C61BillableSave

C61 - Malignant neoplasm of prostate

ICD-10-CM Chapter 2: Neoplasms · C60-C63 Malignant neoplasms of male genital organs (C60-C63) · Top-level category · FY2027

Includes, Excludes and Coding Notes

Excludes 1 — Not Coded HereFrom C61

Mutually exclusive: these conditions are never reported together with this code.

  • malignant neoplasm of seminal vesicle (C63.7)
Use Additional CodeFrom C61

Add a secondary code to identify the associated condition or cause when it is documented.

  • code, if applicable, to identify:
  • hormone sensitivity status (Z19.1-Z19.2)
  • rising PSA following treatment for malignant neoplasm of prostate (R97.21)
IncludesFrom C60-C63 Malignant neoplasms of male genital organs (C60-C63)

Conditions this code covers.

  • malignant neoplasm of skin of male genital organs
NotesFrom Chapter C00-D49

Instructional notes from the ICD-10-CM tabular list.

  • Functional activity
  • All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
  • Morphology [Histology]
  • Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
  • Primary malignant neoplasms overlapping site boundaries
  • A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
  • Malignant neoplasm of ectopic tissue
  • Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).

Inpatient DRG Payments

DRG 722879 discharges

Malignancy, Male Reproductive System With Mcc

Avg. Medicare Payment

$15,846

Total Payment$19,242
Patient Responsibility$3,397
Hospital Charge$86,955

Documentation requirements, coding pitfalls and FAQs for conditions coded with C61.