C69.42 Malignant neoplasm of left ciliary body

Billable ICD-10-CM code, FY2026.

Applies from C69 Malignant neoplasm of eye and adnexa

Excludes1 (never code together)

• malignant neoplasm of connective tissue of eyelid (C49.0)
• malignant neoplasm of eyelid (skin) (C43.1-, C44.1-)
• malignant neoplasm of optic nerve (C72.3-)

Risk adjustment (HCC)

• CMS-HCC V28: HCC 23 — Prostate, Breast, and Other Cancers and Tumors
• CMS-HCC V22: HCC 12 — Breast, Prostate, and Other Cancers and Tumors
• RxHCC V08: HCC 22 — Prostate, Breast, Bladder, and Other Cancers and Tumors
• ESRD V24: HCC 12

MS-DRG index

Defines the logic of DRG(s) 124-125 in MDC 02.

Approximate ICD-9-CM (GEMs)

• 190.0 Malignant neoplasm of eyeball, except conjunctiva, cornea, retina, and choroid (approximate)

Nearby codes

• C69.31 Malignant neoplasm of right choroid
• C69.32 Malignant neoplasm of left choroid
• C69.4 Malignant neoplasm of ciliary body
• C69.40 Malignant neoplasm of unspecified ciliary body
• C69.41 Malignant neoplasm of right ciliary body
• C69.42 Malignant neoplasm of left ciliary body (this code)
• C69.5 Malignant neoplasm of lacrimal gland and duct
• C69.50 Malignant neoplasm of unspecified lacrimal gland and duct
• C69.51 Malignant neoplasm of right lacrimal gland and duct
• C69.52 Malignant neoplasm of left lacrimal gland and duct
• C69.6 Malignant neoplasm of orbit