ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsC67

C67

Billable

Malignant neoplasm of bladder

Chapter 2:Neoplasms

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C67 is a billable code used to indicate a diagnosis of malignant neoplasm of bladder.

Key Diagnostic Point:

Malignant neoplasm of the bladder, classified under ICD-10 code C67, refers to cancerous tumors that develop in the bladder's epithelial lining. This condition is characterized by uncontrolled cell growth, leading to the formation of tumors that can invade surrounding tissues and metastasize to other parts of the body. The bladder is a hollow organ that stores urine, and its malignancies can present with symptoms such as hematuria (blood in urine), dysuria (painful urination), and increased urinary frequency. Risk factors include smoking, exposure to certain chemicals, chronic bladder inflammation, and a history of urinary tract infections. Staging of bladder cancer is crucial for determining treatment options and prognosis, typically classified using the TNM system, which assesses tumor size (T), lymph node involvement (N), and metastasis (M). Surgical management may involve transurethral resection of the bladder tumor (TURBT), radical cystectomy, or bladder-preserving therapies, depending on the stage and grade of the cancer. Accurate coding is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of staging systems (TNM, AJCC) that may affect coding
  • Differentiation between invasive and non-invasive tumors
  • Need for precise documentation of tumor grade and stage
  • Potential for multiple codes based on tumor location and extent

Audit Risk Factors

  • Inadequate documentation of tumor staging
  • Failure to specify the type of bladder cancer (e.g., transitional cell carcinoma)
  • Incorrect coding of associated procedures (e.g., TURBT)
  • Misinterpretation of pathology reports

Specialty Focus

Medical Specialties

Urology

Documentation Requirements

Detailed pathology reports, imaging studies, and surgical notes.

Common Clinical Scenarios

Diagnosis and management of bladder tumors, post-operative follow-up, and surveillance for recurrence.

Billing Considerations

Ensure accurate staging and grading of tumors to guide treatment decisions.

Oncology

Documentation Requirements

Comprehensive treatment plans, chemotherapy regimens, and response assessments.

Common Clinical Scenarios

Management of advanced bladder cancer, coordination of multi-disciplinary care, and palliative care considerations.

Billing Considerations

Documenting the rationale for treatment choices and monitoring for side effects.

Coding Guidelines

Inclusion Criteria

Use C67 When
  • Follow official coding guidelines for neoplasms, including the need for specificity in tumor location, stage, and histology
  • Ensure compliance with the ICD
  • CM coding conventions and the guidelines for coding malignancies

Exclusion Criteria

Do NOT use C67 When
No specific exclusions found.

Related CPT Codes

52281CPT Code

Cystourethroscopy with biopsy

Clinical Scenario

Used for diagnosis and staging of bladder cancer.

Documentation Requirements

Cystoscopy report detailing findings and biopsy results.

Specialty Considerations

Urologists must document the extent of the procedure and any findings.

51570CPT Code

Radical cystectomy

Clinical Scenario

Performed for muscle-invasive bladder cancer.

Documentation Requirements

Operative report detailing the surgical approach and findings.

Specialty Considerations

Oncologists must ensure accurate staging and post-operative care documentation.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of bladder cancer, improving the accuracy of data collection and reimbursement processes. The granularity of ICD-10 codes enables better tracking of treatment outcomes and resource utilization.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of bladder cancer, improving the accuracy of data collection and reimbursement processes. The granularity of ICD-10 codes enables better tracking of treatment outcomes and resource utilization.

Reimbursement & Billing Impact

reimbursement processes. The granularity of ICD-10 codes enables better tracking of treatment outcomes and resource utilization.

Resources

Clinical References

  • •
    American Urological Association Guidelines
  • •
    National Comprehensive Cancer Network Guidelines

Coding & Billing References

  • •
    American Urological Association Guidelines
  • •
    National Comprehensive Cancer Network Guidelines

Frequently Asked Questions

What is the primary treatment for muscle-invasive bladder cancer?

The primary treatment for muscle-invasive bladder cancer is radical cystectomy, often combined with chemotherapy or radiation therapy depending on the individual case.

How is bladder cancer staged?

Bladder cancer is staged using the TNM system, which assesses tumor size (T), lymph node involvement (N), and metastasis (M).