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ICD-10-CM 2027 diagnosis code

C65.2Malignant neoplasm of left renal pelvis

✓ Billable / specificCC — complication/comorbidity

C65.2 is a valid, billable ICD-10-CM code for malignant neoplasm of left renal pelvis. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About C65.2

C65.2 is the ICD-10-CM diagnosis code for malignant neoplasm of left renal pelvis. It belongs to category C65 (malignant neoplasm of renal pelvis), block C64-C68 (malignant neoplasms of urinary tract) and chapter 2 (neoplasms). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

Within C65 (malignant neoplasm of renal pelvis), C65.2 is specifically for malignant neoplasm of left renal pelvis. Related codes cover right renal pelvis (C65.1) and unspecified renal pelvis (C65.9).

As a secondary diagnosis it is a CC (complication or comorbidity), which can move an inpatient stay into the "with CC" MS-DRG of its family, unless the principal diagnosis excludes it.

In MS-DRG v44.0, it is part of the grouping logic for DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC, relative weight 3.2786), DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC, relative weight 1.8365), DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC, relative weight 1.538), DRG 686 (Kidney and Urinary Tract Neoplasms with MCC, relative weight 1.7237), DRG 687 (Kidney and Urinary Tract Neoplasms with CC, relative weight 0.9957) and DRG 688 (Kidney and Urinary Tract Neoplasms without CC/MCC, relative weight 0.7333), in MDC 11 (Diseases and Disorders of the Kidney and Urinary Tract), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 189.1 (malignant neoplasm of renal pelvis).

Notes that apply from higher levels

Instructions written at a parent level also apply to C65.2.

› From C65 Malignant neoplasm of renal pelvis
Includes
  • malignant neoplasm of pelviureteric junction
  • malignant neoplasm of renal calyces

Broader instructions also apply from Chapter 2: Neoplasms.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 189.1Malignant neoplasm of renal pelvisapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about C65.2

Is C65.2 billable?

Yes. C65.2 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can C65.2 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict C65.2 as a principal diagnosis.

Is C65.2 a CC or MCC?

C65.2 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does C65.2 group to?

C65.2 is used in the MS-DRG v44.0 logic for MS-DRG 656 (Kidney and Ureter Procedures for Neoplasm with MCC), MS-DRG 657 (Kidney and Ureter Procedures for Neoplasm with CC), MS-DRG 658 (Kidney and Ureter Procedures for Neoplasm without CC/MCC), MS-DRG 686 (Kidney and Urinary Tract Neoplasms with MCC), MS-DRG 687 (Kidney and Urinary Tract Neoplasms with CC) and MS-DRG 688 (Kidney and Urinary Tract Neoplasms without CC/MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for C65.2?

The CMS General Equivalence Mappings map C65.2 to ICD-9-CM 189.1.