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Home/Diagnosis/ICD-10 Coding for Tonsil Cancer

ICD-10 Coding for Tonsil Cancer

C09.9
C09.0
C09.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for tonsil cancer includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Tonsillar Carcinoma
Palatine Tonsil Cancer
Oropharyngeal Cancer
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Key Information: ICD-10 Coding for Tonsil Cancer

Essential facts and insights about ICD-10 Coding for Tonsil Cancer

Use ICD-10 code C09.9 for malignant neoplasm of tonsil, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Malignant neoplasm of tonsil, unspecified

Billable Code
C09.9
Billable

Diagnostic Criteria

  • • Biopsy confirming malignancy
  • • Imaging showing tonsillar mass

Applicable To

  • • Unspecified tonsil cancer

Important Notes

  • • Ensure documentation specifies laterality and subsite when possible.

Malignant neoplasm of tonsillar fossa

Billable Code
C09.0
Billable

Diagnostic Criteria

  • • Biopsy confirming malignancy in the tonsillar fossa

Applicable To

  • • Cancer located in the tonsillar fossa

Important Notes

  • • Ensure precise documentation of the tumor's location.

Malignant neoplasm of tonsillar pillar (anterior/posterior)

Billable Code
C09.1
Billable

Diagnostic Criteria

  • • Biopsy confirming malignancy in the tonsillar pillar

Applicable To

  • • Cancer located in the tonsillar pillar

Important Notes

  • • Ensure precise documentation of the tumor's location.

Malignant neoplasm of lingual tonsil

Billable Code
C02.4
Billable

Diagnostic Criteria

  • • Biopsy confirming malignancy in the lingual tonsil

Applicable To

  • • Cancer located in the lingual tonsil

Important Notes

  • • Ensure precise documentation of the tumor's location.
Ancillary Codes

Additional codes that may be used with this diagnosis

B97.35

Human papillomavirus as the cause of diseases classified elsewhere

Use when HPV is confirmed as a contributing factor.

Frequently Asked Questions

What is the ICD-10 code for tonsil cancer?

The ICD-10 code for unspecified tonsil cancer is C09.9. For specific subsites, use C09.0 for tonsillar fossa and C09.1 for tonsillar pillar.

How do you code HPV-positive tonsil cancer?

For HPV-positive tonsil cancer, use C09.9 for the primary site and B97.35 to indicate HPV involvement.

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