MCMCB Pro
C00

C00Malignant neoplasm of lip

Non-billable headerICD-10-CM

C00 is a non-billable header ICD-10-CM code for malignant neoplasm of lip. 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.

  • malignant melanoma of lip (C43.0)
  • Merkel cell carcinoma of lip (C4A.0)
  • other and unspecified malignant neoplasm of skin of lip (C44.0-)

Use additional code

Add a secondary code to capture the detail described below.

  • code to identify:
  • alcohol abuse and dependence (F10.-)
  • history of tobacco dependence (Z87.891)
  • tobacco dependence (F17.-)
  • tobacco use (Z72.0)

Other codes that can never be billed with C00

These codes carry an Excludes1 note pointing at C00. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C00 alone.

  • C43.0Malignant melanoma of lip
  • C4A.0Merkel cell carcinoma of lip
  • C44.0Other and unspecified malignant neoplasm of skin of lip

Risk adjustment

C00 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.

Code to one of these instead C00

9 child codes. Green means billable.

Questions about C00

Is C00 a billable ICD-10-CM code?
No. C00 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does C00 sit in the tabular list?
Neoplasms (C00-D49), in the block Malignant neoplasms of lip, oral cavity and pharynx (C00-C14).
What cannot be coded together with C00?
C00 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.