Malignant neoplasm of lateral floor of mouth
ICD-10 C04.1 is a billable code used to indicate a diagnosis of malignant neoplasm of lateral floor of mouth.
The lateral floor of the mouth is a critical area within the oral cavity, bordered by the mandible and the tongue. Malignant neoplasms in this region can arise from various tissues, including squamous cells, salivary glands, and connective tissues. These tumors may present as asymptomatic lesions or with symptoms such as pain, difficulty swallowing, or changes in speech. Risk factors include tobacco use, alcohol consumption, and HPV infection. Diagnosis typically involves a thorough clinical examination, imaging studies, and biopsy to confirm malignancy. Treatment often requires a multidisciplinary approach, including surgical resection, radiation therapy, and chemotherapy, depending on the tumor's stage and location. Dental considerations are paramount, as patients may experience complications such as xerostomia (dry mouth) and osteoradionecrosis following treatment. Regular dental evaluations and preventive care are essential for maintaining oral health in these patients.
Detailed pathology reports, imaging studies, and treatment plans must be documented.
Patients presenting with advanced lesions requiring surgical intervention or palliative care.
Ensure accurate staging and treatment documentation to support coding.
Comprehensive dental evaluations and treatment plans, including management of complications.
Patients undergoing radiation therapy requiring dental care to manage xerostomia and prevent osteoradionecrosis.
Coordination with oncology for comprehensive patient management.
Used for surgical excision of the malignant neoplasm.
Surgical notes detailing the excision and margins.
Oncology and surgery must coordinate for accurate coding.
Common symptoms include pain, difficulty swallowing, changes in speech, and the presence of a lesion or ulcer in the area.
