ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 C61

Billable / Specific HCC v28: 12

Malignant neoplasm of prostate

C61
Block
0
Synonyms
1,514
LCDs
89
Payer Policies
29
Linked CPTs

About ICD-10-CM C61

ICD-10-CM code C61 represents Malignant neoplasm of prostate. This is a billable/specific code in the chapter (block C61). The 2026 edition of ICD-10-CM C61 became effective on October 1, 2025.

Coding Tips for C61

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

C61 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.

Type 1 Excludes

Pure excludes, these codes can never be coded together with C61. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • malignant neoplasm of seminal vesicle (C63.7)

Use Additional Code

When coding C61, also report these additional codes when applicable.

  • code, if applicable, to identify:
  • hormone sensitivity status (Z19.1-Z19.2)
  • rising PSA following treatment for malignant neoplasm of prostate (R97.21)

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 12
ESRD-HCC
Category 12
RxHCC (Part D)
Category 12

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 C61

Local Coverage Determinations (LCDs) from CMS MACs that list C61 as a covered diagnosis.

1,514 LCDs

Showing top 10 of 1,514 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76872 →
CMS LCD: Billing and Coding: Transrectal Ultrasound
Article ID: 57427, Effective: 2024-10-01 00:00:00, 118 covered, 0 non-covered
CPT 76873 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77402 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77371 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 61797 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT G0339 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77338 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77432 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 61800 →
CMS LCD: Billing and Coding: Radiation Therapies
Article ID: 59350, Effective: 2026-01-01 00:00:00, 757 covered, 0 non-covered
CPT 77372 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing C61.

89 policies

2 Aetna

Transrectal Ultrasound - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0001
Positron Emission Tomography (PET) - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0071

1 Cigna

Nucleic Acid Pathogen Testing - (0530)
Policy ID: MM_0530

5 Medicare

Billing and Coding: Denosumab (Prolia�, Xgeva�, Jubbonti�, Wyost�, Ospomyv�,Xbryk�,Bomyntra�, Conexxence�, Stoboclo�, Osenvelt�,Bildyos�, Bilprevda�)
Policy ID: ART-52399
Billing and Coding: Paclitaxel (e.g., Taxol�/Abraxane �)
Policy ID: ART-52450
Billing and Coding: Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
Policy ID: ART-52453
Oral Anticancer Drugs - Policy Article
Policy ID: ART-52479
Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
Policy ID: ART-52480

CPT Codes Commonly Billed with C61

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

29 linkages
  • 55700 Prostate biopsy — elevated PSA, BPH, prostate cancer Urology
  • 55700 Prostate biopsy — elevated PSA, prostate disorder, prostate cancer, family hx prostate cancer, urinary retention, prostate screening Urology
  • 81542 CMS LCD: Billing and Coding: MolDX: Gene Expression Profile Tests for Decision-Making in Castration Resistant and Metastatic Prostate Cancers CMS LCD
  • 0047U CMS LCD: Billing and Coding: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease CMS LCD
  • 81541 CMS LCD: Billing and Coding: MolDX: Prostate Cancer Genomic Classifier Assay for Men with Localized Disease CMS LCD
  • 76770 CMS LCD: Billing and Coding: Retroperitoneal Ultrasound CMS LCD
  • 76776 CMS LCD: Billing and Coding: Retroperitoneal Ultrasound CMS LCD
  • 76775 CMS LCD: Billing and Coding: Retroperitoneal Ultrasound CMS LCD
  • Q5158 CMS LCD: Billing and Coding: Denosumab (Prolia�, Xgeva�, Jubbonti�, Wyost�, Ospomyv�,Xbryk�,Bomyntra�, Conexxence�, Stoboclo�, Osenvelt�,Bildyos�, Bilprevda�) CMS LCD
  • Q5157 CMS LCD: Billing and Coding: Denosumab (Prolia�, Xgeva�, Jubbonti�, Wyost�, Ospomyv�,Xbryk�,Bomyntra�, Conexxence�, Stoboclo�, Osenvelt�,Bildyos�, Bilprevda�) CMS LCD

Convert C61 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
C61 185 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 C61, Billing FAQ

Is ICD-10 code C61 billable? +

Yes, C61 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What codes are Type 1 Excludes for C61? +

Type 1 Excludes (never code together with C61): malignant neoplasm of seminal vesicle (C63.7)

Does C61 affect Medicare Advantage HCC risk adjustment? +

Yes. C61 maps to CMS-HCC v28 category 12. Capture this diagnosis annually for accurate Medicare Advantage risk score.

What CPT codes are commonly billed with C61? +

Procedures frequently paired with C61 include: 55700, 55700, 81542, 0047U, 81541.

What ICD-9 codes does C61 map to? +

Per CMS GEMs, C61 maps to ICD-9 codes: 185. 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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