C69.61 Malignant neoplasm of right orbit

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-)

Applies from C69.6 Malignant neoplasm of orbit

Applicable to

• Malignant neoplasm of connective tissue of orbit
• Malignant neoplasm of extraocular muscle
• Malignant neoplasm of peripheral nerves of orbit
• Malignant neoplasm of retrobulbar tissue
• Malignant neoplasm of retro-ocular tissue

Excludes1 (never code together)

• malignant neoplasm of orbital bone (C41.0)

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)

• 190.1 Malignant neoplasm of orbit (approximate)

Code annotations containing back-references to C69.61

Back-references to C69.6

• Type 1 Excludes: C47.0 Malignant neoplasm of peripheral nerves of head, face and neck ("malignant neoplasm of peripheral nerves of orbit (C69.6-)")
• Type 1 Excludes: C49.0 Malignant neoplasm of connective and soft tissue of head, face and neck ("connective tissue of orbit (C69.6-)")
• Type 1 Excludes: C71 Malignant neoplasm of brain ("retrobulbar malignant neoplasm (C69.6-)")

Nearby codes

• 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
• C69.60 Malignant neoplasm of unspecified orbit
• C69.61 Malignant neoplasm of right orbit (this code)
• C69.62 Malignant neoplasm of left orbit
• C69.8 Malignant neoplasm of overlapping sites of eye and adnexa
• C69.80 Malignant neoplasm of overlapping sites of unspecified eye and adnexa
• C69.81 Malignant neoplasm of overlapping sites of right eye and adnexa
• C69.82 Malignant neoplasm of overlapping sites of left eye and adnexa