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
Excludes1 inherited from the categories above C14.8
These are not written on C14.8, but they bind it: a note on a category applies to every code beneath it. Billing C14.8 with anything listed here is a denial.
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 65 Medicare coverage policies — 65 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
- A52479Oral Anticancer Drugs - Policy Article
Code history
C14.8 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
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 Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above C14.8 (C14) and apply to it just the same.