
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

C69.3 is the ICD-10-CM diagnosis code for malignant neoplasm of choroid. C69.3 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 C69.3 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 C69.3 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Child Codes

Code Hierarchy

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