icd 10 2017 medical billing code for primarymalignancy of the left tonsil

by Rhett VonRueden 7 min read

Malignant neoplasm of tonsil
ICD-10-CM C09. 9 is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 011 Tracheostomy for face, mouth and neck diagnoses or laryngectomy with mcc.

What is the ICD 10 code for neoplasm of tonsil?

2021 ICD-10-CM Diagnosis Code C09.9 Malignant neoplasm of tonsil, unspecified 2016 2017 2018 2019 2020 2021 Billable/Specific Code C09.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

How would you code a tonsillectomy with biopsy 42826?

I would code it as follows: 31237 (RVU: 6.94) - Nasal Endoscopy with Biopsy 42826 (RVU: 6.92) - Tonsillectomy (includes tonsil biopsy) 31525-59 (RVU: 6.83) - Rigid laryngoscopy; diagnostic, except newborn

What is the ICD 10 code for neoplasm of the tongue?

2018/2019 ICD-10-CM Diagnosis Code C01. Malignant neoplasm of base of tongue. C01 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.

Where do you put tonsil codes in CPT?

All of the tonsil dx codes are in the respiratory system section now for ICD 10 but in CPT the tonsil codes are in the digestive system section. HELP!!


What is the ICD-10 code for mass of tonsil?

ICD-10 code J35. 1 for Hypertrophy of tonsils is a medical classification as listed by WHO under the range - Diseases of the respiratory system .

What is malignant neoplasm of tonsillar fossa?

Tonsillar carcinoma is the most common of the oropharyngeal malignancies of the head and neck region after thyroid and laryngeal carcinoma. Squamous cell carcinoma is the most frequent histologic type of these tumors. Tonsillar tumors may originate in the oral cavity, oropharynx, hypopharynx, or larynx.

What is squamous cell carcinoma of the tonsil?

Oropharyngeal squamous cell carcinoma, commonly known as throat cancer or tonsil cancer, is a type of head and neck cancer that refers to the cancer of the base and posterior one-third of the tongue, the tonsils, soft palate, and posterior and lateral pharyngeal walls.

What is the ICD-10 code Z12 83?

ICD-10 code Z12. 83 for Encounter for screening for malignant neoplasm of skin is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .

Where is the tonsillar fossa?

The tonsillar fossa or sinus is a triangular space between the anterior pillar in front, the posterior pillar behind, and the dorsal surface of the posterior one third of the tongue inferiorly (Figure 2). Because the tonsils are positioned in it, its borders also limit the tonsil [7].

What are tonsillar crypts?

The tonsils are a pair of small, oval-shaped bits of tissue at the back of your throat. They have folds, gaps and crevices called tonsillar crypts. Tonsils are part of your immune system, which helps protect against infection. Tonsils filter bacteria and viruses that enter your body through your mouth.

Where does squamous cell carcinoma of tonsil spread to?

Tonsils have a rich supply of lymphatic tissue, which provides an easy path for metastases to reach regional lymph nodes. Cancerous cells may spread locally to the surrounding tissue of the oropharynx including the base of the tongue, the soft palate, and the posterior wall of the throat.

What is squamous cell carcinoma lymph nodes?

Metastatic squamous neck cancer with occult primary is a disease in which squamous cell cancer spreads to lymph nodes in the neck and it is not known where the cancer first formed in the body. Signs and symptoms of metastatic squamous neck cancer with occult primary include a lump or pain in the neck or throat.

Is squamous cell carcinoma a solid tumor?

Squamous cell carcinomas (SCCs) represent the most frequent human solid tumors and a major cause of cancer mortality. These highly heterogeneous tumors arise from closely interconnected epithelial cell populations with intrinsic self-renewal potential inversely related to the stratified differentiation program.

What does code Z12 11 mean?

Z12. 11: Encounter for screening for malignant neoplasm of the colon.

What is primary malignant neoplasm?

A malignant tumor at the original site of growth. [ from NCI]

When is Z12 83 used?

The code Z12. 83 (encounter for screening for malignant neoplasm of skin) will now be the best code for these purposes.

What is the tonsillar lymph node?

The tonsils are lymph nodes in the back of the mouth and top of the throat. They help to filter out bacteria and other germs to prevent infection in the body. A bacterial or viral infection can cause tonsillitis.

Where is the tonsillar pillar?

pharynxPosterior tonsil pillar This is the fold of tissue just behind the tonsils. It is created by the palatopharyngeus muscle which extends from the soft palate to the lateral wall of the pharynx.

Do they biopsy tonsils?

To confirm your diagnosis, your healthcare provider may perform an incisional biopsy of the tonsil or a fine needle aspiration biopsy of a lump in the neck. During this procedure, the suspicious cells are sampled from the mouth using a small knife or cells are suctioned from the lump in the neck with a thin needle.

What is tonsillar bed?

The tonsillar fossa (Tonsillar sinus; ; Tonsillar bed) is the depression between the palatoglossal and palatopharyngeal arches (as well as the triangular and semilunar folds) occupied by the palatine tonsil.

What is the synonym for malignant neoplasm of the tonsils?

Malignant neoplasm of tonsil. Approximate Synonyms. Cancer of the tonsil. Cancer of the tonsil, palatine, squamous cell. Primary malignant neoplasm of tonsil. Primary squamous cell carcinoma of tonsil palatine. Clinical Information. Malignant neoplasm of the tonsils. Malignant neoplasm of the tonsils.

What is the code for a primary malignant neoplasm?

A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere.

Can multiple neoplasms be coded?

For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned. Malignant neoplasm of ectopic tissue. Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, ...

General Information

CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.

Article Guidance

This First Coast Billing and Coding Article for Local Coverage Determination (LCD) L33818 Excision of Malignant Skin Lesions provides billing and coding guidance for frequency limitations as well as diagnosis limitations that support diagnosis to procedure code automated denials.

ICD-10-CM Codes that DO NOT Support Medical Necessity

All those not listed under the “ICD-10 Codes that Support Medical Necessity” section of this article.

Bill Type Codes

Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.

Revenue Codes

Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.

The ICD code C09 is used to code Head and neck cancer

Head and neck cancer is cancer that starts in the lip, oral cavity (mouth), nasal cavity (inside the nose), paranasal sinuses, pharynx, larynx or parotid glands.

Coding Notes for C09.9 Info for medical coders on how to properly use this ICD-10 code

Inclusion Terms are a list of concepts for which a specific code is used. The list of Inclusion Terms is useful for determining the correct code in some cases, but the list is not necessarily exhaustive.

MS-DRG Mapping

DRG Group #011-013 - Tracheostomy for face, mouth and neck diagnoses with MCC.

ICD-10-CM Neoplasms Index References for 'C09.9 - Malignant neoplasm of tonsil, unspecified'

The ICD-10-CM Neoplasms Index links the below-listed medical terms to the ICD code C09.9. Click on any term below to browse the neoplasms index.


This is the official approximate match mapping between ICD9 and ICD10, as provided by the General Equivalency mapping crosswalk. This means that while there is no exact mapping between this ICD10 code C09.9 and a single ICD9 code, 146.0 is an approximate match for comparison and conversion purposes.