ICD-10 C60.9
Billable / Specific HCC v28: 12Malignant neoplasm of penis, unspecified
About ICD-10-CM C60.9
ICD-10-CM code C60.9 represents Malignant neoplasm of penis, unspecified. This is a billable/specific code in the chapter (block C60). The 2026 edition of ICD-10-CM C60.9 became effective on October 1, 2025.
Coding Tips for C60.9
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
C60.9 is a CMS-HCC v28 risk-adjustment code (category 12). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.
Inclusion Terms / Approximate Synonyms
Clinical terms and conditions classified under C60.9. Per CMS ICD-10-CM Tabular 2026.
- Malignant neoplasm of skin of penis NOS
Medicare Advantage HCC Impact
Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.
Medicare LCD Coverage for C60.9
Local Coverage Determinations (LCDs) from CMS MACs that list C60.9 as a covered diagnosis.
Showing top 10 of 538 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing C60.9.
1 Aetna
1 Cigna
5 Medicare
CPT Codes Commonly Billed with C60.9
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert C60.9 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| C60.9 | 1874 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To C60.9
Other codes in section C60-C63 (Malignant neoplasms of male genital organs).
ICD-10 C60.9, Billing FAQ
Is ICD-10 code C60.9 billable? +
Yes, C60.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What other names or terms map to C60.9? +
ICD-10 C60.9 includes: Malignant neoplasm of skin of penis NOS.
Does C60.9 affect Medicare Advantage HCC risk adjustment? +
Yes. C60.9 maps to CMS-HCC v28 category 12. Capture this diagnosis annually for accurate Medicare Advantage risk score.
What ICD-9 codes does C60.9 map to? +
Per CMS GEMs, C60.9 maps to ICD-9 codes: 1874. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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