Malignant neoplasms of urinary tract
ICD-10 Codes (24)
C65C65.1C65.2C65.9C66C66.1C66.2C66.9C67C67.0C67.1C67.2C67.3C67.4C67.5C67.6C67.7C67.8C67.9C68C68.0C68.1C68.8C68.9Updates & Changes
FY 2026 Updates
New Codes (2)
Revised Codes (2)
Deleted Codes
No codes deleted in this range for FY 2026
Historical Changes
- •FY 2025: Routine maintenance updates with minor terminology clarifications
- •FY 2024: Enhanced specificity requirements for certain code ranges
- •FY 2023: Updated documentation guidelines for improved clarity
Upcoming Changes
- •Proposed updates pending review by Coordination and Maintenance Committee
- •Under consideration: Enhanced digital health integration codes
Implementation Guidance
- •Review all FY 2026 updates for C64-C68 codes before implementation
- •Always verify the most current codes in the ICD-10-CM manual
- •Ensure clinical documentation supports the selected diagnosis codes
- +3 more guidance items...
Range Overview
The ICD-10 code range C64-C68 pertains to malignant neoplasms of the urinary tract. This includes cancers of the kidney, renal pelvis, ureter, and other urinary organs. These codes are used to classify and track the incidence of these cancers, and are crucial for treatment planning, epidemiological research, and health services allocation.
Key Usage Points:
- •C64 codes are used for malignant neoplasms of the kidney, except renal pelvis.
- •C65 codes pertain to malignant neoplasms of the renal pelvis.
- •C66 codes are used for malignant neoplasms of the ureter.
- •C67 codes cover malignant neoplasms of the bladder.
- •C68 codes are used for malignant neoplasms of other and unspecified urinary organs.
Coding Guidelines
When to Use:
- ✓When a patient is diagnosed with kidney cancer.
- ✓When a patient has a malignant neoplasm of the renal pelvis.
- ✓When a patient is diagnosed with ureter cancer.
- ✓When a patient has bladder cancer.
- ✓When a patient has a malignant neoplasm of an unspecified urinary organ.
When NOT to Use:
- ✗When a patient has a benign neoplasm of the urinary tract.
- ✗When a patient has a non-malignant cyst of the kidney.
- ✗When a patient has a urinary tract infection.
- ✗When a patient has kidney stones.
- ✗When a patient has urinary incontinence.
Code Exclusions
Always verify exclusions with the patient's medical record and the latest ICD-10 coding manual.
Documentation Requirements
Documentation for these codes should include the specific location of the neoplasm, its malignancy status, and any related complications or comorbidities. The patient's medical history, physical examination findings, and diagnostic test results should also be documented.
Clinical Information:
- •Specific location of the neoplasm
- •Malignancy status of the neoplasm
- •Related complications or comorbidities
- •Patient's medical history
- •Physical examination findings
Supporting Evidence:
- •Pathology reports
- •Imaging studies
- •Laboratory test results
- •Operative reports
Good Documentation Example:
Patient diagnosed with malignant neoplasm of left kidney, confirmed by pathology report. Patient has history of hypertension and chronic kidney disease.
Poor Documentation Example:
Patient has kidney cancer.
Common Documentation Errors:
- ⚠Not specifying the location of the neoplasm
- ⚠Not documenting the malignancy status of the neoplasm
- ⚠Not including related complications or comorbidities
- ⚠Not providing supporting evidence
Range Statistics
Coding Complexity
The coding complexity for this range is medium due to the need to accurately determine the location and malignancy status of the neoplasm, identify related complications or comorbidities, interpret supporting evidence, and stay current with coding guideline changes.
Key Factors:
- ▸Determining the specific location of the neoplasm
- ▸Determining the malignancy status of the neoplasm
- ▸Identifying related complications or comorbidities
- ▸Interpreting supporting evidence
- ▸Keeping up-to-date with changes in coding guidelines
Specialty Focus
These codes are primarily used by urologists, oncologists, and nephrologists. They may also be used by radiologists and pathologists involved in the diagnosis and treatment of urinary tract cancers.
Primary Specialties:
Clinical Scenarios:
- • A patient with hematuria is diagnosed with bladder cancer.
- • A patient with flank pain is found to have a malignant neoplasm of the right kidney.
- • A patient with a history of smoking is diagnosed with a malignant neoplasm of the ureter.
- • A patient with chronic urinary tract infections is found to have a malignant neoplasm of the renal pelvis.
Resources & References
Resources for these codes include the ICD-10 coding manual, official coding guidelines, clinical reference materials, and educational resources.
Official Guidelines:
- ICD-10-CM Official Guidelines for Coding and Reporting
- American Urological Association Coding and Reimbursement Briefs
- American Cancer Society Cancer Staging Manual
Clinical References:
- Urology Care Foundation Patient Education Materials
- National Cancer Institute Physician Data Query (PDQ)
Educational Materials:
- American Health Information Management Association (AHIMA) ICD-10 Training Materials
- American Academy of Professional Coders (AAPC) ICD-10-CM Code Set Training
Frequently Asked Questions
How do I code for a malignant neoplasm of the urinary tract with an unspecified location?
Use code C68.9 for a malignant neoplasm of an unspecified urinary organ.