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ICD-10-CM 2027 diagnosis code

C68.8Malignant neoplasm of overlapping sites of urinary organs

✓ Billable / specificCC — complication/comorbidity

C68.8 is a valid, billable ICD-10-CM code for malignant neoplasm of overlapping sites of urinary organs. 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 C68.8

C68.8 is the ICD-10-CM diagnosis code for malignant neoplasm of overlapping sites of urinary organs. It belongs to category C68 (malignant neoplasm of other and unspecified urinary organs), 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 C68 (malignant neoplasm of other and unspecified urinary organs), C68.8 is specifically for malignant neoplasm of overlapping sites of urinary organs. Related codes cover urethra (C68.0), paraurethral glands (C68.1) and urinary organ, unspecified (C68.9).

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 189.8 (malignant neoplasm of other specified sites of urinary organs).

Coding notes

Applicable toConditions and synonyms classified to this code
  • Primary malignant neoplasm of two or more contiguous sites of urinary organs whose point of origin cannot be determined

Notes that apply from higher levels

Instructions written at a parent level also apply to C68.8.

› From C68 Malignant neoplasm of other and unspecified urinary organs
Excludes1
  • malignant neoplasm of female genitourinary tract NOS (C57.9)
  • malignant neoplasm of male genitourinary tract NOS (C63.9)

Broader instructions also apply from Chapter 2: Neoplasms.

Table of Drugs & Neoplasms entries

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 →
  • 189.8Malignant neoplasm of other specified sites of urinary organsexact

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 C68.8

Is C68.8 billable?

Yes. C68.8 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

Can C68.8 be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict C68.8 as a principal diagnosis.

Is C68.8 a CC or MCC?

C68.8 is a CC (complication or comorbidity) under MS-DRG v44.0, unless excluded by the principal diagnosis.

What DRG does C68.8 group to?

C68.8 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 C68.8?

The CMS General Equivalence Mappings map C68.8 to ICD-9-CM 189.8.