C14.8

C14.8: Malignant neoplasm of overlapping sites of lip, oral cavity and pharynx

Billable / specific codeICD-10-CM

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.

Check C14.8 with the rest of the claim: free scrubber

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

A category’s note binds every code beneath it.

Written on C14: Malignant neoplasm of other and ill-defined sites in the lip, oral cavity and pharynx

malignant neoplasm of oral cavity NOS (C06.9)

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. Look up the whole chart to see which of its HCCs the hierarchy would zero.

Medicare coverage

C14.8 is named in 55 Medicare coverage policies: 55 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.