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v1.0.0
ICD-10 Guide
ICD-10 CodesC08.9

C08.9

Billable

Malignant neoplasm of major salivary gland, unspecified

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

Code Description

ICD-10 C08.9 is a billable code used to indicate a diagnosis of malignant neoplasm of major salivary gland, unspecified.

Key Diagnostic Point:

Malignant neoplasms of the major salivary glands, including the parotid, submandibular, and sublingual glands, are rare but significant tumors that can present with various symptoms such as swelling, pain, and changes in salivary production. These tumors can be classified into several histological types, with mucoepidermoid carcinoma and adenoid cystic carcinoma being among the most common. Imaging studies, particularly MRI and CT scans, play a crucial role in the diagnosis and staging of these tumors, providing detailed information about the size, location, and extent of the neoplasm. Surgical management often involves the excision of the tumor, which may include partial or total gland removal, depending on the tumor's size and location. Adjuvant therapies, such as radiation or chemotherapy, may be indicated based on the tumor's characteristics and stage. Accurate coding for these conditions is essential for appropriate treatment planning and reimbursement.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in tumor types and histology
  • Need for precise documentation of tumor location
  • Potential for overlapping symptoms with benign conditions
  • Variability in treatment approaches based on tumor characteristics

Audit Risk Factors

  • Insufficient documentation of tumor characteristics
  • Inconsistent staging information
  • Lack of clarity on the specific gland involved
  • Failure to document treatment plans

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis and management of salivary gland tumors, including staging and treatment planning.

Billing Considerations

Ensure accurate documentation of tumor type and location for proper coding.

Otolaryngology

Documentation Requirements

Surgical notes, imaging results, and follow-up care documentation are essential.

Common Clinical Scenarios

Surgical excision of salivary gland tumors and management of complications.

Billing Considerations

Document the extent of surgical resection and any adjuvant therapies.

Coding Guidelines

Inclusion Criteria

Use C08.9 When
  • According to ICD
  • 10 coding guidelines, C08
  • 9 should be used when the specific major salivary gland involved is not documented
  • Coders should ensure that all relevant clinical information is captured to avoid ambiguity

Exclusion Criteria

Do NOT use C08.9 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

42500CPT Code

Parotid duct diversion

Clinical Scenario

Used in cases of obstructive salivary gland disease.

Documentation Requirements

Document indications for the procedure and any imaging studies.

Specialty Considerations

Otolaryngology specialists should ensure accurate coding based on the procedure performed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of salivary gland tumors, improving the accuracy of data collection and reimbursement processes. C08.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of salivary gland tumors, improving the accuracy of data collection and reimbursement processes. C08.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

Reimbursement & Billing Impact

reimbursement processes. C08.9 serves as a catch-all for unspecified cases, but coders should strive for specificity when possible.

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 is the significance of using C08.9?

C08.9 is used when the specific major salivary gland involved is not documented. It is essential for capturing cases of malignant neoplasms that do not have a more specific code available.

How can I ensure accurate coding for salivary gland tumors?

Accurate coding requires thorough documentation of the tumor type, location, and any imaging or treatment details. Always refer to pathology reports and imaging studies for precise information.