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

C69-C72 — Malignant neoplasms of eye, brain and other parts of central nervous system

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

54

No clinical group

13

A period cannot be grouped from these.

Barred as primary

0

CMS rejects these in the primary position.

Where these codes group

22 of the 54 codes in C69-C72 group to Neuro Rehabilitation, but the range is not uniform — it spreads across 2 clinical groups. A further 13 are assigned no clinical group at all, which means a 30-day period cannot be grouped from them.

Code families in C69-C72

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 C69-C72

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

CodeDescriptionClinical groupPrimary position
C6900Malignant neoplasm of unspecified conjunctivaNoneCannot lead a claim
C6901Malignant neoplasm of right conjunctivaKCan lead a claim
C6902Malignant neoplasm of left conjunctivaKCan lead a claim
C6910Malignant neoplasm of unspecified corneaNoneCannot lead a claim
C6911Malignant neoplasm of right corneaKCan lead a claim
C6912Malignant neoplasm of left corneaKCan lead a claim
C6920Malignant neoplasm of unspecified retinaNoneCannot lead a claim
C6921Malignant neoplasm of right retinaKCan lead a claim
C6922Malignant neoplasm of left retinaKCan lead a claim
C6930Malignant neoplasm of unspecified choroidNoneCannot lead a claim
C6931Malignant neoplasm of right choroidKCan lead a claim
C6932Malignant neoplasm of left choroidKCan lead a claim
C6940Malignant neoplasm of unspecified ciliary bodyNoneCannot lead a claim
C6941Malignant neoplasm of right ciliary bodyKCan lead a claim
C6942Malignant neoplasm of left ciliary bodyKCan lead a claim
C6950Malignant neoplasm of unspecified lacrimal gland and ductNoneCannot lead a claim
C6951Malignant neoplasm of right lacrimal gland and ductKCan lead a claim
C6952Malignant neoplasm of left lacrimal gland and ductKCan lead a claim
C6960Malignant neoplasm of unspecified orbitNoneCannot lead a claim
C6961Malignant neoplasm of right orbitKCan lead a claim
C6962Malignant neoplasm of left orbitKCan lead a claim
C6980Malignant neoplasm of ovrlp sites of unsp eye and adnexaNoneCannot lead a claim
C6981Malignant neoplasm of ovrlp sites of right eye and adnexaKCan lead a claim
C6982Malignant neoplasm of ovrlp sites of left eye and adnexaKCan lead a claim
C6990Malignant neoplasm of unspecified site of unspecified eyeNoneCannot lead a claim
C6991Malignant neoplasm of unspecified site of right eyeKCan lead a claim
C6992Malignant neoplasm of unspecified site of left eyeKCan lead a claim
C700Malignant neoplasm of cerebral meningesBCan lead a claim
C701Malignant neoplasm of spinal meningesKCan lead a claim
C709Malignant neoplasm of meninges, unspecifiedBCan lead a claim
C710Malignant neoplasm of cerebrum, except lobes and ventriclesBCan lead a claim
C711Malignant neoplasm of frontal lobeBCan lead a claim
C712Malignant neoplasm of temporal lobeBCan lead a claim
C713Malignant neoplasm of parietal lobeBCan lead a claim
C714Malignant neoplasm of occipital lobeBCan lead a claim
C715Malignant neoplasm of cerebral ventricleBCan lead a claim
C716Malignant neoplasm of cerebellumBCan lead a claim
C717Malignant neoplasm of brain stemBCan lead a claim
C718Malignant neoplasm of overlapping sites of brainBCan lead a claim
C719Malignant neoplasm of brain, unspecifiedBCan lead a claim
C720Malignant neoplasm of spinal cordBCan lead a claim
C721Malignant neoplasm of cauda equinaBCan lead a claim
C7220Malignant neoplasm of unspecified olfactory nerveNoneCannot lead a claim
C7221Malignant neoplasm of right olfactory nerveBCan lead a claim
C7222Malignant neoplasm of left olfactory nerveBCan lead a claim
C7230Malignant neoplasm of unspecified optic nerveNoneCannot lead a claim
C7231Malignant neoplasm of right optic nerveBCan lead a claim
C7232Malignant neoplasm of left optic nerveBCan lead a claim
C7240Malignant neoplasm of unspecified acoustic nerveNoneCannot lead a claim
C7241Malignant neoplasm of right acoustic nerveBCan lead a claim
C7242Malignant neoplasm of left acoustic nerveBCan lead a claim
C7250Malignant neoplasm of unspecified cranial nerveNoneCannot lead a claim
C7259Malignant neoplasm of other cranial nervesBCan lead a claim
C729Malignant neoplasm of central nervous system, unspecifiedBCan 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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