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v1.0.0
ICD-10 Guide
ICD-10 CodesChapter 2: NeoplasmsC08

C08

Billable

Malignant neoplasm of other and unspecified major salivary glands

Chapter 2:Neoplasms

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C08 is a billable code used to indicate a diagnosis of malignant neoplasm of other and unspecified major salivary glands.

Key Diagnostic Point:

Malignant neoplasms of the salivary glands are rare tumors that can arise in any of the major salivary glands, including the parotid, submandibular, and sublingual glands, as well as minor salivary glands. These tumors can present with a variety of symptoms, including swelling, pain, and changes in oral function. Imaging studies such as ultrasound, CT scans, and MRIs are crucial for diagnosis and staging, providing detailed information about the tumor's size, location, and potential invasion into surrounding tissues. Surgical management often involves excision of the tumor, which may include partial or total gland removal, depending on the tumor's characteristics and extent. Postoperative care and follow-up are essential to monitor for recurrence and manage any complications. The prognosis varies based on the tumor type, stage at diagnosis, and treatment response.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of tumor types and histologies within salivary glands
  • Need for precise documentation of tumor location and characteristics
  • Potential for overlapping symptoms with benign conditions
  • Variability in treatment approaches based on tumor type and stage

Audit Risk Factors

  • Inadequate documentation of tumor type and characteristics
  • Failure to document imaging studies used for diagnosis
  • Incorrect coding of tumor stage or grade
  • Lack of follow-up documentation post-surgery

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of malignant salivary gland tumors, including chemotherapy and radiation therapy.

Billing Considerations

Ensure accurate staging and grading of tumors for appropriate coding.

Otolaryngology

Documentation Requirements

Surgical reports, imaging results, and postoperative follow-up notes.

Common Clinical Scenarios

Surgical excision of salivary gland tumors and management of complications.

Billing Considerations

Document the extent of surgery and any complications to support coding.

Coding Guidelines

Inclusion Criteria

Use C08 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's location, type, and treatment
  • Include any relevant imaging studies and pathology results to support the diagnosis

Exclusion Criteria

Do NOT use C08 When
No specific exclusions found.

Related CPT Codes

42500CPT Code

Parotidectomy

Clinical Scenario

Used for excision of malignant tumors in the parotid gland.

Documentation Requirements

Surgical reports detailing the extent of the procedure and findings.

Specialty Considerations

Otolaryngology specialists should document any nerve preservation techniques used.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes. C08 provides a distinct code for malignant tumors of unspecified major salivary glands, enhancing clarity in patient records.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes. C08 provides a distinct code for malignant tumors of unspecified major salivary glands, enhancing clarity in patient records.

Reimbursement & Billing Impact

reimbursement processes. C08 provides a distinct code for malignant tumors of unspecified major salivary glands, enhancing clarity in patient records.

Resources

Clinical References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery
  • •
    National Cancer Institute - Salivary Gland Cancer

Coding & Billing References

  • •
    American Academy of Otolaryngology - Head and Neck Surgery
  • •
    National Cancer Institute - Salivary Gland Cancer

Frequently Asked Questions

What are the common types of malignant salivary gland tumors?

Common types include mucoepidermoid carcinoma, adenoid cystic carcinoma, and acinic cell carcinoma. Each type has distinct characteristics and treatment protocols.

How is a malignant salivary gland tumor diagnosed?

Diagnosis typically involves imaging studies such as ultrasound, CT, or MRI, followed by a biopsy to confirm malignancy.

What is the typical treatment for malignant salivary gland tumors?

Treatment often involves surgical excision of the tumor, possibly followed by radiation therapy or chemotherapy, depending on the tumor type and stage.