C68.8 Malignant neoplasm of overlapping sites of urinary organs

Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.

Applicable to

• Primary malignant neoplasm of two or more contiguous sites of urinary organs whose point of origin cannot be determined

Applies from C68 Malignant neoplasm of other and unspecified urinary organs

Excludes1 (never code together)

• malignant neoplasm of female genitourinary tract NOS (C57.9)
• malignant neoplasm of male genitourinary tract NOS (C63.9)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 22 — Bladder, Colorectal, and Other Cancers
• CMS-HCC V22: HCC 11 — Colorectal, Bladder, and Other Cancers
• RxHCC V08: HCC 22 — Prostate, Breast, Bladder, and Other Cancers and Tumors
• ESRD V24: HCC 11

MS-DRG index

Defines the logic of DRG(s) 656-658 in MDC 11.

Approximate ICD-9-CM (GEMs)

• 189.8 Malignant neoplasm of other specified sites of urinary organs

Nearby codes

• C68 Malignant neoplasm of other and unspecified urinary organs
• C68.0 Malignant neoplasm of urethra
• C68.1 Malignant neoplasm of paraurethral glands
• C68.8 Malignant neoplasm of overlapping sites of urinary organs (this code)
• C68.9 Malignant neoplasm of urinary organ, unspecified