C14.8 — Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx
C14.8 is a billable, specific ICD-10-CM code for malignant neoplasm of overlapping sites of lip, oral cavity and pharynx. It is valid for submission on a claim.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- 'book leaf' neoplasm [ventral surface of tongue and floor of mouth] (C06.89)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Primary malignant neoplasm of two or more contiguous sites of lip, oral cavity and pharynx
Risk adjustment
C14.8 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.
Medicare coverage
C14.8 is named in 57 Medicare coverage policies — 57 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Related codes at this level
Codes that share C14. If C14.8 is not quite right, the correct code is usually one of these.
Questions about C14.8
- Is C14.8 a billable ICD-10-CM code?
- Yes. C14.8 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C14.8 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 C14.8?
- C14.8 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.