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2025 ICD-10-CM code C00

Malignant neoplasm of the lip.

Use additional codes to specify the histology (e.g., basal cell carcinoma, squamous cell carcinoma), behavior (malignant), and any associated functional activity.Consider using codes from Chapter 4 to describe any functional impairments caused by the neoplasm.

Medical necessity is established through the presence of a malignant neoplasm in the lip, confirmed by appropriate diagnostic procedures.Treatment is deemed medically necessary to control the cancer and prevent its spread.

Diagnosis is based on patient history, oral examination, lesion biopsy, and potentially endoscopy to check for metastasis. Treatment may involve lesion excision, Mohs surgery, radiation, or chemotherapy depending on the stage of cancer.

IMPORTANT:Excludes malignant melanoma of lip (C43.0), Merkel cell carcinoma of lip (C4A.0), and other and unspecified malignant neoplasm of skin of lip (C44.0-).

In simple words: This code is for cancer of the lip. It's a serious condition that needs medical attention. The doctor will use this code to describe the cancer's location and possibly type.

This code represents a malignant neoplasm (cancer) originating in the lip.It encompasses various histological types, such as squamous cell carcinoma (more common on the lower lip) and basal cell carcinoma (more common on the upper lip).Additional codes may be used to specify the histological type and other relevant clinical information.

Example 1: A 60-year-old male presents with a persistent, non-healing ulcer on his lower lip. Biopsy confirms squamous cell carcinoma.The code C00 is used to bill for the diagnosis., A 75-year-old female is diagnosed with basal cell carcinoma on her upper lip after a routine skin examination.The code C00 is used in conjunction with additional codes specifying the histological type., A 55-year-old male with a history of tobacco use presents with a large mass on his lower lip. Imaging and biopsy confirm a malignant neoplasm. Code C00 is utilized for billing purposes, and additional codes are appended to describe the tumor characteristics and stage.

Patient history (including risk factors like sun exposure and tobacco use), physical examination findings, biopsy results, imaging studies (if performed), and treatment plan details.

** This code should be used cautiously, as it's a broad category. Accurate coding requires detailed documentation to specify the histological type and other clinical features.

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