C10.8

C10.8: Malignant neoplasm of overlapping sites of oropharynx

Billable / specific codeICD-10-CM

C10.8 is a billable, specific ICD-10-CM code for malignant neoplasm of overlapping sites of oropharynx. It is valid for submission on a claim.

Check C10.8 with the rest of the claim: free scrubber

Inclusion terms

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

Malignant neoplasm of junctional region of oropharynx

Excludes2 inherited from the categories above C10.8

Not part of this code, but both may be coded when both are present.

Written on C10: Malignant neoplasm of oropharynx

malignant neoplasm of tonsil (C09.-)

Risk adjustment

C10.8 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

C10.8 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
A54111Billing and Coding: Speech Language Pathology (SLP) Services: Communication Disorders

Code history

Unchanged in every release from FY2024 to FY2027.