October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

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 v07.2.26.

ICD-10-CM FY2027 · CMS grouper v07.2.26

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.

Code families in C64-C68

One page per three-character family: every code in it, whether it can lead a claim, its clinical group and comorbidity subgroup.

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 pelvisKCan lead a claim
C642Malignant neoplasm of left kidney, except renal pelvisKCan lead a claim
C649Malignant neoplasm of unsp kidney, except renal pelvisNoneCannot lead a claim
C651Malignant neoplasm of right renal pelvisKCan lead a claim
C652Malignant neoplasm of left renal pelvisKCan lead a claim
C659Malignant neoplasm of unspecified renal pelvisNoneCannot lead a claim
C661Malignant neoplasm of right ureterKCan lead a claim
C662Malignant neoplasm of left ureterKCan lead a claim
C669Malignant neoplasm of unspecified ureterNoneCannot lead a claim
C670Malignant neoplasm of trigone of bladderKCan lead a claim
C671Malignant neoplasm of dome of bladderKCan lead a claim
C672Malignant neoplasm of lateral wall of bladderKCan lead a claim
C673Malignant neoplasm of anterior wall of bladderKCan lead a claim
C674Malignant neoplasm of posterior wall of bladderKCan lead a claim
C675Malignant neoplasm of bladder neckKCan lead a claim
C676Malignant neoplasm of ureteric orificeKCan lead a claim
C677Malignant neoplasm of urachusKCan lead a claim
C678Malignant neoplasm of overlapping sites of bladderKCan lead a claim
C679Malignant neoplasm of bladder, unspecifiedKCan lead a claim
C680Malignant neoplasm of urethraKCan lead a claim
C681Malignant neoplasm of paraurethral glandsKCan lead a claim
C688Malignant neoplasm of overlapping sites of urinary organsKCan lead a claim
C689Malignant neoplasm of urinary organ, unspecifiedNoneCannot lead a claim

Source: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01. 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.

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