C00
C00 — Malignant neoplasm of lip
Non-billable headerICD-10-CM
C00 is a non-billable header ICD-10-CM code for malignant neoplasm of lip. 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.
Use additional code
Add a secondary code to capture the detail described below.
Other codes that can never be billed with C00
These codes carry an Excludes1 note pointing at C00. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C00 alone.
Risk adjustment
C00 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 C00
9 child codes. Green means billable.
- C00.0Malignant neoplasm of external upper lip
- C00.1Malignant neoplasm of external lower lip
- C00.2Malignant neoplasm of external lip, unspecified
- C00.3Malignant neoplasm of upper lip, inner aspect
- C00.4Malignant neoplasm of lower lip, inner aspect
- C00.5Malignant neoplasm of lip, unspecified, inner aspect
- C00.6Malignant neoplasm of commissure of lip, unspecified
- C00.8Malignant neoplasm of overlapping sites of lip
- C00.9Malignant neoplasm of lip, unspecified
Questions about C00
- Is C00 a billable ICD-10-CM code?
- No. C00 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C00 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 C00?
- C00 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.