ICD-10 C65
Non-Billable HeaderMalignant neoplasm of renal pelvis
About ICD-10-CM C65
ICD-10-CM code C65 represents Malignant neoplasm of renal pelvis. This is a non-billable header code in the chapter (block C65). The 2026 edition of ICD-10-CM C65 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Includes
- malignant neoplasm of pelviureteric junction
- malignant neoplasm of renal calyces
Medicare LCD Coverage for C65
Local Coverage Determinations (LCDs) from CMS MACs that list C65 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing C65.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but C65 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with C65
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.
Codes Adjacent To C65
Other codes in section C64-C68 (Malignant neoplasms of urinary tract).
ICD-10 C65, Billing FAQ
Is ICD-10 code C65 billable? +
No, C65 is a non-billable header code. Use a more specific child code from block C65 when submitting claims.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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