C02.0

C02.0: Malignant neoplasm of dorsal surface of tongue

Billable / specific codeICD-10-CM

C02.0 is a billable, specific ICD-10-CM code for malignant neoplasm of dorsal surface of tongue. It is valid for submission on a claim.

Check C02.0 with the rest of the claim: free scrubber

Excludes2: not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

malignant neoplasm of dorsal surface of base of tongue (C01)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Malignant neoplasm of anterior two-thirds of tongue, dorsal surface

Risk adjustment

C02.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 21 Lymphoma and Other Cancers0.671 RAF

Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

C02.0 is named in 57 Medicare coverage policies: 57 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
A52479Oral Anticancer Drugs - Policy Article
A52480Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) - Policy Article
A54768Billing and Coding: Cardiac Blood Pool Imaging (Multiple Gated Acquisition Scanning- MUGA, Ventriculography) When Performed in Conjunction with Cardiotoxic Chemotherapy

Code history

Unchanged in every release from FY2024 to FY2027.