C14
C14 — Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx
Non-billable headerICD-10-CM
C14 is a non-billable header ICD-10-CM code for malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx. 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 neoplasm of oral cavity NOS (C06.9)
Use additional code
Add a secondary code to capture the detail described below.
- code to identify:
- alcohol abuse and dependence (F10.-)
- exposure to environmental tobacco smoke (Z77.22)
- exposure to tobacco smoke in the perinatal period (P96.81)
- history of tobacco dependence (Z87.891)
- occupational exposure to environmental tobacco smoke (Z57.31)
- tobacco dependence (F17.-)
- tobacco use (Z72.0)
Risk adjustment
C14 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 C14
3 child codes. Green means billable.
Questions about C14
- Is C14 a billable ICD-10-CM code?
- No. C14 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C14 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 C14?
- C14 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.