ICD-10 · PDGM grouping

C64-C68 — Malignant neoplasms of urinary tract

Every ICD-10-CM code in this range and the PDGM clinical group CMS assigns to it, read from the CMS grouper crosswalk v07.1.26.

OASIS-E2 v1.00.0 · ingested 2026-04-26

Codes in range

23

No clinical group

4

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

19 of the 23 codes in C64-C68 group to MMTA - Infectious Disease, Neoplasms, and Blood-Forming Diseases. A further 4 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Every code in C64-C68

Descriptions are CMS’s own, abbreviated as CMS abbreviates them.

CodeDescriptionClinical groupPrimary position
C641Malignant neoplasm of right kidney, except renal pelvisKAccepted
C642Malignant neoplasm of left kidney, except renal pelvisKAccepted
C649Malignant neoplasm of unsp kidney, except renal pelvisNoneCannot group
C651Malignant neoplasm of right renal pelvisKAccepted
C652Malignant neoplasm of left renal pelvisKAccepted
C659Malignant neoplasm of unspecified renal pelvisNoneCannot group
C661Malignant neoplasm of right ureterKAccepted
C662Malignant neoplasm of left ureterKAccepted
C669Malignant neoplasm of unspecified ureterNoneCannot group
C670Malignant neoplasm of trigone of bladderKAccepted
C671Malignant neoplasm of dome of bladderKAccepted
C672Malignant neoplasm of lateral wall of bladderKAccepted
C673Malignant neoplasm of anterior wall of bladderKAccepted
C674Malignant neoplasm of posterior wall of bladderKAccepted
C675Malignant neoplasm of bladder neckKAccepted
C676Malignant neoplasm of ureteric orificeKAccepted
C677Malignant neoplasm of urachusKAccepted
C678Malignant neoplasm of overlapping sites of bladderKAccepted
C679Malignant neoplasm of bladder, unspecifiedKAccepted
C680Malignant neoplasm of urethraKAccepted
C681Malignant neoplasm of paraurethral glandsKAccepted
C688Malignant neoplasm of overlapping sites of urinary organsKAccepted
C689Malignant neoplasm of urinary organ, unspecifiedNoneCannot group

Source: CMS HH PPS Grouper Software v07.1.26, effective 2026-04-01. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff.