Malignant neoplasm of bladder
In Malignant neoplasms of urinary tract (C64-C68), chapter 2: Neoplasms
10 billable codes under C67: none are a CC or MCC; all map to HCC 22 (Bladder, Colorectal, and Other Cancers).An HCC counts toward a Medicare Advantage patient's risk score.
Advertisements
Official coding guidelines
From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.
Rules for coding benign and malignant neoplasms: using the Neoplasm Table, sequencing primary and secondary sites, treatment encounters, complications, and current cancer versus personal history.
- Admission/Encounter for treatment of primary site (page 33)
- Admission/Encounter for treatment of secondary site (page 33)
- Coding and sequencing of complications (page 34)
- Primary malignancy previously excised (page 34)
- Admissions/Encounters involving antineoplastic chemotherapy, immunotherapy and radiation therapy (page 35)
- Admission/encounter to determine extent of malignancy (page 36)
- Symptoms, signs, and abnormal findings listed in Chapter 18 associated with neoplasms (page 36)
- Admission/encounter for pain control/management (page 36)
All codes under C67
C67 can't be used on a claim. Pick a billable code below; grey headings group them.
- C67.0Malignant neoplasm of trigone of bladder
- C67.1Malignant neoplasm of dome of bladder
- C67.2Malignant neoplasm of lateral wall of bladder
- C67.3Malignant neoplasm of anterior wall of bladder
- C67.4Malignant neoplasm of posterior wall of bladder
- C67.5Malignant neoplasm of bladder neck
- C67.6Malignant neoplasm of ureteric orifice
- C67.7Malignant neoplasm of urachus
- C67.8Malignant neoplasm of overlapping sites of bladder
- C67.9Malignant neoplasm of bladder, unspecified
C67 MS-DRGs
As the principal diagnosis, all 10 billable codes under C67 group to MS-DRG 656, 657, 658, 686, 687, or 688 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.
- DRG 656 Kidney and Ureter Procedures for Neoplasm with MCC
- DRG 657 Kidney and Ureter Procedures for Neoplasm with CC
- DRG 658 Kidney and Ureter Procedures for Neoplasm without CC/MCC
- DRG 686 Kidney and Urinary Tract Neoplasms with MCC
- DRG 687 Kidney and Urinary Tract Neoplasms with CC
- DRG 688 Kidney and Urinary Tract Neoplasms without CC/MCC
About the condition
Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.
Bladder Cancer
The bladder is a hollow organ in your lower abdomen that stores urine. Bladder cancer occurs in the lining of the bladder. It is the sixth most common type of cancer in the United States.
Read more about bladder cancer on MedlinePlusCode history
Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.
