Is C69.2 a billable ICD-10-CM code?

No. C69.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does C69.2 sit in the tabular list?

Neoplasms (C00-D49), in the block Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72).

What cannot be coded together with C69.2?

C69.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

C69.2

C69.2 — Malignant neoplasm of retina

Non-billable headerICD-10-CM

C69.2 is a non-billable header ICD-10-CM code for malignant neoplasm of retina. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

dark area on retina (D49.81)
neoplasm of unspecified behavior of retina and choroid (D49.81)
retinal freckle (D49.81)

Risk adjustment

C69.2 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How C69.2 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to C69.2.

Syndrome›retinoblastoma(familial)

Code to one of these instead C69.2

3 child codes. Green means billable.

Related codes at this level

Codes that share C69. If C69.2 is not quite right, the correct code is usually one of these.

Questions about C69.2

Is C69.2 a billable ICD-10-CM code?: No. C69.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C69.2 sit in the tabular list?: Neoplasms (C00-D49), in the block Malignant neoplasms of eye, brain and other parts of central nervous system (C69-C72).
What cannot be coded together with C69.2?: C69.2 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.