2026 ICD-10-CM Diagnosis Code C68.9Malignant neoplasm of urinary organ, unspecified

ICD-10-CM CodesC00–D49C64-C68C68

ICD-10-CM C68.9
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

C68.9 is a billable ICD-10-CM diagnosis code for malignant neoplasm of urinary organ, unspecified. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 656 through 658, 686 through 688. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Urinary system cancers - all other types.

Code Identity

ICD-10-CM Code
C68.9
Billable Status
Yes — Valid for Submission
Code Describes
Malignant neoplasm of urinary organ, unspecified
Short Description
Malignant neoplasm of urinary organ, unspecified
Same as the full description in the CMS dataset.
Parent Code
Malignant neoplasm of other and unspecified urinary organs

Code Classification

ChapterC00–D49Neoplasms
SectionC64-C68Malignant neoplasms of urinary tract
CategoryC68Malignant neoplasm of other and unspecified urinary organs
This CodeC68.9Malignant neoplasm of urinary organ, unspecified

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • Clear cell urothelial carcinoma of urinary system
  • Lipid-rich urothelial carcinoma of urinary system
  • Malignant neoplasm of urinary organ
  • Malignant neoplasm of urinary system
  • Metastatic urothelial carcinoma
  • Micropapillary urothelial carcinoma
  • Primary clear cell urothelial carcinoma of urinary system
  • Primary lipid-rich urothelial carcinoma of urinary system
  • Primary malignant neoplasm of urinary system
  • Primary micropapillary urothelial carcinoma
  • Primary transitional cell carcinoma of upper urinary tract
  • Transitional cell carcinoma of upper urinary tract

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

Inclusion Terms

  • Malignant neoplasm of urinary system NOS

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NEO047
Urinary system cancers - all other types
Default principal diagnosis: inpatient Yes · outpatient Yes

Table of NeoplasmsClinical

Anatomical sites in the Table of Neoplasms that reference this code family.

SiteMalig.
Primary
Malig.
Secondary
Ca
in situ
BenignUncertainUnspec.
urinary organ or systemC68.9C79.10D09.10D30.9D41.9D49.59

Patient EducationClinical

Bladder Cancer

The bladder is a hollow organ in your lower abdomen that stores urine. Bladder cancer occurs in the lining of the bladder. It is the sixth most common type of cancer in the United States.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert C68.9 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
189.9 Mal neo urinary NOS
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About C68.9Overview

Is C68.9 (Malignant neoplasm of other and unspecified urinary organs) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report malignant neoplasm of urinary organ, unspecified on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does C68.9 group to?

When malignant neoplasm of urinary organ, unspecified is the principal diagnosis on an inpatient stay, it groups to MS-DRG 656, 657, 658, 686, 687, 688, with relative weights from 0.7903 to 3.1838 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of C68.9?

Under the General Equivalence Mappings, malignant neoplasm of urinary organ, unspecified converts to ICD-9-CM 189.9 (mal neo urinary NOS). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.